Sexual abuse (SA), and childhood sexual abuse (CSA) in particular, is recognized as a significant public health concern. When it involves persons under the age of 18 years, SA is referred to as CSA, one of four categories of child maltreatment (the other three are physical, psychological, and neglect). CSA is defined as the coercive physical or nonphysical manipulation, exploitation, and/or aggressive maltreatment perpetrated on a person 18 years of age or younger for the purpose of sexual gratification and/or dominance by means of sexual behaviors or sexualized language. CSA is always nonconsensual as children have neither the cognitive nor the emotional maturity to make such a decision, and as discussed in the following sections, early sexualization is responsible for a barrage of malignant acute ...

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