Child sexual abuse, including sexual exploitation, is a global issue, affecting 8% to 31% of girls and 3% to 17% of boys worldwide. This systematic review aims to synthesize economic evidence on the cost-effectiveness of community interventions to prevent child sexual abuse/exploitation to inform decision-making. A systematic search was conducted on eight databases for studies published until April 2023. Gray literature was searched using Google. The inclusion criteria were economic evaluation of interventions targeted at children, perpetrators/offenders, or professionals addressing child sexual abuse/exploitation. There was no limitation by country, but an English language abstract was required for non-English articles. Studies without a specific focus on child sexual abuse/exploitation, such as physical, emotional, and domestic violence-related abuse, were excluded. All costs were adjusted to US$ 2023. Reporting quality assessment was conducted using the Consolidated Health Economic Evaluation Reporting Standards 2022 checklist. Of 5,180 screened articles, 17 were included in the final synthesis, with most from the United States and focused on tertiary prevention delivered to offenders. While the intervention components varied across studies, all demonstrated promising and cost-effective results. The findings highlight a small but growing body of economic evidence for child sexual abuse/exploitation interventions. The existing economic evaluation evidence is dominated by tertiary prevention, which focuses on offenders and child victims and highlights the need for more research and action on primary and secondary preventative interventions for general and at-risk populations.

中文翻译：

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儿童性剥削或儿童性虐待预防干预措施的经济评价：系统评价


儿童性虐待，包括性剥削，是一个全球性问题，影响到全世界 8% 至 31% 的女孩和 3% 至 17% 的男孩。本系统综述旨在综合有关社区干预措施预防儿童性虐待/性剥削的成本效益的经济证据，为决策提供信息。对 8 个数据库进行了系统检索，以查找截至 2023 年 4 月发表的研究。使用 Google 搜索灰色文献。纳入标准是对针对儿童、肇事者/罪犯或处理儿童性虐待/剥削的专业人士的干预措施的经济评估。没有国家限制，但非英语文章需要英文摘要。没有特别关注儿童性虐待/剥削的研究，例如身体、情感和家庭暴力相关的虐待，被排除在外。所有费用均调整为 2023 美元。报告质量评估是使用 2022 年综合卫生经济评估报告标准清单进行的。在筛选的 5,180 篇文章中，有 17 篇被纳入最终综合，其中大部分来自美国，重点是向罪犯提供三级预防。虽然干预成分因研究而异，但都显示出有希望且具有成本效益的结果。研究结果强调了儿童性虐待/剥削干预的少量但不断增长的经济证据。现有的经济评估证据以三级预防为主，它侧重于罪犯和儿童受害者，并强调需要对一般和高危人群的初级和二级预防干预措施进行更多研究和行动。