More children are being recognized as victims of sexual abuse than in the past. Because pediatricians are often the first professionals to see the victim, they are often also the first to assess and to evaluate the child. Increased diagnoses of child sexual abuse may be the result either of an actual increase in the incidence of child sexual abuse or of heightened recognition. Whichever explanation or combination is correct, it is crucial that pediatricians be aware not only of the issue of child sexual abuse but also of the correct procedures in collecting data that may be used as evidence and in preparing to be a witness in a potential criminal prosecution of the alleged offender.
Delayed healthcare access among victims of sexual abuse, understood through internal and external gatekeeping mechanisms