Evidence map›Paper›PMID 41927913›Full record

SynthesisNature human behaviour2026

A systematic review of the global and regional estimates of the prevalence of sexual violence against children.

Xiangming Fang, Jingru Ren, Jian Kang, Daniela Ligiéro, Deborah Fry, Francis B Annor, Stephanie Burrows, Robert Alexander Butchart, Katherine Jaramillo Diaz, Zuyi Fang and 23 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Nature human behaviour, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

33 authors.

Xiangming FangCenter for Health Economics and Policy, China Agricultural University, Beijing, China.ORCID http://orcid.org/0000-0001-9922-8977
Jingru RenCenter for Health Economics and Policy, China Agricultural University, Beijing, China.ORCID http://orcid.org/0000-0002-2792-7039
Jian KangSchool of Public Health, University of Michigan, Ann Arbor, MI, USA.
Daniela LigiéroTogether for Girls, Washington, DC, USA. daniela@togetherforgirls.org.ORCID http://orcid.org/0000-0002-2209-0268
Deborah FryChildlight-Global Child Safety Institute, University of Edinburgh, Edinburgh, UK. Debi.Fry@ed.ac.uk.ORCID http://orcid.org/0000-0001-5211-1296
Francis B AnnorNational Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Stephanie BurrowsViolence and Injury Prevention Unit, World Health Organization, Geneva, Switzerland.
Robert Alexander ButchartViolence and Injury Prevention Unit, World Health Organization, Geneva, Switzerland.
Katherine Jaramillo DiazSchool of Government, Universidad de los Andes, Bogotá, Colombia.
Zuyi FangInstitute of Population Research, Peking University, Beijing, China.
Begoña FernandezTogether for Girls, Washington, DC, USA.
David FinkelhorCrimes against Children Research Center, University of New Hampshire, Durham, NH, USA.
Constanza GinestraTogether for Girls, Washington, DC, USA.
Xudong GongCenter for Health Economics and Policy, China Agricultural University, Beijing, China.
Ashleigh L HowardTogether for Girls, Washington, DC, USA.
Wuwenhao JinCenter for Health Economics and Policy, China Agricultural University, Beijing, China.
Anna KrzeczkowskaChildlight-Global Child Safety Institute, University of Edinburgh, Edinburgh, UK.
Zain KurdiSafety and Protection Unit, Finnish Institute for Health and Welfare, Helsinki, Finland.ORCID http://orcid.org/0000-0002-0907-4298
Jingxin LiuCenter for Health Economics and Policy, China Agricultural University, Beijing, China.
Wei LiuCenter for Health Economics and Policy, China Agricultural University, Beijing, China.
María Paula Marmolejo LozanoSchool of Government, Universidad de los Andes, Bogotá, Colombia.
Mengyao LuChildlight-Global Child Safety Institute, University of Edinburgh, Edinburgh, UK.
Yaoyue LuCenter for Health Economics and Policy, China Agricultural University, Beijing, China.
Greta M MassettiSchool of Public Health, Georgia State University, Atlanta, GA, USA.
James A MercyCenter for Violence Prevention Research, Melrose, FL, USA.
Louis OliéUMR MoISA (University of Montpellier, Cirad, IAMM, INRAE, l'Institut Agro, IRD), CIRAD, Montpellier, France.ORCID http://orcid.org/0000-0001-5083-1361
Cheng QinSchool of Economics, Guangxi University, Nanning, China.
Arturo Harker RoaSchool of Government, Universidad de los Andes, Bogotá, Colombia.ORCID http://orcid.org/0000-0003-2343-1965
Sabina SavadovaChildlight-Global Child Safety Institute, University of Edinburgh, Edinburgh, UK.
Dongdong ShuCenter for Health Economics and Policy, China Agricultural University, Beijing, China.
Hanqing ZhuCenter for Health Economics and Policy, China Agricultural University, Beijing, China.
Yuchen ZhuCenter for Health Economics and Policy, China Agricultural University, Beijing, China.
Inga VermeulenChildlight-Global Child Safety Institute, University of Edinburgh, Edinburgh, UK.

Funding

Children's Investment Fund Foundation (CIFF) 2307-08816Intramural CDC HHS CC999999
6 · The paper itself

Abstract

Sexual violence against children (SVAC) is a critical global public health issue. Nonetheless, the availability of robust and comparable global and regional prevalence estimates remains limited. To address this gap, we aimed to provide current and refined estimates of SVAC to enhance understanding of its magnitude worldwide. We conducted comprehensive literature searches in the six official United Nations languages across 10 English-language databases, 23 non-English databases and more than 20 grey literature sources for records published between 1 January 2010 and 1 August 2024. Eligible studies included children under the age of 18 or adults retrospectively reporting SVAC. Studies were double-screened and extracted by two authors independently, with risk of bias assessed. A Bayesian hierarchical model was used to estimate lifetime and past-year prevalence, accounting for methodological and definitional variations across studies. This study was registered with PROSPERO (CRD42024495116). Of 64,393 records found and screened, 1,412 studies across 147 countries were included in this systematic review and meta-analysis, encompassing responses from 4,070,693 females and 2,910,973 males. Globally, 20.1% (95% uncertainty interval (UI), 19.8-20.4) of women and 16.8% (95% UI, 16.5-17.1) of men aged 18 years and older reported experiencing at least one form of SVAC (including both contact and non-contact forms) prior to age 18. Within this broader category, 12.4% (95% UI, 12.2-12.6) of women and 10.0% (95% UI, 9.8-10.2) of men experienced contact childhood sexual violence. In 2024 alone, an estimated 72.6 million girls and 60.9 million boys experienced at least one form of sexual violence, including 43.3 million girls and 34.8 million boys subjected to rape or sexual assault. In most regions, the estimated prevalence is somewhat higher for girls than for boys, although the global difference is smaller than reported in previous meta-analyses. Our findings highlight the alarming global burden of SVAC and the urgent need for evidence-based, multi-sectoral prevention strategies and intervention programmes to safeguard children worldwide. More well-designed research using a standardized approach to data collection is also needed, especially in regions under-represented by the current data.

Indexed as

Child Abuse, SexualGlobal HealthAdolescentChildFemaleHumansMalePrevalence

Identifiers

PMID41927913
PMCPMC13316746

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.