• PREVALENCE is the percentage of the population that is affected by child sexual abuse; the general existence of child sexual abuse.
• CONSEQUENCE is the impact that child sexual abuse has on a victim/survivor and on our society over time.
• Sexual abuse touches every life when it leads to losses of trust, decreases in self esteem, and development of shame, guilt and depression.
• Sexual abuse touches every life when it leads to eating disorders, substance abuse, self mutilation, suicide, promiscuity/prostitution, a victim maturing to adulthood and becoming an offender and other psychobehavioral issues;

• Reported cases of child sexual abuse in the United States are estimated at 80,000 children each year, according to federal statistics.
• 1 in 3 girls is sexually abused before the age of 18. (1) 
• 1 in 6 boys is sexually abused before the age of 18. (1)
• 1 in 5 children are solicited sexually while on the internet. (2)(3)
• Nearly 70% of all reported sexual assaults (including assaults on adults) occur to children ages 17 and under. (4) 
• An estimated 39 million survivors of childhood sexual abuse exist in America today. (5)
• Fewer than one in ten of these children will report the abuse. Most of these children will carry the emotional scars and guilt of abuse for the rest of their lives, and many (especially men) will sexually abuse others as adults.
  

 Even within the walls of their own homes, children are at risk for sexual abuse

• 30-40% of victims are abused by a family member. (4)(6)(7) 
• Another 50% are abused by someone outside of the family whom they know and trust.
• Approximately 40% are abused by older or larger children whom they know. (5)(6)
• Therefore, only 10% are abused by strangers.

• The median age for reported abuse is 9 years old. (8) 
• More than 20% of children are sexually abused before the age of 8. (7) 
• Nearly 50% of all victims of forcible sodomy, sexual assault with an object, and forcible fondling are children under 12. (7)(9) 

• Evidence that a child has been sexually abused is not always obvious, and many children do not report that they have been abused.
• Over 30% of victims never disclose the experience to ANYONE.
• Young victims may not recognize their victimization as sexual abuse.
• Almost 80% initially deny abuse or are tentative in disclosing. Of those who do disclose, approximately 75% disclose accidentally. Additionally, of those who do disclose, more than 20% eventually recant even though the abuse occurred.
• Fabricated sexual abuse reports constitute only 1% to 4% of all reported cases. Of these reports, 75% are falsely reported by adults and 25% are reported by children. Children only fabricate ½% of the time.

• The way a victim's family responds to abuse plays an important role in how the incident affects the victim.
• Sexually abused children who keep it a secret or who "tell" and are not believed are at greater risk than the general population for psychological, emotional, social, and physical problems often lasting into adulthood.
• Children who have been victims of sexual abuse are more likely to experience physical health problems (e.g., headaches).
• Victims of child sexual abuse report more symptoms of PTSD, more sadness, and more school problems than non-victims. (10)(11)(12)
• Victims of child sexual abuse are more likely to experience major depressive disorder as adults. (12)(13)
• Young girls who are sexually abused are more likely to develop eating disorders as adolescents. (11)(14)
• Adolescent victims of violent crime have difficulty in the transition to adulthood, are more likely to suffer financial failure and physical injury, and are at risk to fail in other areas due to problem behaviors and outcomes of the victimization.

• Victims of child sexual abuse report more substance abuse problems. 70-80% of sexual abuse survivors report excessive drug and alcohol use. (10)(11) 
• Young girls who are sexually abused are 3 times more likely to develop psychiatric disorders or alcohol and drug abuse in adulthood, than girls who are not sexually abused. (11)(14)
• Among male survivors, more than 70% seek psychological treatment for issues such as substance abuse, suicidal thoughts and attempted suicide. Males who have been sexually abused are more likely to violently victimize others. (15)

• Children who have been victims of sexual abuse exhibit long-term and more frequent behavioral problems, particularly inappropriate sexual behaviors.
• Women who report childhood rape are 3 times more likely to become pregnant before age 18.
• An estimated 60% of teen first pregnancies are preceded by experiences of molestation, rape, or attempted rape. The average age of their offenders is 27 years.
• Victims of child sexual abuse are more likely to be sexually promiscuous. (16)(17)
• More than 75% of teenage prostitutes have been sexually abused.

• Adolescents who suffer violent victimization are at risk for being victims or perpetrators of felony assault, domestic violence, and property offense as adults.
• Nearly 50% of women in prison state that they were abused as children.
• Over 75% of serial rapists report they were sexually abused as youngsters.

• Nearly 70% of child sex offenders have between 1 and 9 victims; at least 20% have 10 to 40 victims. (18)
• An average serial child molester may have as many as 400 victims in his lifetime.

	References______________ 1  Briere, J.,  Eliot, D.M. Prevalence and Psychological Sequence of Self-Reported Childhood Physical and Sexual Abuse in General Population……: Child Abuse and Neglect, 2003, 27 10 2   Finkelhor, D., Mitchell, K., & Wolak, J. (2001, March). Highlights of the youth internet safety survey. US Department of Justice, Office of Justice Programs, Office of Juvenile Justice and Delinquency Prevention. 3   U.S. Department of Justice (2001). Internet crimes against children. OVC Bulletin. Washington, DC: US Department of Justice, Office for Victims of Crime. 4   Snyder, H N. (2000). Sexual assault of young children as reported to law enforcement: Victim, incident, and offender characteristics. National Center for Juvenile Justice, U.S. Depar tment of Justice 5   Abel, G., Becker, J., Mittelman , M., Cunningham- Rathner, J., Rouleau, J., & Murphy, W. (1987). Self reported sex crimes on non-incarcerated paraphiliacs. Journal of Interpersonal Violence, 2, 3-25.  6   Abel, G. & Harlow, N. (2001). Stop child molestation book.   Abel and Harlow.  7   Kilpatrick, D., Saunders, B., & Smith, D. (2003). Youth victimization: Prevalence and implications. U.S. Department of Justice, National Institute of Justice report.  8   Putnam, F. (2003). Ten-year research update review: Child sexual abuse. Journal of the American Academy of Child and Adolescent Psychiatry, 42 , 269-278.  9   Simpson, C., Odor, R., & Masho, S. (2004 August). Childhood Sexual Assault Victimization in Virginia. Center for Injury & Violence Prevention. Virginia Department of Health.  10  Browne, A, & Finkelhor, D. (1986). Impact of child sexual abuse: A review of the research. Psychological Bulletin, 99, 66-77. 11  Day, A., Thurlow, K., & Woolliscroft, J. (2003). Working with childhood sexual abuse: A survey of mental health professionals.Child Abuse & Neglect, 27 , 191-198. 12  Molnar, B.V., Buka, S.L, & Kessler, R.C. (2001). Child sexual abuse and subsequent psychopathology: Results from the National Comorbidity Study. American Journal of Public Health, 9 ,  753-760. 13  Saunders, B.E., Kilpatrick, D.G., Hanson, R.F., Resnick, H.S., & Walker, M.E. (1999). Prevalence, case characteristics, and long term psychological correlates of child rape among women: A national survey. Child Maltreatment, 4, 187-200. 14  Kendler, K., Bulik, C., Silberg, J., Hettema, J., Myers, J., & Prescott, C. (2000). Childhood sexual abuse and adult psychiatric and substance use disorders in women: An epidemiological and Cotwin Control Analysis. Archives of General Psychiatry, 57, 953-959. 15  Walrath, C., Ybarra, M., Holden, W., Liao, Q., Santiago, R., & Leaf, R. (2003). Children with reported histories of sexual abuse: Utilizing multiple perspectives to understand clinical and psychological profiles. Child Abuse & Neglect, 27, 509-524. 16  Kellogg, N.D., Hoffman, T.J, & Taylor, E.R. (1999). Early sexual experience among pregnant and parenting adolescents.Adolescence, 43, 293-303. 17  Noll, J.G., Trickett, P.K., & Putnam, F.W. (2003). A prospective investigation of the impact of childhood sexual abuse on the development of sexuality . Journal of Consulting and Clinical Psychology, 71, 575-586. 18  Elliott, M., Browne, K., & Kilcoyne, J. (1995). Child sexual abuse prevention: What offenders tell us.Child Abuse & Neglect, 5, 579-594.   This site  The Web  This site was designed for and is best viewed using 1440 X 900 resolution. I apologize for how the website might appear otherwise.