What is sexual abuse?
Sexual abuse of children is not just an adult having sex with a
child. It may involve fondling or touching, flashing, or exposing
adult genitals to a child, or rubbing genitals on the child. Other
forms of abuse may include showing the child pornographic or
"dirty" pictures or videotapes, or using the child as a model to
make pornographic pictures or videos.
It is never okay for an adult to have sex with a child, even if
the child seems to consent or even seems to want it. The abuser is
always the one in the wrong. Most abusers get the child to trust
them rather than forcing the child to have sex. Many abusers do
not believe that they are doing anything wrong. They may seem to
be people who love children.
Most abusers are people that the child knows, such as relatives,
friends, or neighbors. Most child sexual abusers are male but
there are females who engage in abuse as well. Do not trust a
child to someone just because she is a woman. Both abusers and
abused children come from all incomes, from the very rich to the
very poor.
Care must be taken if a child, no matter what age, uses the
Internet. Child abusers know how to contact children through the
Internet, even children they do not know.
What are signs of sexual abuse?
Children may not tell anyone that they are being abused. They may
be afraid or unsure if the abuse is okay. The child may not tell
anyone what has happened, because the abuser threatened the child
or told them to keep it secret. There may not be any physical
signs of abuse.
There are certain ways a child may act that may make the parent or
caregiver think that abuse has occurred. The child may be
unusually interested in sexual things or avoid all sexual things.
There may be sleep problems or nightmares, depression, withdrawal
from friends or family, seductiveness, refusal to go to school,
secretiveness, unusual aggressiveness, or suicidal behavior.
Children may talk about their bodies being dirty or damaged, or
they may fear something is wrong in their genital area.
Delinquency and conduct problems may develop especially in boys
who have been or are being abused. The child's games, drawings,
and fantasies may become sexual.
Can sexual abuse be prevented?
Even small children can be taught how to avoid abuse. Body parts
should be given the proper names. Children must know that their
bodies belong to them, and that no one has a right to touch or
hurt them in any way. This applies to strangers as well as people
they know. They must know that it is okay to say "NO" to anything
that makes them uncomfortable, even if it is a friend or relative.
Teach children to tell someone such as the parent, a trusted
teacher, school nurse, or guidance counselor if someone asks them
to keep a secret. Children should be taught to respect adults and
caretakers, but they should not be told to do something just
because an adult tells them to do it.
It is best not to talk about good touch and bad touch, as the
child may think a bad touch is only something that hurts them such
as scraping their knee. Sexual contact may not be painful or may
even feel good to a child.
What if I think a child might be abused?
If you suspect a child is being abused, carefully and calmly ask
the child about it in an understanding way. The child must be told
that that it is not their fault. The child should be told that
they will be protected from the abuser, and that steps will be
taken to stop the abuse. If a child tells you that they have been
abused, take it seriously.
If child sexual abuse is suspected, contact the local police or
child protective services, no matter who the abuser is. If a child
you care about has already been abused, get help for the child.
The parent of an abused child may also need help. It is very
painful to know that your child has been abused.
This content is reviewed periodically and is subject to
change as new health information becomes available. The
information is intended to inform and educate and is not a
replacement for medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
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