Cross-sectional survey of survivors of human trafficking in contact with services in England: Violence and health
Methods: Cross-sectional survey of trafficked men and women in contact with post-trafficking services in England. Depression, anxiety and Post-traumatic Stress Disorder (PTSD) were assessed using the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), and primary care Post-traumatic Stress Disorder screen (PC-PTSD).
Results: The sample included 98 women and 52 men, trafficked for sexual exploitation (30%), domestic servitude (30%), and forced labour (40%). 77% of women and 44% of men reported experiencing physical violence while trafficked and 66% of women reported forced sex, including 95% trafficked for sexual exploitation and 54% trafficked for domestic servitude. Pre-trafficking physical violence was reported by 58% of women and 29% of men, and pre-trafficking sexual violence by 30% of women. High levels of psychological symptoms were reported by 49% of men and 79% of women.
Conclusions: Healthcare, including timely and culturally appropriate psychological support, must be a fundamental component of post-trafficking care. Post-trafficking services for female survivors should include access to sexual and reproductive healthcare and counselling for sexual violence, regardless of whether individuals were trafficked for sexual or other forms of exploitation.
Learning Areas:Provision of health care to the public
Public health or related laws, regulations, standards, or guidelines
Public health or related research
Social and behavioral sciences
Identify gaps in research on health and human trafficking; Describe violence and other health risks experienced by trafficked men and women and associated health problems; Discuss the implications of the findings for the care of trafficked men and women by health and other support services.
Keyword(s): Public Health Research, Human Rights
Qualified on the content I am responsible for because: I have experience in research on migration and health, including the mental, physical, and sexual health needs of populations who have been trafficked, through my doctoral and postdoctoral work. I am qualified to be an author for this abstract because I was involved in data collection for this study, and in producing the abstract.
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.