Review Article

Significance of Knowledge in Children on Self-Protection of Sexual Abuse: A Systematic Review

Abstract

Background: Sexual child abuse is a form of anti-social behavior with the children that cause potential harm to the health, development and dignity of the child. Knowledge of children about these issues can help to protect themselves against sexual abuse. This study aimed to review systematically available documents about the importance of knowledge on self-protection of sexual abuse in children.

Methods: In this systematic review, “sexual abuse”, “self-protection” and “knowledge” were searched in Scopus, Google Scholar, Ovid, PubMed, and Science Direct as the search words, and after considering the inclusion criteria and excluding irrelevant articles, the relevant articles were included for data extraction. In the included studies, children were educated about sexual abuse, and questionnaires were designed to compare the impact of education and the level of knowledge in children before and after education.

Results: Overall, 19 articles with overall 6582 children were found that were published from 1987-2020. The main awareness of children was from parents, educators and then the media. Age of the child, education level of family, good relationship between family members, adequate education by school teachers in the form of educational programs and even media play an important role in increasing knowledge of children about sexual abuse. Education to children, on average, led to 77.43% more awareness and as a results self-protection against sexual abuse and rape.

Conclusion: Insufficient education or lack of knowledge about sexual abuse is a critical issue in children. Therefore, it is necessary to design educational programs to increase their knowledge about sexual abuse and strategies for self-protection in this age group.

1. Al Odhayani A, Watson WJ, Watson L (2013). Behavioural consequences of child abuse. Can Fam Physician, 59:831-6.
2. McDonald KC (2007). Child abuse: approach and management. Am Fam Physician, 75:221-8.
3. Johnson JG, Cohen P, Smailes EM, et al (2001). Childhood verbal abuse and risk for personality disorders during adolescence and early adulthood. Compr Psychiatry, 42:16-23.
4. Murray LK, Nguyen A, Cohen JA (2014). Child sexual abuse. Child Adolesc Psychiatr Clin N Am, 23:321-37.
5. Kashani JH, Daniel AE, Dandoy AC, Holcomb WR (1992). Family violence: impact on children. J Am Acad Child Adolesc Psychiatry, 31:181-9.
6. Beitchman JH, Zucker KJ, Hood JE, daCosta GA, Akman D (1991). A review of the short-term effects of child sexual abuse. Child Abuse Negl, 15:537-56.
7. Springer KW, Sheridan J, Kuo D, Carnes M (2007). Long-term physical and mental health consequences of childhood physical abuse: results from a large population-based sample of men and women. Child Abuse Negl, 31:517-30.
8. Gubbels J, van der Put CE, Stams GJM, Assink M (2021). Effective Components of School-Based Prevention Programs for Child Abuse: A Meta-Analytic Review. Clin Child Fam Psychol Rev, 24:553-578.
9. Do HN, Nguyen HQT, Nguyen LTT, et al (2019). Perception and Attitude about Child Sexual Abuse among Vietnamese School-Age Children. Int J Environ Res Public Health, 16(20):3973.
10. Jordan KS, Steelman SH, Leary M, et al(2019). Pediatric Sexual Abuse: An Interprofessional Approach to Optimizing Emergency Care. J Forensic Nurs, 15:18-25.
11. Wurtele SK, Kast LC, Melzer AM (1992). Sexual abuse prevention education for young children: a comparison of teachers and parents as instructors. Child Abuse Negl, 16:865-76.
12. Baker CK, Gleason K, Naai R, Mitchell J, Trecker C (2012). Increasing Knowledge of Sexual Abuse. Research on Social Work Practice, 23:167-178.
13. Wulandari MD, Hanurawan F, Chusniyah T, Sudjiono (2020). Children's Knowledge and Skills Related to Self-Protection from Sexual Abuse in Central Java Indonesia. J Child Sex Abus, 29:499-512.
14. Jin Y, Chen J, Yu B (2016). Knowledge and Skills of Sexual Abuse Prevention: A Study on School-Aged Children in Beijing, China. J Child Sex Abus, 25:686-96.
15. Yu B, Chen J, Jin Y, et al (2017). The knowledge and skills related to sexual abuse prevention among Chinese children with hearing loss in Beijing. Disabil Health J, 10:344-349.
16. Tang CS, Lee YK (1999). Knowledge on sexual abuse and self-protection skills: a study on female Chinese adolescents with mild mental retardation. Child Abuse Negl, 23:269-79.
17. Urbann K, Bienstein P, Kaul T (2020). The Evidence-Based Sexual Abuse Prevention Program: Strong With Sam. J Deaf Stud Deaf Educ, 25:421-429.
18. Finkelhor D, Asdigian N, Dziuba-Leatherman J (1995). The effectiveness of victimization prevention instruction: an evaluation of children's responses to actual threats and assaults. Child Abuse Negl, 19:141-53.
19. Bustamante G, Andrade MS, Mikesell C, et al (2019). "I have the right to feel safe": Evaluation of a school-based child sexual abuse prevention program in Ecuador. Child Abuse Negl, 91:31-40.
20. Sigurdson E, Strang M, Doig T (1987). What do children know about preventing sexual assault? How can their awareness be increased? Can J Psychiatry, 32:551-7.
21. Chen YC, Fortson BL, Tseng KW (2012). Pilot evaluation of a sexual abuse prevention program for Taiwanese children. J Child Sex Abus, 21:621-45.
22. Czerwinski F, Finne E, Alfes J, Kolip P (2018). Effectiveness of a school-based intervention to prevent child sexual abuse-Evaluation of the German IGEL program. Child Abuse Negl, 86:109-122.
23. Jin Y, Chen J, Jiang Y, Yu B (2017). Evaluation of a sexual abuse prevention education program for school-age children in China: a comparison of teachers and parents as instructors. Health Educ Res, 32:364-373.
24. Khoori E, Gholamfarkhani S, Tatari M, Wurtele SK (2020). Parents as Teachers: Mothers' Roles in Sexual Abuse Prevention Education in Gorgan, Iran. Child Abuse Negl, 109:104695.
25. Alsaif DM, Almadani OM, Almoghannam SA, et al (2018). Teaching children about self-protection from sexual abuse: could it be a cause for source monitoring errors and fantasy? (Two case reports). Egypt J Forensic Sci, 8:27.
26. Zhang W, Chen J, Feng Y, et al (2013). Young children's knowledge and skills related to sexual abuse prevention: a pilot study in Beijing, China. Child Abuse Negl, 37:623-30.
27. Hornor G, Sherfield J, Tscholl J (2020). Teen Knowledge of Commercial Sexual Exploitation of Children. J Pediatr Health Care, 34:239-245.
28. Huang S, Cui C (2020). Preventing Child Sexual Abuse Using Picture Books: The Effect of Book Character and Message Framing. J Child Sex Abus, 29:448-467.
29. Euser S, Alink LR, Pannebakker F, et al (2013). The prevalence of child maltreatment in the Netherlands across a 5-year period. Child Abuse Negl, 37:841-51.
30. Zwi KJ, Woolfenden SR, Wheeler DM, et al (2007). School-based education programmes for the prevention of child sexual abuse. Cochrane Database Syst Rev, (3):CD004380.
31. Leung H, Shek DTL, Leung E, Shek EYW (2019). Development of Contextually-relevant Sexuality Education: Lessons from a Comprehensive Review of Adolescent Sexuality Education Across Cultures. Int J Environ Res Public Health, 16(4):621.
32. Hazzard A, Webb C, Kleemeier C, Angert L, Pohl J (1991). Child sexual abuse prevention: evaluation and one-year follow-up. Child Abuse Negl, 15:123-38.
33. Berrick JD (1988). Parental involvement in child abuse prevention training: what do they learn? Child Abuse Negl, 12:543-53.
34. Hebert M, Lavoie F, Parent N (2002). An assessment of outcomes following parents' participation in a child abuse prevention program. Violence Vict, 17:355-72.
35. Strathearn L, Giannotti M, Mills R, et al (2020). Long-term Cognitive, Psychological, and Health Outcomes Associated With Child Abuse and Neglect. Pediatrics, 146(4):e20200438.
36. Mitchell KJ, Wolak J, Finkelhor D (2007). Trends in youth reports of sexual solicitations, harassment and unwanted exposure to pornography on the Internet. J Adolesc Health, 40:116-26.
Files
IssueVol 51 No 8 (2022) QRcode
SectionReview Article(s)
DOI https://doi.org/10.18502/ijph.v51i8.10257
Keywords
Sexual abuse Self-protection Knowledge Children Child abuse Systematic review

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Rahimi Khalifeh Kandi Z, Ebadi Fard Azar F, Khalajabadi Farahani F, Azadi N, Mansourian M. Significance of Knowledge in Children on Self-Protection of Sexual Abuse: A Systematic Review. Iran J Public Health. 2022;51(8):1755-1765.