Understanding Commercially Sexually Exploited Young Women's Access to, Utilization of, and Engagement in Health Care: 'Work Around What I Need'
| Autor: | Sarah M Godoy, Madeline M. Rasch, Mikaela A. Kelly, Eraka Bath, Laura S. Abrams, Elizabeth S. Barnert |
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| Rok vydání: | 2019 |
| Předmět: |
Health Knowledge
Attitudes Practice Health (social science) 8.1 Organisation and delivery of services Reproductive health and childbirth Health Services Accessibility 0302 clinical medicine 7.1 Individual care needs Surveys and Questionnaires Health care Qualitative Research media_common Practice Health Knowledge 05 social sciences Obstetrics and Gynecology Health Services Public Health and Health Services Female Public Health Thematic analysis Psychology Autonomy 050104 developmental & child psychology Health and social care services research Adolescent media_common.quotation_subject Sexual Behavior Health Personnel Decision Making MEDLINE Article Interviews as Topic Paediatrics and Reproductive Medicine 03 medical and health sciences Young Adult Nursing Clinical Research 030225 pediatrics Maternity and Midwifery parasitic diseases Behavioral and Social Science Humans 0501 psychology and cognitive sciences Health Services Needs and Demand Descriptive statistics business.industry Public Health Environmental and Occupational Health Good Health and Well Being Attitudes Personal Autonomy Survey data collection Management of diseases and conditions Generic health relevance Basic needs business Qualitative research |
| Zdroj: | Women's health issues : official publication of the Jacobs Institute of Women's Health, vol 29, iss 4 Womens Health Issues |
| Popis: | PURPOSE: We sought to understand the perspectives of commercially sexually exploited (CSE) young women regarding their healthcare needs, access, and utilization patterns. METHODS: Twenty-one CSE young women participated in this mixed-methods study. Data collection included brief surveys measuring healthcare utilization, followed by in-depth, semi-structured interviews to gain insight into CSE young women’s healthcare needs, barriers and facilitators to healthcare, utilization patterns, and recommendations for improving care. Data analysis techniques included descriptive statistics for the quantitative survey data and thematic analysis for the qualitative interviews. RESULTS: Survey data demonstrated relatively high healthcare utilization across healthcare 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 healthcare decision-making, including when to access care. Recommendations for improving care for CSE young women include preserving autonomy in healthcare decisions while meeting their basic needs, such as safety and shelter. CONCLUSIONS: Overall, the CSE young women expressed high healthcare 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 healthcare 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 healthcare decisions—a need intertwined with CSE young women’s experiences of abuse, survival, and sexual exploitation. |
| Databáze: | OpenAIRE |
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