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Changing the Paradigm: CSA as a Preventable Public Health Problem

改变范式：CSA 作为一个可预防的公共卫生问题

基本信息

批准号：
10475181
负责人：
Elizabeth J Letourneau
金额：
$ 50.49万
依托单位：
JOHNS HOPKINS UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-09-01 至 2024-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10475181
关键词：
Address Area Awareness Bass Belief Berlin Centers for Disease Control and Prevention (U.S.)Child Child Abuse and Neglect Child Development Child Sexual Abuse Communication Communication Research Consensus Criminal Justice Data Development Educational workshop Effectiveness Ensure Etiology Foundations Glare Goals Individual Interdisciplinary Study Interview Knowledge Maps Mathematics Mental disorders Methods Perception Performance Persons Policies Prevalence Prevention Prevention approach Prevention strategy Public Health Public Opinion Public Policy Recommendation Reporting Research Research Personnel Resistance Resources Risk Factors Sampling Science Shapes Societies Surveys Techniques Testing Thinking Time Training Translating Translations Victimization Violence World Health Organization boys burden of illness comparative cost dissemination strategy efficacy evaluation evidence base experience follow-up girls improved innovation interdisciplinary approach knowledge translation multidisciplinary novel strategies offender perpetrators prevent psychologic response sex sexual predators social tool violence prevention virtual webinar

项目摘要

Child sexual abuse (CSA) ranks 12th in preventable risk factors that contribute to the U.S. burden of disease, afflicts up to 25% of U.S. girls and 5% of boys, and exacts high psychological, social, and monetary costs from individuals and society. For over 25 years, experts have called for a public health approach to prevention of CSA to no avail. Public health prevention strategies have been successfully applied to virtually all types of child maltreatment with the single exception of CSA, which the public continues to view as unpreventable. Consequently, policymakers continue to address CSA almost exclusively with after-the-fact criminal justice policies that do little if anything to prevent CSA from occurring in the first place. Consistent with PAR-14-324, the proposed project brings together a multidisciplinary team that is uniquely poised to shift public opinion so that it aligns with experts' understanding of CSA as a preventable public health problem. The team includes co-investigators and consultants with extensive expertise in CSA prevention, policy, and practice as well as experts in public health-focused communications research. This project aims to create new communication strategies that effectively overcome gaps to align public with expert understanding of CSA (Aim 1), to rigorously evaluate those new communication strategies (Aim 2), and to broadly disseminate effective strategies to the CSA experts and practitioners who interact with the public and to journalist who report on CSA (Aim 3). To accomplish Aim 1 we will use qualitative data techniques to identify the expert consensus and public (and practitioner) opinions about CSA, and comparative analyses to characterize gaps between these understandings; these findings will inform the development of new CSA messaging strategies. To accomplish Aim 2 we will evaluate the efficacy of initial communication reframes via interviews, then conduct a nationally representative survey to test how the reframes influence public opinion, then conduct follow-up tests to evaluate the durability of reframes across retellings. To accomplish Aim 3 we will created online workshops, webinar and in-person trainings, a communications toolkit, and recommendations for journalists to broadly disseminate study findings and effective communication strategies. This project will be the first to create a systematic approach for effectively translating knowledge about CSA prevention and has unique potential to help achieve the critical goal of including CSA within the nation's violence prevention efforts.

儿童性虐待（CSA）在可预防的风险因素中排名第12位