Abstract

OSEC is a significant public health crisis globally. It involves the sexual abuse of minors through the internet, including creating, sharing, or possessing sexual material featuring children. OSEC is widespread yet often hidden due to its sensitive nature, making it challenging to address openly. The increasing use of digital technology and social media exacerbates this problem, providing predators with more tools to exploit children.

Children are especially vulnerable, facing serious threats to their physical and emotional well-being. Despite global efforts to combat OSEC, the ubiquity of the internet and advancements in technology have made prevention and intervention difficult. Early identification and support are critical, as the long-term effects of any form of child abuse can be devastating.

Effective strategies to address OSEC must include normalizing difficult conversations, educating children on safe internet practices, and equipping parents and guardians with tools to protect their children. Healthcare professionals are uniquely positioned to educate patients and families, providing essential preventive measures and resources.

To understand healthcare professionals' perspectives on OSEC, a qualitative study was conducted. A small, convenience-sampled cohort participated in interviews to assess their knowledge of OSEC, their openness to screening questions, and their perceived roles in addressing this issue. Themes emerging from the analysis revealed significant gaps in knowledge. Participants were generally unaware of OSEC’s term, prevalence, and scope. The findings suggest that baseline education about OSEC is more urgent than implementing screening tools.

Healthcare professionals must be educated in three critical areas to combat OSEC effectively:

Understanding OSEC: Its definition, prevalence, perpetrator tactics, and impact on children’s mental and physical health.

Age-Appropriate Communication: Strategies to discuss OSEC with children during clinical interactions, fostering awareness and trust.

Parent Engagement: Tools for guiding parents and caregivers to recognize warning signs and implement preventive measures.

By bridging the awareness gap and enhancing healthcare professionals' preparedness, this initiative aims to protect children from OSEC and empower healthcare providers to be proactive advocates in combating this global crisis.

Notes

References:

Moon, N., Simeone, A. (2023). Parental and caregiver perspectives on child sexual abuse prevention. The Mama Bear Effect. Retrieved from www.TheMamaBearEffect.org

National Center for Missing and Exploited Children (2017). The Online Enticement of Children: An in-depth analysis of CyberTipLine reports. https://www.missingkids.org/ourwork/ncmecdata

Patterson, A., Ryckman, L., & Guerra, C. (2022). A Systematic Review of the Education and Awareness Interventions to Prevent Online Child Sexual Abuse. Journal of Child & Adolescent Trauma, 15(3). https://doi.org/10.1007/s40653-022-00440-x

Stanfield, P. (2024, May, 27). World’s first estimate of the scale of online childhood sexual exploitation and abuse. We Protect Global Alliance.
https://www.weprotect.org/blog/worlds-first-estimate-of-the-scale-of-online-child-sexual-exploitation-and-abuse/

Turner, H. A., Finkelhor, D., & Colburn, D. (2023). Predictors of Online Child Sexual Abuse in a U.S. National Sample. Journal of Interpersonal Violence, 38(11-12), 088626052211490. https://doi.org/10.1177/08862605221149090

Description

OSEC is a pressing global issue, exacerbated by the increasing accessibility of the internet and social media. Healthcare professionals have a unique opportunity to provide education about OSEC. a lack of awareness among healthcare professionals can limit prevention and support efforts. Research suggests that educating healthcare professionals about OSEC could help bridge the knowledge gap, normalize discussions, and empower them to protect children and guide families effectively.

Author Details

Toni Morris, DNP, RN, CNE - School of Nursing, University of Indianapolis; Elizabeth Ziff, PhD - Department of Sociology, University of Indianapolis

Sigma Membership

Lambda Epsilon

Type

Presentation

Format Type

Text-based Document

Study Design/Type

Cohort

Research Approach

Qualitative Research

Keywords:

Interprofessional, Interdisciplinary, Primary Care, Continuing Education, Nursing Education, Advances in Education, Online Sexual Exploitation of Children, OSEC, Safe Internet Practices

Conference Name

48th Biennial Convention

Conference Host

Sigma Theta Tau International

Conference Location

Indianapolis, Indiana, USA

Conference Year

2025

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Date of Issue

2025-12-02

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Breaking the Silence: Addressing the Crisis of OSEC & the Knowledge Gap Among Health Professionals

Indianapolis, Indiana, USA

OSEC is a significant public health crisis globally. It involves the sexual abuse of minors through the internet, including creating, sharing, or possessing sexual material featuring children. OSEC is widespread yet often hidden due to its sensitive nature, making it challenging to address openly. The increasing use of digital technology and social media exacerbates this problem, providing predators with more tools to exploit children.

Children are especially vulnerable, facing serious threats to their physical and emotional well-being. Despite global efforts to combat OSEC, the ubiquity of the internet and advancements in technology have made prevention and intervention difficult. Early identification and support are critical, as the long-term effects of any form of child abuse can be devastating.

Effective strategies to address OSEC must include normalizing difficult conversations, educating children on safe internet practices, and equipping parents and guardians with tools to protect their children. Healthcare professionals are uniquely positioned to educate patients and families, providing essential preventive measures and resources.

To understand healthcare professionals' perspectives on OSEC, a qualitative study was conducted. A small, convenience-sampled cohort participated in interviews to assess their knowledge of OSEC, their openness to screening questions, and their perceived roles in addressing this issue. Themes emerging from the analysis revealed significant gaps in knowledge. Participants were generally unaware of OSEC’s term, prevalence, and scope. The findings suggest that baseline education about OSEC is more urgent than implementing screening tools.

Healthcare professionals must be educated in three critical areas to combat OSEC effectively:

Understanding OSEC: Its definition, prevalence, perpetrator tactics, and impact on children’s mental and physical health.

Age-Appropriate Communication: Strategies to discuss OSEC with children during clinical interactions, fostering awareness and trust.

Parent Engagement: Tools for guiding parents and caregivers to recognize warning signs and implement preventive measures.

By bridging the awareness gap and enhancing healthcare professionals' preparedness, this initiative aims to protect children from OSEC and empower healthcare providers to be proactive advocates in combating this global crisis.