Citation

Varma S, Gillespie S, McCracken C, Greenbaum VJ. Child Abuse Negl. 2015; 44: 98-105.

Affiliation

Stephanie V. Blank Center for Safe and Healthy Children, Children's Healthcare of Atlanta, 975 Johnson Ferry Rd, NE, Suite 350, Atlanta, GA 30342, USA.

Copyright

(Copyright © 2015, Elsevier Publishing)

DOI

10.1016/j.chiabu.2015.04.004

PMID

25896617

Abstract

The objective of the study is to describe distinguishing characteristics of commercial sexual exploitation of children/child sex trafficking victims (CSEC) who present for health care in the pediatric setting. This is a retrospective study of patients aged 12-18 years who presented to any of three pediatric emergency departments or one child protection clinic, and who were identified as suspected victims of CSEC. The sample was compared with gender and age-matched patients with allegations of child sexual abuse/sexual assault (CSA) without evidence of CSEC on variables related to demographics, medical and reproductive history, high-risk behavior, injury history and exam findings. There were 84 study participants, 27 in the CSEC group and 57 in the CSA group. Average age was 15.7 years for CSEC patients and 15.2 years for CSA patients; 100% of the CSEC and 94.6% of the CSA patients were female. The two groups significantly differed in 11 evaluated areas with the CSEC patients more likely to have had experiences with violence, substance use, running away from home, and involvement with child protective services and/or law enforcement. CSEC patients also had a longer history of sexual activity. Adolescent CSEC victims differ from sexual abuse victims without evidence of CSEC in their reproductive history, high risk behavior, involvement with authorities, and history of violence.

Language: en