Mendelson Tamar, Letourneau Elizabeth J
Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA,
Prev Sci. 2015 Aug;16(6):844-52. doi: 10.1007/s11121-015-0553-z.
Child sexual abuse (CSA) is a serious public health issue. Current after-the-fact approaches to treating victims and punishing offenders are not adequate to address a problem of this magnitude; development and rigorous evaluation of CSA prevention strategies are critical. We propose that CSA prevention efforts should target parents of young children. Parents have been neglected as a focus of CSA prevention; they merit attention given their potential to improve children's safety via effective communication and monitoring. This paper provides an overview of current strategies for reducing CSA prevalence and their limitations, presents a rationale for parent-focused CSA prevention, and discusses considerations pertinent to development of an effective parent-focused approach. Parent-focused CSA prevention offers potential as a public health approach to prevention of CSA, and it is time that we devote resources toward developing and studying this important area.
儿童性虐待(CSA)是一个严重的公共卫生问题。目前针对受害者治疗和罪犯惩罚的事后处理方法不足以应对如此规模的问题;制定并严格评估CSA预防策略至关重要。我们建议CSA预防工作应针对幼儿的父母。父母作为CSA预防的重点一直被忽视;鉴于他们有潜力通过有效的沟通和监督来提高儿童的安全性,他们值得关注。本文概述了当前降低CSA发生率的策略及其局限性,提出了以父母为重点的CSA预防的基本原理,并讨论了与开发有效的以父母为重点的方法相关的考虑因素。以父母为重点的CSA预防作为预防CSA的公共卫生方法具有潜力,现在是我们投入资源来开发和研究这一重要领域的时候了。