Richie-Zavaleta Arduizur C, Villanueva Augusta M, Homicile Lauren M, Urada Lianne A
Department of Public Health, College of Graduate & Professional Studies, University of New England, Portland, ME 04005, USA.
Department of Community Health and Prevention, Dornsife School of Public Health, Drexel University, Philadelphia, PA 19104, USA.
Sexes. 2021 Mar;2(1):26-49. doi: 10.3390/sexes2010003. Epub 2021 Jan 6.
Human Trafficking (HT) persists in the US, despite multi-level measures designed to mitigate its societal costs. HT instruction for healthcare providers is growing, but there is a dearth of resources and training presenting obstacles for victims accessing suitable healthcare services. Voices of survivors are also scant in the literature, despite the fact that their recommendations would appear essential when designing best practices. This study aimed to methodically gather recommendations from sex trafficking (ST) survivors who sought medical care during their victimization. An exploratory concurrent mixed-methods design was used, and semi-structured interviews ( = 22) were conducted between March 2016 and March 2017, in San Diego, CA, and Philadelphia, PA. Data were analyzed through a coding system to identify meaningful analytical themes. Study participants were recruited through survivor-centered organizations, and their identification was kept anonymous and confidential. Findings included three main themes: (A) Red Flags; (B) supportive healthcare practices; and (C) resources for ST-patient study participants' recommendations aimed to improve healthcare practice in response to their medical needs in a compassionate and caring manner, with trust building, rapport, and an opportunity to instill hope among ST-patients. Implementing approaches when caring for ST-patients could positively impact patient-provider interactions, while creating opportunities for intervention.
尽管美国采取了多层次措施来降低人口贩运（HT）的社会成本，但这种现象仍然存在。针对医疗服务提供者的人口贩运培训正在增加，但资源和培训的匮乏给受害者获得适当的医疗服务带来了障碍。尽管幸存者的建议在设计最佳实践时似乎至关重要，但文献中关于幸存者的声音也很少。本研究旨在系统地收集在受害期间寻求医疗护理的性交易（ST）幸存者的建议。采用了探索性并发混合方法设计，并于2016年3月至2017年3月在加利福尼亚州圣地亚哥和宾夕法尼亚州费城进行了半结构化访谈（n = 22）。通过编码系统对数据进行分析，以确定有意义的分析主题。研究参与者通过以幸存者为中心的组织招募，他们的身份保持匿名和保密。研究结果包括三个主要主题：（A）危险信号；（B）支持性医疗实践；以及（C）性交易患者资源。研究参与者的建议旨在以同情和关怀的方式改善医疗实践，以满足他们的医疗需求，建立信任、融洽关系，并为性交易患者注入希望。在照顾性交易患者时采用这些方法可以对医患互动产生积极影响，同时创造干预机会。
