Boston University, United States.
Boston University, United States.
Child Abuse Negl. 2020 Feb;100:104083. doi: 10.1016/j.chiabu.2019.104083. Epub 2019 Jul 27.
Commercial sexual exploitation (CSE) of children is a significant public health and criminal justice problem, but there are few evaluated models of CSE mentorship service.
To assess whether youth who participated in a CSE survivor-mentor program evidenced changes in CSE victimization, dating abuse victimization, health, delinquency, social support, and coping during the year following their enrollment in the program.
41 youth who were CSE-experienced at baseline (72%) or determined very high risk, 11-18 years old, 95% female, 58% heterosexual, 29% White, 29% Hispanic, and 42% other races/ethnicities.
An urban city in the Northeast United States.
We used a one-group repeated measures design and a GEE analysis. Data were collected at baseline, six months after baseline (71% follow-up) and 12 months after baseline (68% follow-up).
At baseline 72% could be characterized as CSE-experienced, while at 6 months the percentage decreased to 24% (p < 0.001) and at 12 months to 14% (p < 0.001). After 6 months of receiving survivor-mentor services, youth were less likely to have experienced CSE, engaged in sexually explicit behavior (SEB), used illicit drugs, engaged in delinquent behavior, been arrested or detained by police, and they had better social support and coping skills. After 12 months, youth were less likely to have experienced CSE, to have engaged in delinquent behavior, be arrested or detained by police, and had improved coping skills.
Findings demonstrate that youth who received survivor-mentor services from MLMC experienced improved well-being and less drug use, delinquent behavior, and exploitation.
商业性性剥削（CSE）是儿童面临的一个严重的公共卫生和刑事司法问题，但目前针对该问题的服务模式鲜有经过评估。
评估 CSE 幸存者导师计划是否能使参与者减少性剥削受害、约会暴力受害、增进健康、减少犯罪行为、增强社会支持和应对能力，在该计划实施后的一年内，这些变化是否得以维持。
41 名参与者均有 CSE 经历（72%）或被确定为高风险，年龄在 11-18 岁，95%为女性，58%为异性恋，29%为白人，29%为西班牙裔，42%为其他种族/民族。
美国东北部一个城市。
我们采用单组重复测量设计和广义估计方程分析。在基线、基线后 6 个月（71%的随访率）和基线后 12 个月（68%的随访率）采集数据。
基线时 72%的参与者有 CSE 经历，而在 6 个月时下降到 24%（p<0.001），12 个月时下降到 14%（p<0.001）。接受幸存者导师服务 6 个月后，参与者经历性剥削、进行性暴露行为、使用非法药物、从事犯罪行为、被警察逮捕或拘留的可能性更低，社会支持和应对技巧更好。12 个月后，参与者经历性剥削、犯罪行为、被警察逮捕或拘留的可能性更低，应对技巧得到提升。
研究结果表明，接受 MLMC 幸存者导师服务的青少年幸福感提高，药物使用、犯罪行为和性剥削减少。
