Sexual abuse of a child is generally defined as physical contact or other interaction between a child (under age 17, for example) and an adult when the child is being used for the sexual stimulation or pleasure of the perpetrator or another person. In addition to physical contact, sexual abuse of a child may include (1) the exposure of the genitals of an adult in the presence of a child, (2) the exposure of the genitals of a child, (3) using a child in making pornography, or (4) making a child view sexual acts or pornography.

And in some states multiple instances of sexual contact between an adult and a child may constitute the enhanced criminal offense of continual sexual abuse of a child—which is sometimes a first-degree felony offense.

In North Carolina, sexual abuse of a child is addressed under various statutes that criminalize sexual acts with minors. Under North Carolina General Statutes, any adult who engages in a sexual act with a child under the age of 16 can be charged with statutory rape or sexual offense, depending on the age difference and the nature of the act. The law also prohibits indecent liberties with children, which includes willfully committing or attempting any lewd or lascivious act upon or with the body of a child under the age of 16. This can cover non-physical contact offenses such as exposure or making a child view sexual acts or pornography. Producing, distributing, or possessing child pornography is also a separate and serious offense under North Carolina law. Enhanced penalties may apply if the perpetrator is in a position of trust or authority over the child, or if the abuse is part of a pattern of behavior, which could be prosecuted under the state's habitual felon laws. It's important to note that while North Carolina does not have a specific statute titled 'continual sexual abuse of a child,' habitual or multiple offenses can lead to more severe charges and penalties.