142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

302069
A survey of the health risks and health problems of trafficked adults in contact with health and support services in England

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

Laura B. Nellums, PhD , Section of Women's Mental Health, Health Service and Population Research Department, Epidemiology and Public Health Centre, Institute of Psychiatry, King's College London, London, United Kingdom
Sian Oram, PhD , Section for Women’s Mental Health, Health Service and Population Research Department, Epidemiology and Public Health Centre, Institute of Psychiatry, King's College London, London, United Kingdom
Kylee Trevillion, PhD , Section for Women’s Mental Health, Health Service and Population Research Department, Epidemiology and Public Health Centre, Institute of Psychiatry, King's College London, London, United Kingdom
Cathy Zimmerman, PhD , Department of Global Health and Development, London School of Hygiene & Tropical Medicine, London, United Kingdom
Louise M. Howard, BSc MPhil PhD MRCP MRCPsych , Section of Women's Mental Health, Health Service and Population Research Department, Institute of Psychiatry, King's College London, London, United Kingdom
Introduction:  Human trafficking is defined as the recruitment and movement of individuals by force, coercion, or deception for the purpose of exploitation.  Trafficking has been shown to be associated with a range of physical, sexual, and psychological health problems.  However, a recent systematic review highlighted significant gaps in research on the health risks and problems associated with trafficking.  This study aims to examine the health risks and problems experienced by trafficked people.

Methods:  Cross-sectional survey of trafficked men and women who have received support from statutory health or social care services or voluntary trafficking support services in England.  Survey questions assess physical, psychological, and sexual health symptoms, substance use, experiences of abuse, and health service use using validated instruments, including the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), and primary care Post Traumatic Stress Disorder (PTSD) screen (PC-PTSD).

Results:  This study is ongoing.  To date, 70 individuals trafficked for sexual exploitation, domestic servitude, and labor exploitation have been interviewed.  Preliminary results suggest this population experiences high levels of symptoms for PTSD, depression, and anxiety.  Preliminary findings will be presented. 

Conclusions:  Trafficked people may experience high levels of symptoms for PTSD, depression, and anxiety.  The findings point to the need for mental health service provision for people who have been trafficked, and research into interventions to reduce psychological distress.

Learning Areas:

Epidemiology
Public health or related research

Learning Objectives:
Describe gaps in research on the health risks and problems associated with human trafficking. Identify the healthcare needs of people who have been trafficked and their experiences and use of healthcare. Discuss the implications for health systems in terms of identification, referral, and care of people who have been trafficked.

Keyword(s): Health Disparities/Inequities, Immigrant Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: My doctoral research was on the effect of migration and stressful life events on women's mental health. I have training in mixed-methods research with diverse populations of migrants. I have also been involved in the collection of the data, analysis of the data, and in writing the abstract for this study.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.