ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health
Understanding Commercially Sexually Exploited Young Women's Access to, Utilization of, and Engagement in Health Care: "Work Around What I Need".
Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Depression and Anxiety Outcomes Among Young Adults Who Self-Reported Experiencing Commercial Sexual Exploitation in Adolescence.International journal of environmental research and public health · 2025Article
- Heterogeneity in family dynamics among adolescents engaging in high-risk sexual behaviors: a latent class analysis.Frontiers in public health · 2025Article
- Understanding healthcare autonomy among adolescents and young adults in the United States: a scoping review.Frontiers in health services · 2025Review
- Access to health and rights of children in street situations and working children: a scoping review.BMJ paediatrics open · 2024Article
- My Body, My Choice: An Adapted Sexual Health Intervention for Youth with Histories of Commercial Sexual Exploitation.Journal of human trafficking · 2024Article
- Implementation of a screening tool for child sex trafficking among youth presenting to the emergency department - A quality improvement initiative.Child abuse & neglect · 2022Article
- Perspectives of Girls and Young Women Affected by Commercial Sexual Exploitation: mHealth as a Tool to Increase Engagement in Care.Journal of health care for the poor and underserved · 2021Article
- Fierce Autonomy: How Girls and Young Women Impacted by Commercial Sexual Exploitation Perceive Health and Exercise Agency in Health Care Decision-Making.Qualitative health research · 2020Article
- A specialty court for U.S. youth impacted by commercial sexual exploitation.Child abuse & neglect · 2020Article
- Commercial Sexual Exploitation During Adolescence: A US-Based National Study of Adolescent to Adult Health.Public health reports (Washington, D.C. : 1974)Article
- Trauma Informed Care: Trafficking Out-Comes (TIC TOC Study).Journal of primary care & community healthArticle
- Pregnancy Outcomes Among Girls Impacted by Commercial Sexual Exploitation.Academic pediatricsReview
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
purposeWe sought to understand the perspectives of commercially sexually exploited (CSE) young women regarding their health care needs, access, and use patterns.
methodsTwenty-one CSE young women participated in this mixed methods study. Data collection included brief surveys measuring health care use, followed by in-depth, semistructured interviews to gain insight into CSE young women's health care needs, barriers and facilitators to health care, use patterns, and recommendations for improving care. Data analysis techniques included descriptive statistics for the quantitative survey data and thematic analysis for the qualitative interviews.
resultsSurvey data demonstrated relatively high health care use across health care types, especially for reproductive and mental health treatment services. Barriers to care included being "on the run," fear of bad diagnoses, and trafficker control. The fierce autonomy conceptual model emerged from the analyses to describe participants' strong desire for self-determination in their health care decision making, including when to access care. Recommendations for improving care for CSE young women include preserving autonomy in health care decisions while meeting their basic needs, such as safety and shelter.
conclusionsOverall, the CSE young women expressed high health care needs. Despite experiencing significant barriers to accessing care, study participants frequently sought care in a variety of settings. Furthermore, they shared insights about how to improve engagement in health care among CSE young women. Improving CSE young women's engagement in care requires health professionals and health systems that foster a sense of safety, trust, and autonomy over health care decisions-a need intertwined with CSE young women's experiences of abuse, survival, and sexual exploitation.
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