Commercial Sexual Exploitation and Sex Trafficking of Children and Adolescents: A Narrative Review

Overview

A growing body of research addresses the issue of “commercial sexual exploitation of children” (CSEC) and “child sex trafficking.” These overlapping terms describe crimes of a sexual nature committed against children and adolescents that involve exploitation for financial or other gain. Existing literature demonstrates that commercially sexually exploited youth typically experience significant and ongoing trauma. The literature teaches that these youths have a unique set of health risks, including violence-related injuries, sexually transmitted infections, unwanted pregnancy, and a variety of mental health problems. Though federal law defines these youth as victims of human trafficking, in many states, commercially sexually exploited children and adolescents are incarcerated for crimes related to their exploitation. Fear of incarceration can prevent victims from seeking available services. While health care providers may play a critical role in connecting commercially sexually exploited youth with community resources, most providers lack the knowledge of human trafficking necessary to fulfill this role effectively. Published research about this vulnerable pediatric population, although rapidly growing, is still extremely limited. Further research into the prevention, identification, intervention, and multidisciplinary management of CSEC and sex trafficking of children and adolescents is needed.