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Our understanding of the international epidemiology of child sexual abuse is considerably greater than it was just 10 years ago, and studies from around the world are examined. Childhood sexual abuse can involve a wide number of psychological sequelae, including low self-esteem, anxiety, and depression. Numerous studies have noted that child sexual abuse victims are vulnerable to later sexual revictimization, as well as the link between child sexual abuse and later engagement in high-risk sexual behaviour. Survivors of child sexual abuse are more likely to have multiple sex partners, become pregnant as teenagers, and experience sexual assault as adults. Various models which attempt to account for this inter-relationship are presented; most invoke mediating variables such as low self-esteem, drug\/alcohol use, PTSD and distorted sexual development. Prevention strategies for child sexual abuse are examined including media campaigns, school-based prevention programmes, and therapy with abusers. The results of a number of meta-analyses are examined. However, researchers have identified significant methodological limitations in the extant research literature that impede the making of recommendations for implementing existing therapeutic programmes unreservedly.<\/jats:p>","DOI":"10.1177\/1524838010378299","type":"journal-article","created":{"date-parts":[[2010,8,2]],"date-time":"2010-08-02T23:30:42Z","timestamp":1280791842000},"page":"159-177","source":"Crossref","is-referenced-by-count":270,"title":["Child Sexual Abuse, Links to Later Sexual Exploitation\/High-Risk Sexual Behavior, and Prevention\/Treatment Programs"],"prefix":"10.1177","volume":"11","author":[{"given":"Kevin","family":"Lalor","sequence":"first","affiliation":[{"name":"Department of Social Sciences, Dublin Institute of Technology,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosaleen","family":"McElvaney","sequence":"additional","affiliation":[{"name":"Department of Social Sciences, Dublin Institute of Technology"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2010,8,2]]},"reference":[{"key":"atypb1","volume-title":"Guidelines for psychosocial evaluation of suspected sexual abuse in young children","author":"American Professional Society on the Abuse of Children.","year":"1999"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1177\/1077559500005001004"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1093\/clipsy.9.2.135"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1080\/01926180600969702"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.7870\/cjcmh-1987-0001"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.35.4.320"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1037\/0735-7028.36.4.376"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.60.2.196"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1037\/10267-000"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2003.09.008"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1177\/088626093008003002"},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.4159\/9780674028845"},{"key":"atypb13","volume-title":"Early prediction and prevention of child abuse: A handbook","author":"Browne, K. 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