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In as many as 93 percent of child sexual cases, the child knows the person that commits the abuse.

Douglas,  Emily and D. Finkelhor, Childhood sexual abuse fact sheet, http://www.unh.edu/ccrc/factsheet/pdf/childhoodSexualAbuseFactSheet.pdf, Crimes Against Children Research Center, May 2005

Most are acquaintances but as many as 47% are family or extended family.
Briere, J., Eliot, D.M. Prevalence and Psychological Sequence of Self-Reported Childhood Physical and Sexual Abuse in General Population: Child Abuse and Neglecti, 2003, 27 10.

85% of the time children are abused by someone they know.
Oesterreich, L. & Shirer, K. Sexual Abuse of Children, 2001.

The people who sexually abuse can be immediate or extended family members (fathers, mothers, stepparents, grandparents, siblings, uncles, aunts, cousins, etc.). They can be neighbors, babysitters, religious leaders, teachers, coaches, or anyone else who has close contact with children.
 88% of cases of sexual abuse are never reported to the authorities.

(Hanson, R.F., Resnick, H.S., Saunders, B.E., Kilpatrick. D. G., and Best, C.  Factors related to the reporting of childhThe number of sexually abused children decreased from 217,700 in 1993 to 135,300 in 2005-2006.

We are very encouraged by the declining number of children being abused. However, the majority of children who experience sexual abuse do not tell anyone.  Seventy percent of the time when sexual abuse is going on, the child does not talk about it or tell anyone directly. This gap between the cases reported in this study and the actual number of children who are being abused is still a factor of 7.ood sexual assault. Child Abuse and Neglecti, 1999, 23,559-569).
s. Offenders frequently
use “grooming” tactics to build a connection with children. Grooming can include giving children gifts or rewards,
taking them on special outings, or simply giving children attention and affection they may be longing for. While not
all offenders use physical force, many use threats to ensure that a child will stay quiet—threatening to harm the
child, a loved one, or a pet; or by telling the child that no one will believe them, or that their parents won’t love
them anymore if they tell.
 
Often, our society does not make it easy for children to talk about what is happening to them. When children try to
tell someone about the abuse they are experiencing, they are often ignored, dismissed, or made to feel ashamed.
Ironically, the very power that is used over children to safeguard their well-being is often exploited by offenders
who sexually abuse children. This power imbalance also can create barriers to children having a voice and being
able to tell their stories.

Early interventions reduce the potential for harm and assure that everyone can get the help they need to keep children safe. Since children cannot protect themselves alone, adults must learn to recognize and inquire about behaviors that make children vulnerable or suggest that abuse has occurred. Waiting for children to tell about abuse leaves them to face the confusion and trauma of victimization on their own.