Pathways to Child Abuse Prevention: Seeking and Embedding Public Opinion.

Child abuse and neglect is a perplexing public health, human rights, and social justice issue that persists at unacceptable levels. This qualitative survey, involving brief oral conversations (n = 721) about perceptions of child abuse and neglect and its solutions, was drawn from a randomized telephone survey of residents in two U.S. communities. The study focused on two research questions: (a) individual and collective actions that would give child abuse and neglect prevention the best chance for success and (b) what participants would expect to see in a local child abuse prevention effort to have faith in its effectiveness. Participants were mostly female (61%), with the average age of 55.7 years, and had a median income of US$35,000 to US$49,000. Thirty-one percent identified as mandatory reporters and 76% were a primary caregiver for a child at some point in their lives. Thematic analysis identified six themes and one subtheme for the first research question and four themes for the second research question. Participants emphasized the importance of awareness raising, education, broad public support and the value of a locally developed plan, credible leadership, and reliable follow-through. Participants' beliefs and recommendations were mapped to existing and promising child abuse prevention frameworks and implications for prevention planning are outlined.