Sexual abuse

Sexual abuse or sex abuse is abusive sexual behavior by one person upon another. It is often perpetrated using physical force, or by taking advantage of another. It often consists of a persistent pattern of sexual assaults. The offender is referred to as a sexual abuser. Live streaming sexual abuse involves trafficking and coerced sexual acts, or rape, in real time on webcam.

Molestation refers to an instance of sexual assault, especially when perpetrated against a child. The perpetrator is called (often pejoratively)^{[failed verification]} a molester. The term also covers behavior by an adult or older adolescent towards a child to sexually stimulate any of the involved. The use of a child for sexual stimulation is referred to as child sexual abuse and, for pubescent or post-pubescent individuals younger than the age of consent, statutory rape.

Sexual abuse can be perpetrated against other vulnerable populations like the elderly, a form of elder abuse, or those with developmental disabilities.

Spousal sexual abuse is a form of domestic violence. When the abuse involves threats of unwanted sexual contact or forced sex by a woman's husband or ex-husband, it may constitute rape, depending on the jurisdiction, and may also constitute an assault.

Child sexual abuse is a form of child abuse in which a child is abused for the sexual gratification of an adult or older adolescent. It includes direct sexual contact, the adult or otherwise older person engaging indecent exposure (of the genitals, female nipples, etc.) to a child with intent to gratify their own sexual desires or to intimidate or groom the child, asking or pressuring a child to engage in sexual activities, displaying pornography to a child, or using a child to produce child pornography.

Effects of child sexual abuse include shame, self-blame, depression, anxiety, post-traumatic stress disorder, self-esteem issues, sexual dysfunction, chronic pelvic pain, addiction, self-injury, suicidal ideation, borderline personality disorder, and propensity to re-victimization in adulthood. Child sexual abuse is a risk factor for attempting suicide. Additionally, some studies have shown childhood sexual abuse to be a risk factor of the perpetration of intimate partner violence in men. Much of the harm caused to victims becomes apparent years after the abuse happens. With specific regard to addiction, a study by Reiger et al. supports previous findings that adverse life events increase sensitivity to drug rewards and bolster drug reward signaling by exposing an association between heightened limbic response to cocaine cues.

Sexual abuse by a family member is a form of incest, which can result in severe long-term psychological trauma, especially in the case of parental incest.

Globally, approximately 18–19% of women and 8% of men disclose being sexually abused during their childhood. The gender gap may be caused by higher victimization of girls, lower willingness of men to disclose abuse, or both. Most sexual abuse offenders are acquainted with their victims; approximately 30% are relatives of the child, most often fathers, uncles or cousins; around 60% are other acquaintances such as friends of the family, babysitters, or neighbors; strangers are the offenders in approximately 10% of child sexual abuse cases. Most child sexual abuse is committed by men; women commit approximately 14% of offenses reported against boys and 6% of offenses reported against girls. Child sexual abuse offenders are not pedophiles unless they have a primary or exclusive sexual interest in prepubescent children.