Longitudinal Analysis of a Statewide, Social Ecological Approach to Child Sexual Abuse Prevention in Vermont.

In 2009, Vermont became the first state to enact a comprehensive health education policy that included child sexual abuse (CSA) prevention. This study describes the implementation efforts of CSA prevention programming led by Prevent Child Abuse Vermont, both one year prior to the policy enactment and ten years later (i.e., 2008-2019). We used data from the National Child Abuse and Neglect Data System (NCANDS) to obtain rates of substantiated CSA reports and examined their association with program implementation. Findings from longitudinal hierarchical linear modeling indicated that, in seven Vermont counties, an increased number of CSA prevention programs correlated with a decrease in substantiated CSA reports. Three adult focused programs, Nurturing Healthy Sexual Development, Informed Supervision, and Overcoming Barriers-were also associated with reduced substantiated CSA reports. These findings suggest that consistent implementation of CSA prevention programs across the state of Vermont was associated with lower rates of CSA incidents.