Child sexual abuse (CSA) is a widespread problem that has been associated with a variety of negative health outcomes. There has been a call for prevention of first occurrences of CSA. Public health provides a unique framework for conceptualizing and implementing these prevention efforts. This article explains a model of the public health approach to prevention and illustrates the applicability of this model to CSA. The Centers for Disease Control and Prevention convened a panel of experts to advise the agency about raising awareness of CSA as a public health problem. A summary of the recommendations developed by this expert panel is presented.
Becker, J.V. (1994). Offenders: Characteristics and treatment. The Future of Children, 4, 176-197.
2.
Bryant, S.L., & Range, L.M. (1995). Suicidality in college women who were sexually and physically abused and physically punished by parents. Violence and Victims, 10, 195-201.
3.
Fergusson, D.M., Horwood, L.J., & Lynskey, M.T. (1997). Childhood sexual abuse, adolescent sexual behaviors and sexual revictimization. Child Abuse & Neglect, 21, 789-803.
4.
Finkelhor, D. (1999). Improving research, policy, and practice to understand child sexual abuse. Journal of the American Medical Association , 280, 1864-1865.
5.
Foege, W.H., Rosenberg, M.L., & Mercy, J.A. (1995). Public health and violence prevention. Current Issues in Public Health, 1, 2-9.
6.
Hall, G.C.N. (1995). Sexual offender recidivism revisited: A meta-analysis of recent treatment studies. Journal of Consulting and Clinical Psychology, 63, 802-809.
7.
Hogan, C.D. (1997). The human services response to sexual offending . Plenary address delivered at the 16th annual meeting of the Association for the Treatment of Sexual Abusers, Arlington, VA, Oct.
8.
Holmes, W.C., & Slap, G.B. (1999). Sexual abuse of boys: Definition, prevalence, correlates, sequelae, and management. Journal of the American Medical Association, 280, 1855-1862.
9.
Krugman, R.D. (1998). It's time to broaden the agenda. Child Abuse & Neglect, 22, 475-479.
10.
Leventhal, J.M. (1998). Epidemiology of sexual abuse of children: Old problems, new directions. Child Abuse & Neglect, 22, 481-491.
11.
Lindegren, M.L., Hanson, I.C., Hammett, T.A., Beil, J., Fleming P.L., & Ward, J.W. (1998). Sexual abuse of children: Intersection with the HIV epidemic. Pediatrics, 102, E46.
12.
McGrath, R.J., Hoke, S.E., & Vojtisek, J.E. (1998). Cognitive-behavioral treatment of sex offenders: A treatment comparison and long-term follow-up study. Criminal Justice and Behavior, 25, 203-225.
13.
Mercy, J.A., & Hammond, W.R. (1999). Preventing homicide: A public health perspective . In M. D. Smith & M. A. Zahn (Eds.), Studying and preventing homicide. Thousand Oaks, CA: Sage .
14.
National Research Council, Panel on Research on Child Abuse and Neglect (1993). Understanding child abuse and neglect. Washington, DC: National Academy Press.
15.
Olds, D.C., Eckenrode, J., Henderson, C.R., Kitzman, H., Powers, J., Cole, R., Sidora, K., Morris, P., Pettitt, L.M., & Luckey, D. (1998a). Long-term effects of home visitation on maternal life course and child abuse and neglect: Fifteen-year follow up of a randomized trial. Journal of theAmerican Medical Association, 278, 637-643.
16.
Olds, D., Henderson, C.R., Cole, R., Eckenrode, J., Kitzman, H., Luckey, D., Pettitt, L., Sidora, K., Morris, P., & Powers, J. (1998b). Long-term effects of nurse home visitation on children's criminal and antisocial behavior. Journal of the American Medical Association, 280, 1238-1244.
17.
Pranis, K. (1997). The Minnesota restorative justice initiative: A model experience. The Crime Victims Report, 1, 19-22.
18.
Public Health Service Act (1995). Sections 391-394, 42 U.S.C., 280b-280b-3.
19.
Reppucci, N.D., Land, D., & Haugaard, J.J. (1998). Child sexual abuse prevention programs that target young children. In P. K. Trickett & C. J. Schellenbach (Eds.), Violence against children in the family and the community. Washington, DC: American Psychological Association .
20.
Rispens, J., Aleman, A., & Goudena, P.P. (1997). Prevention of child sexual abuse victimization: A meta-analysis of school programs. Child Abuse & Neglect , 21, 975-987.
21.
Sedlak, A.J., & Broadhurst, D.D. (1996). Third National Incidence Study of Child Abuse and Neglect (Contract No. 105-91-1800). Washington, DC: National Center on Child Abuse and Neglect.
22.
Silverman, A.B., Reinherz, H.Z., & Giaconia, R.M. (1996). The long-term sequelae of child and adolescent abuse: A longitudinal community study. Child Abuse & Neglect, 20, 709-723.
23.
Sturgis, B.J., Chambers, J., Weisz, V., Hecht, D., Devenport, J., & Bukowski, A. (1997). Sexual offense prevention programming for Nebraska . Lincoln: Nebraska Department of Health.
24.
Wang, C. (1999). Current trends in child abuse reporting and fatalities: The results of the 1997 annual fifty state survey. Chicago : Prevent Child Abuse America.
25.
World Health Assembly. (1996). Prevention of violence: Public health priority (WHA 49, 25) Geneva , Switzerland: World Health Organization.
