“…The true prevalence of commercial sexual exploitation (CSE) is extremely difficult to determine. In the United States, the number of children and adolescents formally identified as victims of domestic sexual trafficking, for example, exceeds 100,000 annually (Siskin & Wyler, 2012; Schauer & Elechi, 2014). However, this estimate likely significantly underestimates the true prevalence of commercial exploitation (Clawson, Dutch, Solomon, & Goldblatt Grace, 2009), because objective evidence (e.g., photographs, videos) is rare, unless the exploitation involves pornography.…”