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Trafficking and Trauma

Insight and Advice for the Healthcare System From Sex-trafficked Women Incarcerated on Rikers Island

Dados Bibliográficos

ID9099404
AutoresAnita Ravi (0000-0002-9675-4362, Institute for Family Health, autor correspondente), Megan Rose Pfeiffer (University of Pennsylvania), Zachary Rosner (0000-0002-3789-9131, New York City Health and Hospitals, Correctional Health Services), Judy A Shea (0000-0002-7334-4192, University of Pennsylvania)
Ano2017
Volume55
Fascículo12
Páginas1017-1022
Data de publicação2017-12-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoMedical Care (JOURNAL)
Identificadores do periódicoISSN: 0025-7079 • E-ISSN: 1537-1948
EditoraOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000000820
PMID28945674
OpenAlexW2756969116
IdiomaEN
Citações recebidas16
Referências citadas13

BACKGROUND: Sex-trafficked persons experience significant trauma while exploited, resulting in complex health issues and barriers to health care. Incorporating survivor perspectives is critical in optimizing health care delivery for this population. OBJECTIVES: We interviewed sex-trafficking survivors regarding their experiences with trauma while being trafficked and elicited advice about health care delivery. RESEARCH DESIGN: Qualitative interviews were conducted in New York City's Rikers Island jail from July to September 2015. SUBJECTS: In total, 21 English-speaking women who had experienced sex trafficking were the subjects of the study. MEASURES: Interview domains included: interpersonal violence, behavioral health, and health care delivery advice. RESULTS: Interviewees described experiencing severe and chronic trauma perpetrated by traffickers and sex buyers. Substance use was the primary method of coping with trauma. With regard to mental health, interviewees noted diagnoses of depression, anxiety and posttraumatic stress disorder, low self-esteem, and challenges in intimate relationships. Health care delivery themes included approaches to discussing trafficking in health care settings, concerns regarding sexual assault examinations, and suggestions for improving direct-services and prevention programming. CONCLUSIONS: With this perspective into the complex intersection of trauma and behavioral health that sex-trafficked women can experience, health care providers can better understand the context and recommendations regarding trauma-informed care practices for this population. Our results also offer several avenues for future studies with regard to discussing trafficking in clinical settings and an opportunity for stakeholders to incorporate survivor-based input to improve health care for this population

Context (archaeology) · Criminology · Environmental health · Family medicine · Health care · Human trafficking · Medical emergency · Mental health · Poison control · Population · Psychiatry · Qualitative research · Sex trafficking · Suicide prevention · LGBTQ Health, Identity, and Policy · Medicine · Nursing · Psychology · Sex work and related issues · Sexuality, Behavior, and Technology

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Obras citantes distintas16
Citações por ano2,29
Intervalo de citações2019 - 2025 (7)
Velocidade de citaçãorecent
Altamente citadoNão
Tipos de citaçãoNeutras: 16
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