Sexual exploitation is the second most lucrative crime in the world,
1-4 estimated to affect up to 5% of the general child and youth population worldwide,
5,6 with increasing numbers detected globally during the past decade.
7-9 Although no unified global definition of child sexual exploitation (CSE) exists, it is considered a subtype of human trafficking.
1 Definitions commonly include the actual or attempted abuse of a position of vulnerability, differential power, or trust over adolescents and children for sexual activity (online and/or offline) in exchange for something of value (eg, gifts, money, substances, or developmental needs, including shelter, food, and protection).
1,2 Power imbalance between a perpetrator and young person is often characterized by age differences; however, age cutoffs vary greatly, making CSE difficult to clearly define and identify.
10,11 Furthermore, CSE can occur between perpetrators and those exposed to sexual exploitation of the same age, and samples of young people can include emerging adults. Therefore, sexual exploitation vulnerability factors are likely more clinically relevant than singular age cutoffs in detecting and intervening for individuals affected by CSE. Nevertheless, to classify studies unequivocally, the present study focuses on CSE occurring in people 18 years or younger.