Department of Epidemiology, Center for Midlife Science, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI, 48109-2029, USA.
Department of Sociology, College of Literature Science, and the Arts, University of Michigan, 500 S State St, Ann Arbor, MI, 48109, USA.
Int J Public Health. 2019 Sep;64(7):1015-1024. doi: 10.1007/s00038-019-01269-2. Epub 2019 Jun 26.
To assess the association of living and working conditions experienced during trafficking with mental health of female and male survivors.
We analyzed a cross-sectional study of 1015 survivors who received post-trafficking services in Cambodia, Thailand, and Vietnam. Modified Poisson regression models were conducted by gender to estimate prevalence ratios.
For females, the elevated prevalence of anxiety, depression, and post-traumatic stress disorder (PTSD) symptoms was associated with adverse living conditions, while for males the prevalence of anxiety (PR = 2.21; 95% CI 1.24-3.96) and depression (PR = 2.63; 95% CI 1.62-4.26) more than doubled and almost tripled for PTSD (PR = 2.93; 95% CI 1.65-5.19) after adjustment. For males in particular, excessive and extreme working hours per day were associated with more than a four- and threefold greater prevalence of PTSD. Being in a detention center or jail was associated with all three mental health outcomes in males.
Providers and stakeholders need to consider the complex mental health trauma of the differential effects of living and working conditions for female and male survivors during trafficking to support treatment and recovery.
评估人口贩运期间所经历的生活和工作条件与女性和男性幸存者心理健康之间的关联。
我们分析了柬埔寨、泰国和越南接受人口贩运后服务的 1015 名幸存者的横断面研究。按性别进行了修正泊松回归模型，以估计患病率比。
对于女性，焦虑、抑郁和创伤后应激障碍（PTSD）症状的高发与不良生活条件有关，而对于男性，焦虑（PR=2.21；95%CI 1.24-3.96）和抑郁（PR=2.63；95%CI 1.62-4.26）的患病率增加了一倍以上，PTSD（PR=2.93；95%CI 1.65-5.19）的患病率几乎增加了两倍，调整后。特别是对于男性，每天工作时间过长和极端工作时间与 PTSD 的患病率增加了四倍以上和三倍以上有关。被关押在拘留中心或监狱与男性的所有三种心理健康结果都有关。
提供者和利益相关者需要考虑到女性和男性幸存者在人口贩运期间生活和工作条件的不同影响所带来的复杂心理健康创伤，以支持治疗和康复。
