1259 School of Nursing, University of Michigan, Ann Arbor, MI, USA.
Law School, University of Michigan, Ann Arbor, MI, USA.
Public Health Rep. 2022 Jul-Aug;137(1_suppl):102S-110S. doi: 10.1177/00333549211048785. Epub 2021 Nov 3.
Human trafficking is a public health issue that has substantial health consequences. However, research on the preparedness of health facilities to serve people who have experienced or are experiencing human trafficking is limited. We examined health facility preparedness related to human trafficking in Michigan.
We used a cross-sectional design to explore health facility preparedness related to human trafficking in Michigan. We sampled 10 prosperity regions according to health facility type (Federally Qualified Health Centers, health departments, and hospitals). An email invitation was sent to identified health facility personnel (eg, administrators, physicians, nurses) from May to June 2019 with a link to a 26-item survey with items about current policies, protocols, and areas for improvement related to human trafficking.
Forty-two Federally Qualified Health Centers, health departments, and hospitals responded to the survey. Most health facilities had screening policies and response protocols related to child maltreatment (screening: 32/41 [78.0%]; response: 38/40 [95.0%]) and intimate partner violence (screening: 33/41 [80.5%]; response: 37/40 [92.5%]). However, fewer facilities had a screening policy (16/41 [39.0%]) and response protocol (25/40 [62.5%]) for human trafficking; more of these facilities focused on sex trafficking than on labor trafficking. The top needs related to human trafficking were (1) individual-level health care provider training, (2) health facility-level screening policies and response protocols, (3) community-level resources, and (4) societal-level awareness, funding allocation, and data.
Facility-level resources are needed to ensure that health care providers have adequate training and support to address human trafficking in the health care system.
人口贩运是一个对公共健康有重大影响的问题。然而，有关医疗设施为曾遭受或正在遭受人口贩运的人提供服务的准备情况的研究有限。我们考察了密歇根州与人口贩运有关的医疗设施准备情况。
我们采用横断面设计，探讨了密歇根州与人口贩运有关的医疗设施准备情况。我们根据医疗设施类型（合格的联邦医疗中心、卫生部门和医院）抽取了 10 个繁荣地区。2019 年 5 月至 6 月，我们向确定的医疗设施人员（如管理人员、医生、护士）发送了一封电子邮件邀请，其中包含一个链接，链接到一个包含 26 个项目的调查，内容涉及与人口贩运相关的当前政策、协议和改进领域。
42 个合格的联邦医疗中心、卫生部门和医院对调查做出了回应。大多数医疗设施都有与儿童虐待（筛查：32/41 [78.0%]；反应：38/40 [95.0%]）和亲密伴侣暴力（筛查：33/41 [80.5%]；反应：37/40 [92.5%]）有关的筛查政策和应对协议。然而，较少的设施有针对人口贩运的筛查政策（16/41 [39.0%]）和应对协议（25/40 [62.5%]）；这些设施中更多的是关注性贩运，而不是劳动贩运。与人口贩运相关的首要需求是（1）个人层面医疗保健提供者培训，（2）医疗设施层面筛查政策和应对协议，（3）社区层面资源，以及（4）社会层面意识、资金分配和数据。
需要在设施层面提供资源，以确保医疗保健提供者有足够的培训和支持，在医疗保健系统中解决人口贩运问题。
