What is the impact of pornography on the health and safety of children?

^[6] Muzio, 966 F.3d at 65; see also Paroline v. United States, 572 U.S. 434, 439-40 (2014) ("The demand for child pornography harms children in part because it drives production, which involves child abuse. The harms caused by child pornography, however, are still more extensive because child pornography is a permanent record of the depicted child's abuse, and the harm to the child is exacerbated by its circulation." (internal quotation marks and alterations omitted)).