Olié Louis, Maternowska M Catherine, Fry Deborah
CIRAD, UMR MoISA (Univ. of Montpellier, Cirad, IAMM, INRAE, l'Institut Agro, IRD), La Réunion, France; Bordeaux School of Economics, Univ Bordeaux, BxSE, UMR 6060, F-33600 Pessac, France.
End Violence Lab, Moray House School of Education and Sport, University of Edinburgh, Edinburgh, Scotland, United Kingdom.
Child Abuse Negl. 2023 Nov;145:106427. doi: 10.1016/j.chiabu.2023.106427. Epub 2023 Sep 1.
Violence against children (VAC) is a global public health issue. In the context of limited resources, the United Nations Development Programme has coined the concept of a Sustainable Development Goals (SDG) accelerator for preventing and responding to VAC. An 'accelerator' is a provision that simultaneously leads to progress across multiple SDGs targets and goals.
This systematic review synthesizes the literature on violence prevention evaluation studies using robust methods according to the SDG accelerator framework for children aged 0-18 in Western Europe and Central and West Africa. It also provides a lens for analyzing research inequities between the global North and South, examining the challenges and differences undermining knowledge production across regions, particularly in research output.
We systematically searched 30 electronic databases and grey literature in English and French. The quality of included studies was assessed using the Cochrane Risk of Bias tool.
Nine evaluation studies related to four SDG goals and ten targets were included in the analysis. As a result, no intervention was identified as an accelerator for children in West and Central Africa. In contrast, three promising interventions were identified as accelerators in Western Europe. Two school-based interventions reduce bullying, depression, and substance abuse and improve psychological well-being; and one home-based intervention reduces child abuse, the severity of neglect, and mental health problems and improves school attendance. Moreover, this review also uncovered a lack of research from the Global South that points to serious disadvantages for authors and institutions and global violence prevention efforts, as it hinders the flow of knowledge and innovative practices.
The results highlight the need for future VAC prevention trials to integrate the SDG accelerators concept further. Additionally, more effort should be made to support scholars in the global South to address knowledge inequities and to enhance understanding of how accelerators work in different field settings and conditions. This effort will ensure that interventions accelerate SDG goals and impact the world's most vulnerable children.
暴力侵害儿童行为是一个全球公共卫生问题。在资源有限的情况下，联合国开发计划署提出了可持续发展目标（SDG）加速器的概念，用于预防和应对暴力侵害儿童行为。“加速器”是一种能同时推动多个可持续发展目标指标和目标取得进展的举措。
本系统评价综合了有关预防暴力评估研究的文献，这些研究采用了稳健的方法，依据可持续发展目标加速器框架，针对西欧以及中西部非洲0至18岁的儿童。它还为分析全球北方和南方之间的研究不平等提供了一个视角，审视破坏各地区知识生产的挑战和差异，尤其是在研究产出方面。
我们系统检索了30个英文和法文电子数据库及灰色文献。使用Cochrane偏倚风险工具评估纳入研究的质量。
分析纳入了与4个可持续发展目标和10个指标相关的9项评估研究。结果显示，在中西部非洲，未发现有干预措施可作为儿童的加速器。相比之下，在西欧确定了3项有前景的干预措施可作为加速器。两项基于学校的干预措施减少了欺凌、抑郁和药物滥用，并改善了心理健康；一项基于家庭的干预措施减少了虐待儿童、忽视的严重程度和心理健康问题，并提高了入学率。此外，本评价还发现全球南方缺乏研究，这对作者和机构以及全球暴力预防工作都存在严重不利影响，因为它阻碍了知识和创新实践的传播。
结果强调未来预防暴力侵害儿童行为的试验需要进一步整合可持续发展目标加速器的概念。此外，应做出更多努力来支持全球南方的学者，以解决知识不平等问题，并增进对加速器在不同领域环境和条件下如何发挥作用的理解。这一努力将确保干预措施加速实现可持续发展目标，并影响世界上最脆弱的儿童。
