Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA.
Dana Farber Cancer Institute, 450 Brookline Avenue, Boston, MA, 02115, USA.
J Immigr Minor Health. 2023 Aug;25(4):899-905. doi: 10.1007/s10903-023-01466-5. Epub 2023 Mar 15.
We set out to map the (1) living/occupational hazards, (2) health outcomes, and (3) barriers to care that exist for pregnant labor-trafficked people. Eight databases were systematically searched based on inclusion criteria. Five papers were eligible for inclusion. Data on study characteristics, social determinants, hazardous exposures, health outcomes, and barriers to care were extracted and synthesized. Common risk factors and occupational/living hazards were identified. Both were thematically connected with barriers to care and a host of adverse health outcomes. More importantly, a significant gap was discovered with no disaggregated quantitative data on the experience of pregnancy among labor-trafficked people. The interaction of risk factors, occupational/living hazards, and barriers to care experienced by pregnant labor-trafficked people may influence their susceptibility to adverse health outcomes. We need population-based studies, informed by those with lived experience of labor trafficking to examine the experience of pregnancy for labor-trafficked people to improve intervention and support efforts for this population.
我们旨在绘制(1)孕妇人口贩卖所面临的生存/职业危害,(2)健康结果,以及(3)获得医疗服务的障碍。基于纳入标准,我们系统性地在 8 个数据库中进行了检索。有 5 篇论文符合纳入标准。我们提取并综合了研究特征、社会决定因素、危险暴露、健康结果和获得医疗服务障碍方面的数据。确定了常见的风险因素和职业/生活危害。这些因素与获得医疗服务的障碍以及一系列不良健康结果存在着必然联系。更重要的是,我们发现了一个显著的差距,即没有关于被贩卖劳工的怀孕经历的定量数据。被贩卖劳工孕妇所经历的风险因素、职业/生活危害和获得医疗服务障碍之间的相互作用,可能会影响她们易患不良健康结果的倾向。我们需要基于人群的研究,由那些有被贩卖劳工经历的人提供信息,以研究被贩卖劳工的怀孕经历,从而改善对这一人群的干预和支持工作。