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首页> 美国卫生研究院文献>Bulletin of the New York Academy of Medicine >An International Comparative Public Health Analysis of Sex Trafficking of Women and Girls in Eight Cities: Achieving a More Effective Health Sector Response
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An International Comparative Public Health Analysis of Sex Trafficking of Women and Girls in Eight Cities: Achieving a More Effective Health Sector Response

机译：国际比较性公共卫生分析分析了八个城市中妇女和女孩的性贩运：实现更有效的卫生部门对策

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Sex trafficking, trafficking for the purpose of forced sexual exploitation, is a widespread form of human trafficking that occurs in all regions of the world, affects mostly women and girls, and has far-reaching health implications. Studies suggest that up to 50 % of sex trafficking victims in the USA seek medical attention while in their trafficking situation, yet it is unclear how the healthcare system responds to the needs of victims of sex trafficking. To understand the intersection of sex trafficking and public health, we performed in-depth qualitative interviews among 277 antitrafficking stakeholders across eight metropolitan areas in five countries to examine the local context of sex trafficking. We sought to gain a new perspective on this form of gender-based violence from those who have a unique vantage point and intimate knowledge of push-and-pull factors, victim health needs, current available resources and practices in the health system, and barriers to care. Through comparative analysis across these contexts, we found that multiple sociocultural and economic factors facilitate sex trafficking, including child sexual abuse, the objectification of women and girls, and lack of income. Although there are numerous physical and psychological health problems associated with sex trafficking, health services for victims are patchy and poorly coordinated, particularly in the realm of mental health. Various factors function as barriers to a greater health response, including low awareness of sex trafficking and attitudinal biases among health workers. A more comprehensive and coordinated health system response to sex trafficking may help alleviate its devastating effects on vulnerable women and girls. There are numerous opportunities for local health systems to engage in antitrafficking efforts while partnering across sectors with relevant stakeholders.
机译：以强迫性剥削为目的的性贩运，是世界各地普遍发生的人口贩运形式，主要影响妇女和女童，并具有深远的健康影响。研究表明，在美国，多达50％的性贩运受害者在被贩运时寻求医疗救助，但目前尚不清楚医疗保健系统如何应对性贩运受害者的需求。为了了解性贩运与公共卫生之间的关系，我们在五个国家/地区的八个大都市地区对277名反人口贩运利益攸关方进行了深入的定性访谈，以研究性贩运的当地情况。我们力图从具有独特优势并对推拉因素，受害者健康需求，卫生系统中现有资源和做法以及障碍有专门知识的人们那里，了解这种基于性别的暴力形式的新观点。照顾。通过对这些情况的比较分析，我们发现多种社会文化和经济因素促进了性贩运，包括儿童性虐待，妇女和女童的客观化以及收入不足。尽管有许多与性贩运有关的身体和心理健康问题，但为受害者提供的保健服务很少而且协调不力，特别是在心理健康领域。各种因素阻碍了更大程度的健康应对，包括对性贩运的意识不足以及卫生工作者的态度偏见。卫生系统对性贩运的更全面和协调的反应可能有助于减轻其对脆弱妇女和女童的破坏性影响。当地卫生系统在与相关利益相关者跨部门合作的同时，有许多参与打击人口贩运的机会。

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