Despite efforts to reduce child abuse in America, more than a million children are physically abused each year; about 2,000 die. Although the magnitude of sexual abuse of children in the United States is unknown, it is considered to be an escalating problem, and one that can result in serious psychological damage among victims. There are no reliable statistics available for emotional abuse and neglect, but these types of child abuse are as potentially damaging to their victims as are various forms of physical abuse. Child abuse extends across racial, ethnic, and socioeconomic lines, but there are consistently more reports concerning children born into poverty. The reporting of child abuse is complicated by the private nature of the crime, the fearfulness of the child, and strong motivation for denial in the abuser.