Jimenez Melissa, Jackson Allison M, Deye Katherine
Mayerson Center for Safe and Healthy Children, Cincinnati Children's Hospital, Cincinnati, OH.
Freddie Mac Foundation Child and Adolescent Protection Center, Children's National Medical Center, Washington, DC; The George Washington University School of Medicine and Health Sciences, Washington, DC.
Curr Probl Pediatr Adolesc Health Care. 2015 Mar;45(3):80-5. doi: 10.1016/j.cppeds.2015.02.003. Epub 2015 Mar 29.
Commercial sexual exploitation of children (CSEC) and adolescents is a serious worldwide problem. It is, in essence, the sexual abuse of a minor for economic gain. In the United States, there is no uniform nationwide database to capture the incidence and prevalence of CSEC. Therefore, there is a great variation in the estimates, but the actual numbers are unknown. Given the clandestine nature of the practice, it is often underreported and underidentified. Healthcare providers will often encounter victims of commercial sexual exploitation due to mental health, physical health, and sexual health consequences, and therefore should be knowledgeable in the signs of possible sexual exploitation. The aim of this article is to educate healthcare providers on how vulnerable children may become sexually exploited, the health consequences involved with sexual exploitation, how to better identify possible victims, and the medical evaluation of a victim of sexual exploitation.
对儿童和青少年的商业性剥削是一个严重的全球性问题。从本质上讲，它是为了经济利益对未成年人进行性虐待。在美国，没有统一的全国性数据库来记录对儿童和青少年商业性剥削的发病率和流行率。因此，估计数字差异很大，但实际数字未知。鉴于这种行为的秘密性质，它往往报告不足且未被充分识别。医疗保健提供者经常会遇到遭受商业性剥削的受害者，因为这会导致心理健康、身体健康和性健康方面的后果，因此应该了解可能存在性剥削的迹象。本文的目的是教育医疗保健提供者了解儿童如何容易受到性剥削、性剥削所涉及的健康后果、如何更好地识别可能的受害者以及对性剥削受害者的医学评估。
