Abstract：
BACKGROUND: Child maltreatment is a pressing public health concern that poses long-lasting health and economic impacts on children and society. While several preventive interventions have demonstrated their effectiveness in reducing the occurrence of child maltreatment and its associated economic impacts, the cost-effectiveness of such interventions remains unclear.
OBJECTIVE: This study aims to provide a comprehensive overview and a narrative synthesis of the available economic evidence on child maltreatment preventive interventions in both high-income and low-middle-income countries.
METHODS: Systematic searches were conducted in MEDLINE, PsycINFO, Embase, CINAHL, Web of Science, and Econlit to identify full economic evaluations and return-on-investment studies on child maltreatment preventive interventions. The methodological quality of eligible studies was assessed using Drummond\'s 10-point checklist. This review adhered to the PRISMA guidelines, and summarized findings in a narrative synthesis.
RESULTS: Twenty-six studies met the inclusion criteria. Of these, eight evaluated home visiting, four evaluated early childhood education (ECE), four assessed multi-component (MC), and three examined group-based parent education (GPE) interventions. The remaining studies assessed interventions to prevent abusive head trauma (AHT; n = 2), child sexual abuse (n = 2), physical abuse at school (n = 1), as well as individualized intensive parenting (IIP; n = 2), and counseling (n = 1) interventions. Two studies were conducted in low-middle-income countries, while the others were all in high-income countries.
CONCLUSIONS: The included studies generally exhibited high methodological quality. Only AHT, ECE, IIP, and MC interventions demonstrated promising cost-effectiveness credentials in preventing child maltreatment. More economic evaluations are needed for interventions with mixed findings (e.g. GPE) and in low-middle-income countries.
OBJECTIVE: This study aims to provide a comprehensive overview and a narrative synthesis of the available economic evidence on child maltreatment preventive interventions in both high-income and low-middle-income countries.
METHODS: Systematic searches were conducted in MEDLINE, PsycINFO, Embase, CINAHL, Web of Science, and Econlit to identify full economic evaluations and return-on-investment studies on child maltreatment preventive interventions. The methodological quality of eligible studies was assessed using Drummond\'s 10-point checklist. This review adhered to the PRISMA guidelines, and summarized findings in a narrative synthesis.
RESULTS: Twenty-six studies met the inclusion criteria. Of these, eight evaluated home visiting, four evaluated early childhood education (ECE), four assessed multi-component (MC), and three examined group-based parent education (GPE) interventions. The remaining studies assessed interventions to prevent abusive head trauma (AHT; n = 2), child sexual abuse (n = 2), physical abuse at school (n = 1), as well as individualized intensive parenting (IIP; n = 2), and counseling (n = 1) interventions. Two studies were conducted in low-middle-income countries, while the others were all in high-income countries.
CONCLUSIONS: The included studies generally exhibited high methodological quality. Only AHT, ECE, IIP, and MC interventions demonstrated promising cost-effectiveness credentials in preventing child maltreatment. More economic evaluations are needed for interventions with mixed findings (e.g. GPE) and in low-middle-income countries.
摘要：
背景：虐待儿童是一个紧迫的公共卫生问题，对儿童和社会造成长期的健康和经济影响。虽然一些预防性干预措施已经证明了它们在减少虐待儿童的发生及其相关的经济影响方面的有效性，此类干预措施的成本效益尚不清楚.
目的：本研究旨在对高收入国家和中低收入国家儿童虐待预防干预措施的现有经济证据进行全面概述和叙述性综合。
方法：在MEDLINE中进行了系统搜索，PsycINFO,Embase,CINAHL,WebofScience,和Econlit确定关于儿童虐待预防干预措施的全面经济评估和投资回报研究。使用Drummond的10点检查表评估合格研究的方法学质量。这项审查遵循了PRISMA指南，并在叙事综合中总结发现。
结果：26项研究符合纳入标准。其中,八人评估了家访，四人评估幼儿教育(ECE)，四个评估多组分(MC)，和三个检查了基于小组的家长教育（GPE）干预措施。其余研究评估了预防虐待性头部创伤的干预措施（AHT；n=2），儿童性虐待（n=2），在学校的身体虐待（n=1），以及个性化强化育儿(IIP；n=2)，和咨询(n=1)干预措施。在中低收入国家进行了两项研究，而其他人都在高收入国家。
结论：纳入的研究总体上具有较高的方法学质量。只有AHT,ECE,IIP,和MC干预在预防儿童虐待方面显示了有希望的成本效益证明.需要对结果参差不齐的干预措施（例如GPE）和中低收入国家进行更多的经济评估。
目的：本研究旨在对高收入国家和中低收入国家儿童虐待预防干预措施的现有经济证据进行全面概述和叙述性综合。
方法：在MEDLINE中进行了系统搜索，PsycINFO,Embase,CINAHL,WebofScience,和Econlit确定关于儿童虐待预防干预措施的全面经济评估和投资回报研究。使用Drummond的10点检查表评估合格研究的方法学质量。这项审查遵循了PRISMA指南，并在叙事综合中总结发现。
结果：26项研究符合纳入标准。其中,八人评估了家访，四人评估幼儿教育(ECE)，四个评估多组分(MC)，和三个检查了基于小组的家长教育（GPE）干预措施。其余研究评估了预防虐待性头部创伤的干预措施（AHT；n=2），儿童性虐待（n=2），在学校的身体虐待（n=1），以及个性化强化育儿(IIP；n=2)，和咨询(n=1)干预措施。在中低收入国家进行了两项研究，而其他人都在高收入国家。
结论：纳入的研究总体上具有较高的方法学质量。只有AHT,ECE,IIP,和MC干预在预防儿童虐待方面显示了有希望的成本效益证明.需要对结果参差不齐的干预措施（例如GPE）和中低收入国家进行更多的经济评估。
