University at Buffalo, State University of New York, United States.
University at Buffalo, State University of New York, United States.
Child Abuse Negl. 2019 Oct;96:104101. doi: 10.1016/j.chiabu.2019.104101. Epub 2019 Aug 1.
Despite the importance of child sexual abuse (CSA) prevention, there are few recent randomized controlled trials of school-based CSA prevention programs.
(1) To evaluate the effects of the Second Step Child Protection Unit (CPU) on students' CSA prevention concept knowledge, ability to recognize, report, and refuse unsafe touches, and perceptions of teacher-student relations and (2) investigate the moderating role of age and gender on program effectiveness.
Eight elementary schools in a large suburban school district in the northeast United States were randomly assigned to the intervention or control condition, with analyses conducted on a total of 2172 students.
Students in intervention schools received the 6-week CPU and those in the control schools were exposed to business as usual. Students were administered assessments at baseline and then at post-test.
Univariate Analyses of Covariance revealed that students in the intervention schools had significantly higher scores on all outcomes than students in the control schools at post-test, even after controlling for baseline scores. Children in younger grades made greater gains from the program, and girls scored higher than boys in CSA knowledge and ability to recognize, refuse, and report unsafe touches, but both boys and girls made significant gains.
Results support the importance of beginning early with school-based CSA prevention efforts. Although boys are still at a relative disadvantage in terms of their knowledge and ability in this area, they are able to make gains at the same rate as girls.
尽管儿童性虐待（CSA）预防至关重要，但近期很少有基于学校的 CSA 预防计划的随机对照试验。
（1）评估第二步儿童保护单元（CPU）对学生 CSA 预防概念知识、识别、报告和拒绝不安全触摸的能力以及对师生关系的看法的影响；（2）调查年龄和性别对计划效果的调节作用。
美国东北部一个大型郊区学区的 8 所小学被随机分配到干预组或对照组，对总共 2172 名学生进行了分析。
干预学校的学生接受了 6 周的 CPU，对照组的学生接受了常规教育。学生在基线和随后的测试中接受评估。
单变量协方差分析显示，即使在控制基线分数后，干预组学生在所有结果上的得分都显著高于对照组学生在测试后的得分。低年级学生从该项目中获得了更大的收益，女孩在 CSA 知识和识别、拒绝和报告不安全触摸的能力方面的得分高于男孩，但男孩和女孩都取得了显著的收益。
结果支持在学校层面尽早开展 CSA 预防工作的重要性。尽管男孩在这方面的知识和能力仍然处于相对劣势，但他们能够与女孩以相同的速度取得进步。
