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[PMID]:28471337
[Au] Autor:Cimino AN; Madden EE; Hohn K; Cronley CM; Davis JB; Magruder K; Kennedy MA
[Ad] Endereço:a School of Nursing , Johns Hopkins University , Baltimore , Maryland , USA.
[Ti] Título:Childhood Maltreatment and Child Protective Services Involvement Among the Commercially Sexually Exploited: A Comparison of Women Who Enter as Juveniles or as Adults.
[So] Source:J Child Sex Abus;26(3):352-371, 2017 Apr.
[Is] ISSN:1547-0679
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A risk for commercial sexual exploitation is childhood maltreatment. It's unknown whether juveniles in commercial sexual exploitation experience more childhood maltreatment than adults or how involved child protective services is in investigating maltreatment, a focus of this study. Women (N = 96) who sold sex commercially completed a cross-sectional questionnaire. Descriptive statistics, t tests, chi-squares, and odds ratios were used to examine differences in background, childhood maltreatment, and child protective services involvement by juvenile or adult entry. Although 93% of participants experienced child maltreatment, juveniles had increased odds of parent/caregiver sexual abuse, being left alone, being kicked out, and running away from a parent/caregiver. There were no differences in cumulative childhood maltreatment resulting in an investigation or removal, indicating that juveniles not investigated or removed by child protective services had as much childhood maltreatment as juveniles who were investigated or removed by child protective services. Results highlight the need for child welfare staff to recognize childhood maltreatment as risks for commercial sexual exploitation.
[Mh] Termos MeSH primário: Abuso Sexual na Infância/estatística & dados numéricos
Maus-Tratos Infantis/estatística & dados numéricos
Serviços de Proteção Infantil/estatística & dados numéricos
Tráfico de Pessoas/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Fatores Etários
Criança
Estudos Transversais
Feminino
Seres Humanos
Meia-Idade
Fatores de Risco
Trabalho Sexual/estatística & dados numéricos
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180307
[Lr] Data última revisão:
180307
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1080/10538712.2017.1282575


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[PMID]:29180462
[Au] Autor:Greenbaum J; Bodrick N; COMMITTEE ON CHILD ABUSE AND NEGLECT; SECTION ON INTERNATIONAL CHILD HEALTH
[Ti] Título:Global Human Trafficking and Child Victimization.
[So] Source:Pediatrics;140(6), 2017 Dec.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Trafficking of children for labor and sexual exploitation violates basic human rights and constitutes a major global public health problem. Pediatricians and other health care professionals may encounter victims who present with infections, injuries, posttraumatic stress disorder, suicidality, or a variety of other physical or behavioral health conditions. Preventing child trafficking, recognizing victimization, and intervening appropriately require a public health approach that incorporates rigorous research on the risk factors, health impact, and effective treatment options for child exploitation as well as implementation and evaluation of primary prevention programs. Health care professionals need training to recognize possible signs of exploitation and to intervene appropriately. They need to adopt a multidisciplinary, outward-focused approach to service provision, working with nonmedical professionals in the community to assist victims. Pediatricians also need to advocate for legislation and policies that promote child rights and victim services as well as those that address the social determinants of health, which influence the vulnerability to human trafficking. This policy statement outlines major issues regarding public policy, medical education, research, and collaboration in the area of child labor and sex trafficking and provides recommendations for future work.
[Mh] Termos MeSH primário: Vítimas de Crime/estatística & dados numéricos
Direitos Humanos/legislação & jurisprudência
Tráfico de Pessoas/legislação & jurisprudência
Saúde Pública
[Mh] Termos MeSH secundário: Criança
Vítimas de Crime/legislação & jurisprudência
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171211
[Lr] Data última revisão:
171211
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


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[PMID]:28793341
[Au] Autor:Jung M
[Ad] Endereço:Department of Health Science, Dongduk Women's University, Seoul, South Korea.
[Ti] Título:Effects of implementing the act of prohibition on sex trafficking on female sex workers' sexually transmitted infections.
[So] Source:PLoS One;12(8):e0182465, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study investigated the effect of implementing the act of prohibition on sex trafficking (PST) on sexually transmitted disease (STD) infections among South Korean female sex workers (FSWs) working at prostitution blocks. Research data were collected twice through the Korean government-sanctioned survey for female sex workers (1st wave = 1,083; 2nd wave = 926). We examined the associations among health behavior, working conditions, and the effect of PST act via hierarchical logistic regression analyses using propensity score matching. After adjusted covariates, the risk probability was 0.288 times lower among FSWs who had remained in prostitute blocks after the PST act enforcement compared to FSWs who had worked before the PST. Similarly, the risk probability for a gonorrhea infection was 0.219 times lower among FSWs who had remained in prostitute blocks after the PST act compared to FSWs who had worked before the PST. Therefore, this study showed that, besides already known factors, the implementation and establishment of the PST Act was a strong factor that suppressed STD infections among FSWs.
[Mh] Termos MeSH primário: Tráfico de Pessoas/legislação & jurisprudência
Profissionais do Sexo/estatística & dados numéricos
Doenças Sexualmente Transmissíveis/prevenção & controle
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Gonorreia/epidemiologia
Gonorreia/prevenção & controle
Tráfico de Pessoas/prevenção & controle
Seres Humanos
Modelos Logísticos
Pontuação de Propensão
República da Coreia/epidemiologia
Trabalho Sexual/legislação & jurisprudência
Trabalho Sexual/estatística & dados numéricos
Profissionais do Sexo/legislação & jurisprudência
Doenças Sexualmente Transmissíveis/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170810
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0182465


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[PMID]:28771417
[Au] Autor:Fisher-Owens SA; Lukefahr JL; Tate AR; AMERICAN ACADEMY OF PEDIATRICS, SECTION ON ORAL HEALTH; COMMITTEE ON CHILD ABUSE AND NEGLECT; AMERICAN ACADEMY OF PEDIATRIC DENTISTRY, COUNCIL ON CLINICAL AFFAIRS, COUNCIL ON SCIENTIFIC AFFAIRS;
[Ti] Título:Oral and Dental Aspects of Child Abuse and Neglect.
[So] Source:Pediatrics;140(2), 2017 08.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In all 50 states, health care providers (including dentists) are mandated to report suspected cases of abuse and neglect to social service or law enforcement agencies. The purpose of this report is to review the oral and dental aspects of physical and sexual abuse and dental neglect in children and the role of pediatric care providers and dental providers in evaluating such conditions. This report addresses the evaluation of bite marks as well as perioral and intraoral injuries, infections, and diseases that may raise suspicion for child abuse or neglect. Oral health issues can also be associated with bullying and are commonly seen in human trafficking victims. Some medical providers may receive less education pertaining to oral health and dental injury and disease and may not detect the mouth and gum findings that are related to abuse or neglect as readily as they detect those involving other areas of the body. Therefore, pediatric care providers and dental providers are encouraged to collaborate to increase the prevention, detection, and treatment of these conditions in children.
[Mh] Termos MeSH primário: Abuso Sexual na Infância/diagnóstico
Maus-Tratos Infantis/diagnóstico
Boca/lesões
Traumatismos Dentários/diagnóstico
[Mh] Termos MeSH secundário: Adolescente
Mordeduras e Picadas/complicações
Mordeduras e Picadas/diagnóstico
Bullying
Criança
Maus-Tratos Infantis/legislação & jurisprudência
Abuso Sexual na Infância/legislação & jurisprudência
Pré-Escolar
Diagnóstico Diferencial
Feminino
Fidelidade a Diretrizes
Tráfico de Pessoas/legislação & jurisprudência
Seres Humanos
Masculino
Notificação Compulsória
Encaminhamento e Consulta
Comportamento Sexual
Doenças Sexualmente Transmissíveis/diagnóstico
Doenças Sexualmente Transmissíveis/etiologia
Traumatismos Dentários/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170828
[Lr] Data última revisão:
170828
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170804
[St] Status:MEDLINE


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[PMID]:28697094
[Au] Autor:Tracy EE; Macias-Konstantopoulos W
[Ad] Endereço:Department of Obstetrics and Gynecology, Vincent Obstetrics and Gynecology Global Health Program, Massachusetts General Hospital, Boston, Massachusetts and Emergency Medicine Department, Massachusetts General Hospital, Boston, Massachusetts.
[Ti] Título:Identifying and Assisting Sexually Exploited and Trafficked Patients Seeking Women's Health Care Services.
[So] Source:Obstet Gynecol;130(2):443-453, 2017 Aug.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:It is estimated that 21 million people are trafficked worldwide, including 11.4 million women and girls. Approximately 4.5 million are forced to do sexual labor. The exact prevalence of human trafficking is difficult to ascertain, however, given the limitations of data collection in an illegal industry. Obstetrician-gynecologists should not only be aware of the widespread nature of human trafficking, but also have the tools to assess patients for trafficking and respond to victim identifications. Patients may present with signs of physical abuse, depression, anxiety, posttraumatic stress disorder, substance use, sexually transmitted infections, pregnancy, and nonspecific somatic complaints. As with intimate partner violence, clinicians should be suspicious if the patient is accompanied by an individual who refuses to leave her side. Other potential red flags include patients with wounds in various stages of healing, patients appearing fearful or unable to answer specific questions, and patients who do not have any personal identification. Health care providers should speak with the patient privately, using professional interpreters when indicated. Although there are no validated screening questions for the health care setting, in this article, we provide sample questions such as, "Is anyone forcing you to do anything physically or sexually that you do not want to do?" The physical examination should be thorough with appropriate workup, sexually transmitted infection prophylaxis, and emergency contraception. Physicians and patients should be aware of their state's mandatory reporting requirements and careful documentation is essential. Finally, to ensure a comprehensive, interdisciplinary response to trafficked patients, practitioners should engage hospital-based and community-based services when appropriate.
[Mh] Termos MeSH primário: Tráfico de Pessoas
Delitos Sexuais
Trabalho Sexual
Serviços de Saúde da Mulher
Saúde da Mulher
[Mh] Termos MeSH secundário: Adolescente
Criança
Feminino
Ginecologia
Tráfico de Pessoas/psicologia
Tráfico de Pessoas/estatística & dados numéricos
Seres Humanos
Obstetrícia
Papel do Médico
Gravidez
Trauma Psicológico/diagnóstico
Fatores de Risco
Delitos Sexuais/psicologia
Delitos Sexuais/estatística & dados numéricos
Trabalho Sexual/psicologia
Trabalho Sexual/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170712
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000002144


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[PMID]:28292455
[Au] Autor:Moore JL; Kaplan DM; Barron CE
[Ad] Endereço:Department of Pediatrics, Aubin Child Protection Center, Hasbro Children's Hospital, 593 Eddy Street, Potter Building 005, Providence, RI 02903, USA.
[Ti] Título:Sex Trafficking of Minors.
[So] Source:Pediatr Clin North Am;64(2):413-421, 2017 Apr.
[Is] ISSN:1557-8240
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Sex trafficking is an increasingly recognized global health crisis affecting every country and region in the world. Domestic minor sex trafficking is a subset of commercial sexual exploitation of children, defined as engagement of minors (<18 years of age) in sexual acts for items of value (eg, food, shelter, drugs, money) involving children victimized within US borders. These involved youth are at risk for serious immediate and long-term physical and mental health consequences. Continued efforts are needed to improve preventive efforts, identification, screening, appropriate interventions, and subsequent resource provision for victimized and high-risk youth.
[Mh] Termos MeSH primário: Abuso Sexual na Infância/prevenção & controle
Bem-Estar da Criança/estatística & dados numéricos
Vítimas de Crime/estatística & dados numéricos
Tráfico de Pessoas/prevenção & controle
Saúde Pública
[Mh] Termos MeSH secundário: Adolescente
Criança
Abuso Sexual na Infância/estatística & dados numéricos
Intervenção na Crise
Feminino
Tráfico de Pessoas/estatística & dados numéricos
Seres Humanos
Masculino
Pediatria
Trabalho Sexual/estatística & dados numéricos
Comportamento Sexual
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170616
[Lr] Data última revisão:
170616
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170316
[St] Status:MEDLINE


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[PMID]:28225400
[Au] Autor:Byrne M; Parsh B; Ghilain C
[Ad] Endereço:Melissa Byrne is a staff RN in the Cardiac Transitional Care Unit at UCSF Benioff Children's Hospital in San Francisco, Calif. Bridget Parsh is an associate professor at Sacramento State, Sacramento, Calif. Courtney Ghilain is a nursing student at California State University, Sacramento, Calif.
[Ti] Título:Victims of human trafficking: Hiding in plain sight.
[So] Source:Nursing;47(3):48-52, 2017 03.
[Is] ISSN:1538-8689
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Vítimas de Crime
Tráfico de Pessoas/prevenção & controle
Relações Enfermeiro-Paciente
Avaliação em Enfermagem
[Mh] Termos MeSH secundário: Barreiras de Comunicação
Seres Humanos
Notificação Compulsória
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170811
[Lr] Data última revisão:
170811
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170223
[St] Status:MEDLINE
[do] DOI:10.1097/01.NURSE.0000512876.06634.c4


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[PMID]:28178913
[Au] Autor:Powell C; Dickins K; Stoklosa H
[Ad] Endereço:a Department of Pediatrics , The George Washington University School of Medicine and Health Sciences , Washington , DC , USA.
[Ti] Título:Training US health care professionals on human trafficking: where do we go from here?
[So] Source:Med Educ Online;22(1):1267980, 2017.
[Is] ISSN:1087-2981
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Some 21 million adults and children are labor-trafficked or sex-trafficked through force, fraud, or coercion. In recognition of the interface between trafficking victims and the healthcare setting, over the last 10 years there has been a notable increase in training of health care professionals (HCPs) on human trafficking (HT) and its health implications. Many organizations have developed curricula and offered training in various clinical settings. However, methods and content of this education on trafficking vary widely, and there is little evaluation of the impact of the training. The goal of this study was to assess the gaps and strengths in HT education of HCPs in the US. This mixed-method study had two components. The first component consisted of structured interviews with experts in human trafficking HCP education. The second portion of the study involved an analysis of data from HCP calls to the National Human Trafficking Resource Center (NHTRC). The interviews captured trainer-specific data on types of HT training, duration and frequency, key content areas, presence of evaluation approaches and indicators, as well as an assessment of barriers and strengths in HT training for HCP. NHTRC call database analysis demonstrated increasing trends since 2008 in calls by HCPs. Overall findings revealed the need for standardization of HT training content to assure correct information, trauma-informed and patient-centered care, and consistent messaging for HCPs. Evaluation metrics for HT training need to be developed to demonstrate behavior change and impact on service delivery and patient-centered outcomes for HT victims, according to our proposed adapted Kirkpatrick's Pyramid model. HT training and evaluation would benefit from an agency or institution at the national level to provide consistency and standardization of HT training content as well as to guide a process that would develop metrics for evaluation and the building of an evidence base. ABBREVIATIONS: AAP: American Academy of Pediatrics; ACF: Administration for Children and Families; CME: Continuing medical education; ED: Emergency department; HCP: Health care professional; HEAL: Health, Education, Advocacy, and Linkage; HHS: United States Department of Health and Human Services; HT: Human trafficking; IOM: United States Institute of Medicine; MH: Mental health; NHTRC: National Human Trafficking Resource Center; SOAR: Stop, Observe, Ask, and Respond to Health and Wellness Training.
[Mh] Termos MeSH primário: Pessoal de Saúde/educação
Tráfico de Pessoas
Capacitação em Serviço/organização & administração
[Mh] Termos MeSH secundário: Educação Médica Continuada/organização & administração
Serviço Hospitalar de Emergência
Linhas Diretas
Seres Humanos
Entrevistas como Assunto
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170823
[Lr] Data última revisão:
170823
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170210
[St] Status:MEDLINE
[do] DOI:10.1080/10872981.2017.1267980


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[PMID]:28141609
[Au] Autor:Hachey LM; Phillippi JC
[Ad] Endereço:Department of Nurse-Midwifery and Women's Health, University of Cincinnati, Cincinnati, Ohio (Dr Hachey); and Vanderbilt University School of Nursing, Nashville, Tennessee (Dr Phillippi).
[Ti] Título:Identification and Management of Human Trafficking Victims in the Emergency Department.
[So] Source:Adv Emerg Nurs J;39(1):31-51, 2017 Jan/Mar.
[Is] ISSN:1931-4493
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Health care practitioners serve an important role in identification and assistance of human trafficking victims. Advanced practice registered nurses, including certified nurse midwives, clinical nurse specialists, and nurse practitioners, are in a unique position to interact with persons trafficked and seen in the clinical setting, yet they require knowledge to identify the signs of human trafficking. Lack of training and education has been identified as a barrier for health care professionals to recognize human trafficking victims and implement needed health care services (; ). Barriers to identification and management include gap in knowledge about the process to screen for trafficking, to assist victims, and to make referrals. A patient-centered, trauma-informed approach can provide a safe environment to sensitively screen patients for human trafficking. Advanced practice registered nurses should be able to assess for trafficking indicators, collaborate with multidisciplinary service providers, and ensure understanding and availability of federal, state, and local resources to manage the care of victims of trafficking.
[Mh] Termos MeSH primário: Vítimas de Crime
Serviço Hospitalar de Emergência
Tráfico de Pessoas/prevenção & controle
Populações Vulneráveis
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170202
[Lr] Data última revisão:
170202
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:170201
[St] Status:MEDLINE
[do] DOI:10.1097/TME.0000000000000138


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[PMID]:28107164
[Au] Autor:Albright E; D'Adamo K
[Ad] Endereço:Regional program director at Give Way to Freedom, in Boston.
[Ti] Título:Decreasing Human Trafficking through Sex Work Decriminalization.
[So] Source:AMA J Ethics;19(1):122-126, 2017 Jan 01.
[Is] ISSN:2376-6980
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In order to decrease human trafficking, health care workers should support the full decriminalization of prostitution. Similar to trafficking in other forms of labor, preventing trafficking in the sex trade requires addressing the different forms of marginalization that create vulnerable communities. By removing punitive laws that prevent reporting of exploitation and abuse, decriminalization allows sex workers to work more safely, thereby reducing marginalization and vulnerability. Decriminalization can also help destigmatize sex work and help resist political, social, and cultural marginalization of sex workers.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Tráfico de Pessoas/prevenção & controle
Trabalho Sexual/legislação & jurisprudência
Profissionais do Sexo/legislação & jurisprudência
[Mh] Termos MeSH secundário: Crime
Seres Humanos
Segurança
Discriminação Social
Estigma Social
Populações Vulneráveis
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170121
[St] Status:MEDLINE



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