Rajaram Shireen S, Tidball Sriyani
a Department of Journalism and Mass Communication , University of Nebraska-Lincoln , Lincoln , Nebraska , USA.
b Department of Health Promotion , University of Nebraska Medical Center, College of Public Health, Nebraska Medical Center , Omaha , Nebraska , USA.
Behav Med. 2018 Jul-Sep;44(3):189-198. doi: 10.1080/08964289.2017.1399101.
Human trafficking is a serious public health issue and has long-term physical, mental, social, and economic consequences for survivors, their families, and communities. The Victims of Trafficking and Violence Protection Act of 2000 defines sex trafficking as a commercial sex act that is induced by force, fraud or coercion, or when a commercial sex act involves a person below 18 years of age. There is inadequate research from the perspectives of survivors. The purpose of this study was to gather data from survivors on their complex needs. We gathered qualitative data from twenty-two women, sex-trafficking survivors in the Midwest who were over 18 years old. Through one-on-one interviews, we obtained rich and authentic descriptions from the perspective of survivors. Interviews were recorded, data were transcribed, and coded and analyzed for key themes. The majority of the sample lived in an urban area, were not married and lived in either foster care or a group home as children. Findings highlighted the lack of awareness among the general public about sex trafficking and the stigma, blame and lack of trust that survivors experience. Frontline professionals such as healthcare providers and law enforcement lacked a trauma informed approach. Survivors highlighted their complex support needs both in the initial aftermath, and in the long-term including mental health services, and job and life skills training to help them fully recover. Including perspectives of survivors helps to ensure that comprehensive strategies address the complex needs of survivors to help them on their road to full recovery.
人口贩运是一个严重的公共卫生问题，对幸存者及其家庭和社区会产生长期的身体、心理、社会和经济后果。2000年的《人口贩运受害者保护法》将性交易定义为通过武力、欺诈或胁迫诱导的商业性行为，或当商业性行为涉及18岁以下人员时。从幸存者的角度进行的研究不足。本研究的目的是从幸存者那里收集有关其复杂需求的数据。我们从22名年龄超过18岁的中西部地区性交易幸存者女性那里收集了定性数据。通过一对一访谈，我们从幸存者的角度获得了丰富而真实的描述。访谈进行了录音，数据进行了转录，并对关键主题进行了编码和分析。大多数样本居住在城市地区，未婚，儿童时期生活在寄养机构或集体之家。研究结果突出了公众对性交易的认识不足，以及幸存者所经历的耻辱、指责和缺乏信任。医疗保健提供者和执法人员等一线专业人员缺乏创伤知情方法。幸存者强调了他们在最初阶段以及长期的复杂支持需求，包括心理健康服务以及工作和生活技能培训，以帮助他们完全康复。纳入幸存者的观点有助于确保全面战略满足幸存者的复杂需求，帮助他们走上完全康复之路。
