Etiology of Child-on-child sexual abuse

In the etiology of child-on-child sexual abuse, young children who have not matured sexually are incapable of knowing about specific sex acts without an external source. Consequently, children who initiate or solicit overtly sexual acts with other children most often have been sexually victimized by an adult beforehand, or by another child who was in turn abused by an adult. More than half have been victimized by two or more perpetrators. In some instances, the perpetrating child was exposed to pornography or repeatedly witnessed sexual activity of adults at a very young age, as this also can be considered a form of child sexual abuse.