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Systematic review and Meta-analysis of intervention effects and maintenance of school-based sexual abuse prevention programs
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Ziyao DONG1, Yihan MA1, Guoqing WANG1, Shouyuan WU1, Wenjie GONG*, 1, 2, 3, 4
Chinese Journal of School Health | 2025, 46(10) : 1416 - 1421
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Chinese Journal of School Health | 2025, 46(10): 1416-1421
• Health Education and Promotion •
Systematic review and Meta-analysis of intervention effects and maintenance of school-based sexual abuse prevention programs
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Ziyao DONG1, Yihan MA1, Guoqing WANG1, Shouyuan WU1, Wenjie GONG*, 1, 2, 3, 4
Affiliations
  • 1Department of Child and Adolescent Health and Maternal & Child Health, Xiangya School of Public Health, Central South University, Changsha 410013, Hunan Province, China
Published: 2025-10-25 doi: 10.16835/j.cnki.1000-9817.2025294
Outline
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Objective

To explore effects and maintenance of school-based sexual abuse prevention programs for minors, so as to provide scientific evidences for optimizing intervention design and policy-making.

Methods

Six Chinese and English databases were searched, including CNKI, Wanfang Database, Medline (via PubMed), Embase, Cochrane Library and Web of Science, with the time frame set from database inception to December 31, 2024. Studies on school-based sexual abuse prevention programs for minors were selected, and data on knowledge, attitudes and skills related to sexual abuse prevention were extracted. Meta-analysis was performed using Stata 17.

Results

A total of 26 studies were included. The Meta-analysis results showed that school-based sexual abuse prevention programs improved participants' knowledge (SMD=1.24, 95%CI=0.96-1.52), attitudes (SMD=0.62, 95%CI=0.19-1.04) and skills (SMD=0.66, 95%CI=0.50-0.83) (all P < 0.01). During the overall follow-up, the maintenance rates for knowledge, attitudes, and skills were 0.97(95%CI=0.95-1.00), 0.99(95%CI=0.95-1.04) and 1.01(95%CI=0.99-1.04), respectively, with no statistically significant differences (all P>0.05). However, knowledge retention declined significantly when follow-up exceeded three months (R=0.91, 95%CI=0.83-0.99, P < 0.01), while skills retention (R=0.94, 95%CI=0.87-1.02, P=0.23) remained higher than knowledge and attitudes (R=0.98, 95%CI=0.96-1.00, P=0.13), demonstrating stronger long-term effects.

Conclusion

School-based sexual abuse prevention programs are effective in enhancing participants' knowledge, attitudes and skills, but the intervention effects diminish over time, particularly in knowledge retention.

Sex offenses  /  Intervention studies  /  Meta-analysis  /  Health promotion  /  Students
董子瑶, 马艺函, 王国庆, 吴守媛, 龚雯洁. 学校防性侵项目干预效果及维持情况的系统评价与Meta分析. 中国学校卫生, 2025 , 46 (10) : 1416 -1421 . DOI: 10.16835/j.cnki.1000-9817.2025294
Ziyao DONG, Yihan MA, Guoqing WANG, Shouyuan WU, Wenjie GONG. Systematic review and Meta-analysis of intervention effects and maintenance of school-based sexual abuse prevention programs[J]. Chinese Journal of School Health, 2025 , 46 (10) : 1416 -1421 . DOI: 10.16835/j.cnki.1000-9817.2025294
Year 2025 volume 46 Issue 10
12
6
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Article Info
doi: 10.16835/j.cnki.1000-9817.2025294
  • Receive Date:2025-04-08
  • Online Date:2026-11-06
  • Published:2025-10-25
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  • Received:2025-04-08
  • Revised:2025-06-10
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    1Department of Child and Adolescent Health and Maternal & Child Health, Xiangya School of Public Health, Central South University, Changsha 410013, Hunan Province, China
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表12种不同金属材料的力学参数
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Family
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Number of
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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