Ravi Anita, Pfeiffer Megan Rose, Rosner Zachary, Shea Judy A
University of Pennsylvania, Philadelphia, PA, USA.
NYC Health and Hospitals, Correctional Health Services, New York, NY, USA.
J Urban Health. 2017 Jun;94(3):408-416. doi: 10.1007/s11524-016-0128-8.
While sex trafficking in the USA is a significant medical and public health issue, there is sparse data on the healthcare needs of and access for this population. This study was designed to identify experiences of domestically sex-trafficked women regarding healthcare access, reproductive health, and infectious diseases while trafficked. Trafficking survivors incarcerated in New York City's Rikers Island women's jail participated in audio-recorded interviews between July and September 2015. Recordings were transcribed, and a content analysis was completed to identify health-related themes. Twenty-one women ranging from 19 to 60 years old were included in this study. Reasons for accessing care included sexually transmitted infections (STIs) and HIV testing, unintended pregnancies, traumas, and chronic diseases. Emergency departments, Planned Parenthoods, and jails were common care sites. Traffickers and substance use impeded care and access to follow-up. Unintended pregnancy and STIs resulted in trafficker-perpetrated violence. Condoms, the most common form of contraception and HIV prevention, were inconsistently negotiated due to financial and violent consequences. These findings demonstrate that domestic sex trafficking survivors experienced chronic and acute health issues while trafficked and multiple barriers to care. Substance use and financial vulnerabilities furthered unintended pregnancy and infection risk. These findings can inform future research regarding healthcare access and practices for domestically trafficked women.
虽然美国的性交易是一个重大的医学和公共卫生问题，但关于这一人群的医疗保健需求和获得医疗服务的情况，数据却很稀少。本研究旨在确定国内性交易受害女性在被贩运期间获得医疗服务、生殖健康和传染病方面的经历。2015年7月至9月期间，被关押在纽约市赖克斯岛女子监狱的人口贩运幸存者参加了录音访谈。访谈记录被转录，并完成了内容分析以确定与健康相关的主题。本研究纳入了21名年龄在19岁至60岁之间的女性。就医原因包括性传播感染（STIs）和艾滋病毒检测、意外怀孕、创伤和慢性病。急诊科、计划生育机构和监狱是常见的就医场所。贩运者和药物使用阻碍了医疗服务的获得和后续跟进。意外怀孕和性传播感染导致了贩运者实施的暴力行为。避孕套作为最常见的避孕和艾滋病毒预防方式，由于经济和暴力后果，其使用协商并不一致。这些发现表明，国内性交易受害女性在被贩运期间经历了慢性和急性健康问题以及多种就医障碍。药物使用和经济脆弱性增加了意外怀孕和感染风险。这些发现可为未来关于国内被贩运女性获得医疗服务及相关做法的研究提供参考。
