Child Sexual Abuse Imagery
Child pornography, also called “child sexual abuse imagery” and “child exploitation material,” is a serious public health problem. This chapter reviews what qualifies as child pornography in the United States, its prevalence, how it is made and disseminated, who views it, and whether seeing it is associated with child sexual abuse perpetration. The topic of self-produced child pornography is also addressed. The chapter explains the historical link between anti-child pornography activism and anti-gay rights activism, and cautions public health professionals that, historically, outrage about child pornography has been used to galvanize people and further repressive agendas. The chapter argues that child pornography prevention strategies need to be carefully devised, in partnership with a wide range of stakeholders, and should be studied for effectiveness and unintended consequences.