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Global Prevalence of Sexual Violence Against Children: A Systematic Review and Meta-Analysis

A. Piolanti, Iason E. Schmid, Fabian J. Fiderer, Catherine L. Ward, H. Stöckl, Heather M. Foran

JAMA pediatrics, 2025

958 participants · 91 citations

Abstract

Importance

Sexual violence against children is a global concern, yet worldwide figures of its prevalence are scant.

Objective

To estimate the global prevalence of sexual violence against children using national-level population-based studies.

Data Sources

We searched the PubMed, Embase, CINAHL, Web of Science, PsycINFO, ERIC, and APA PsycArticles databases from their respective inceptions to March 2022. Searches were updated through April 2024.

Study Selection

Reports were included if (1) they were national-level population-based studies, (2) they reported lifetime or past-year prevalence data on any form of sexual violence against children (mean age ≤19 years), and (3) the data were based on children's self-reports of sexual violence perpetrated by anyone.

Data Extraction and Synthesis

Data extraction included study and participant characteristics, prevalence rates, and types of sexual violence. Outcomes were pooled using a random-effects model. Exploratory subgroup analyses were performed with categorical moderators.

Main Outcomes and Measures

Primary outcomes included lifetime and past-year prevalence of forced sexual intercourse, contact sexual violence, and sexual harassment.

Results

We identified 165 studies that included 958 182 children from 80 countries, with the majority of data focusing on girls (58.2%). The sample sizes of the studies ranged from 330 to 132 948; the mean age ranged from 10.5 to 19.4 years. Lifetime sexual harassment was the most prevalent…

How strong is the evidence?

Evidence Hub reads this as a meta-analysis, done in people. Its evidence level is 1 of 5 (Highest · pooled evidence). Pooled evidence from several studies sits at the top of the evidence pyramid. Reported size: 958 participants or records.

How the five levels of evidence work. The level is assigned automatically from the abstract and can be wrong, so check the paper.

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