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Sexual assault, including unwanted sexual contact, coercion, and rape, is a social phenomenon that has been approached in a variety of ways in different global contexts. Attempts to address risk and protective factors for perpetrators and victims are limited by the difficulty of collecting empirical data on experiences that can be traumatic, stigmatizing, complicated, and private. This chapter explores current and historic definitions of sexual assault as well as how these definitions influence estimates of sexual assault prevalence and subsequent psychological and public health responses. We describe best practices in sexual assault measurement, explore the need for culturally acceptable interventions that acknowledge intersections of identity, critique current victim response services, and finally provide recommendations for future directions in sexual assault prevention and response.
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