Sexual epidemic proportion. Although child sexual abuse

abuse also known as molestation is usually undesired sexual behavior by one
person upon another. It is a universal problem with grave life outcomes. The
number of case reported in India was found to be high in India as well as throughout
the world. The child abuse case in India is an unreported offence, which has
now reached to an epidemic proportion. Although child sexual abuse (CSA) is recognized
as a serious violation of human beings and of the law, yet there is no
developed mechanism that ensure that ensure that none of their youth will be
sexually abused, sadly it is a problem of great magnitude that affect children
of all ages, sexes, races, ethnicities and socioeconomic classes Child abuse
(CSA) actually is broken down into four categories: neglect, physical abuse,
sexual abuse and emotional abuse. While having different forms and level of severity,
it can be defined as the maltreatment of a child, usually the first thing that
comes to mind is physical harm, but the issue is actually much more complex.
Sexual abuse towards children is a stark reality world. It is a
multidimensional problem having social, medical and psychological implications.
These acts are performed mainly by trusted friends, family members, and people
with all sexual orientation. It includes many type of abusive acts towards
children such as sexual assault, attempted intercoarse, fondling of genitals
directly or through clothing, etc.because of increased rate of child sexual
abuse there is an increase in the prevalence of sexually transmitted disease (STD)
cases among children. Statistically, girls are more often the victim of sexual
abuse. However, it is observed that males do not report their case as often.
The gender gap may be caused by higher victimization of girls, lower
willingness of men to disclose abuse or both. The main reason of sexual abuse
is the misuse of the power of their position. For example- sexual harassment in
education. It might involve a student submitting to sexual advances of a person
in power in fear of being given a failing grade or fear of being punished.
Child sexual abuse is a traumatic experience affecting the life of the victim
in long term measure as well as the life of their close one too. The victim has
to deal with this experience the rest of their lives. It isn’t limited to
sexual or physical contact there are examples of noncontact abuse also such as
displaying pornography, having sexualized conversation with the child, watching
a child undressed. The physical child abuse effects vary from child to child,
depending on the following factors: the severity of the physical abuse, frequency
of the physical abuse, age of the child when physical abuse began ,child’s
relationship with the abuser,  and child’s
ability to cope up with this. The effect of child sexual abuse is wide ranging
and last for forever. Children who are victim of sexual abuse often know the
perpetrator in some way.  Some may be
able to cope up with this but most of the victims cannot cope up emotionally as
well as mentally. Often due to shame or guilt they will they keep the abuse to
themselves and do not tell anyone about the problems they are facing. The
person going through all this faces certain attached disorder, for instance, an
aversion to touch and physical attention, the child might flinch or even say
“ouch “when touched and perceived it as a threat, anger might be expressed
directly, the child face difficulty in showing affection and care towards
strangers, the child might act like he or she does not have a conscience and
might fail to show guilt, regret, depression, poor eating disorder. While some
children may exhibit regressive behavior such as bedwetting. The child may
withdraw from school and social activities and show problem in learning.  The term sexual abuse cannot be clearly
defined with ease. In fact, it is an umbrella term for any sort of situation,
whether or not it involves physical contact, in which a sexually immature child
is exposed to anything sexual in nature. Because no child is psychologically
mature enough for sexual stimulation, the complex feelings associated with it
are mentally and emotionally disfiguring. As we know the case of child abuse
there is a need to educate children about sex and taught themselves self-protection
skills. As Medical professionals have a key role in detecting child sexual abuse,
they are often the first point of contact with abused children and their families.
As a result of more rigorous research studies in this field our understanding
of the impact of childhood sexual abuse is becoming more nuanced and a robust
body of research evidence now clearly demonstrates the link between child
sexual abuse and a spectrum of adverse mental health. An increased risk of
revictimisation of survivors has also been demonstrated consistently for both
men and women survivors. More recent research has revealed a link between child
abuse and personality, psychotic disorder as well as a heightened risk for
suicide ideation and suicidal behavior. Future research in this area needs to
continue to tease out gender difference in victim’s experiences of childhood
sexual abuse. This understanding will assist in the identification, treatment
and prevention of child sexual abuse. This knowledge is key to survivors of
childhood sexual abuse being able to disclose their experience in a safe and
supportive environment and the support they need to deal with those experiences
and all its effects.