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The American Psychological Association states that "children cannot consent to sexual activity with adults", and condemns any such action by an adult: "An adult who engages in sexual activity with a child is performing a criminal and immoral act which never can be considered normal or socially acceptable behavior."A study funded by the USA National Institute of Drug Abuse found that "Among more than 1,400 adult females, childhood sexual abuse was associated with increased likelihood of drug dependence, alcohol dependence, and psychiatric disorders.The associations are expressed as odds ratios: for example, women who experienced nongenital sexual abuse in childhood were 2.83 times more likely to suffer drug dependence as adults than were women who were not abused." Child abuse, including sexual abuse, especially chronic abuse starting at early ages, has been found to be related to the development of high levels of dissociative symptoms, which includes amnesia for abuse memories.

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Commercial sexual exploitation of children (CSEC) is defined by the Declaration of the First World Congress against Commercial Sexual Exploitation of Children, held in Stockholm in 1996, as "sexual abuse by an adult accompanied by remuneration in cash or in kind to the child or third person(s)." One study reported that children who received a bad reaction from the first person they told, especially if the person was a close family member, had worse scores as adults on general trauma symptoms, post traumatic stress disorder symptoms, and dissociation.

Another study found that in most cases when children did disclose abuse, the person they talked to did not respond effectively, blamed or rejected the child, and took little or no action to stop the abuse.

(1993) found that child sexual abuse was associated with a reduced corpus callosum area; various studies have found an association of reduced volume of the left hippocampus with child sexual abuse; used the "Limbic System Checklist-33" to measure ictal temporal lobe epilepsy-like symptoms in 253 adults.

Reports of child sexual abuse were associated with a 49% increase to LSCL-33 scores, 11% higher than the associated increase of self-reported physical abuse. (2006) found that the self-reported math Scholastic Aptitude Test scores of their sample of women with a history of repeated child sexual abuse were significantly lower than the self-reported math SAT scores of their non-abused sample.

How Researchers Can Develop Successful Relationships with Criminal Justice Practitioners, Findings from the Researcher-Practitioner Partnerships Study (RPPS), Tami P. Crosby, La Vonne Ortega and Cindi Melanson, National Center for Injury Prevention and Control, Atlanta, GA: February 2011.

Strategies for Successfully Developing and Disseminating Useful Products from Researcher Practitioner Collaborations, Findings from the Researcher-Practitioner Partnerships Study (RPPS), Tami P. SELF-DIRECTED VIOLENCE SURVEILLANCE ~ UNIFORM DEFINITIONS AND RECOMMENDED DATA ELEMENTS, Alex E.

In severe cases, damage to internal organs may occur, which, in some cases, may cause death.

Various studies have suggested that severe child sexual abuse may have a deleterious effect on brain development. (1998) found "reversed hemispheric asymmetry and greater left hemisphere coherence in abused subjects;" Teicher et al.

Copyright © 2007 New York City Alliance Against Sexual Assault.

A ROOM OF OUR OWN: SEXUAL ASSAULT SURVIVORS EVALUATE SERVICES – A RESEARCH REPORT FROM THE NEW YORK CITY ALLIANCE AGAINST SEXUAL ASSAULT, Deborah Fry, New York City Alliance Against Sexual Assault, New York, NY: April 2007.

DIFFERENCES IN EDUCATION / EMPLOYMENT STATUS AND INTIMATE PARTNER VICTIMIZATION, Cortney A. Menaker, Crime Victims' Institute and College of Criminal Justice, Sam Houston State University, Huntsville, TX: October 2012. Jenny Chia and Imelda Padilla-Frausto, UCLA Center for Health Policy Research, Los Angeles, CA: April 2010. Copyright © 2006 International Center for Research on Women. Criminal Justice System State Administrative Agencies: Research Capacity and Experience with Research Collaborations, Findings from the Researcher-Practitioner Partnerships Study (RPPS), Tami P.

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