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![loading](/sites/all/modules/hf_eds/images/loading.gif)
'Have you ever traded sex for money or drugs?' Health care providers' perspectives on sex trafficking risk assessments in clinics.
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- Author(s): Gerassi, Lara; Pederson, Anna
- Source:
Journal of Health Services Research & Policy; Oct2021, Vol. 26 Issue 4, p272-281, 10p- Subject Terms:
HUMAN trafficking; RESEARCH; HEALTH facilities; ATTITUDE (Psychology); RESEARCH methodology; MEDICAL personnel; INTERVIEWING; MEDICAL cooperation; RISK assessment; HARM reduction; COMPARATIVE studies; PSYCHOSOCIAL factors; CASE studies; RESEARCH funding; THEMATIC analysis; DATA analysis software; PATIENT safety; MEDICAL needs assessment - Source:
- Additional Information
- Subject Terms:
- Abstract: Objective: The United States' Institute of Medicine recommends that health care providers be aware of sex trafficking (ST) indicators and conduct risk assessments to identify people at risk. However, the challenges among those who conduct such assessments remain largely understudied. The aim of this study was to understand the perceived barriers to ST risk assessment among health care providers in a large health care organization. Methods: This study used a collective case study approach in five sites of a large health care organization that serves high-risk populations in a Midwestern state. Twenty-three in-depth, semi-structured interviews were conducted with health care staff (e.g. medical assistants, nurse practitioners). Two research team members conducted independent deductive coding (e.g. knowledge of ST), and inductive coding to analyse emerging themes (e.g. responses to ST risk or commercial sex disclosures, provider role ambiguity). Results: Although staff routinely screened by asking 'Have you ever traded sex for money or drugs?', participants primarily described avoiding further discussions of ST with adult patients because they (1) aimed to be non-judgmental, (2) viewed following up as someone else's job, and/or (3) lacked confidence to address ST concerns themselves, particularly when differentiating sex work from ST. Differences all emerged based on clinical context (e.g. urban location). Conclusions: There may be missed opportunities to assess patients for ST risk and use harm-reduction strategies or safety plan to address patients' needs. Implications for practice, policy, and future research are discussed. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Journal of Health Services Research & Policy is the property of Sage Publications, Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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