Access to, and experiences of, healthcare services by trafficked people: findings from a mixed methods study in England
Access to, and experiences of, healthcare services by trafficked people: findings from a mixed methods study in England
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DOI：
10.3399/bjgp16x687073
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发表时间：
2016-11-01
影响因子：
5.9
通讯作者：
Oram, Sian
中科院分区：
文献类型：
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作者：
Westwood, Joanne;Howard, Louise M.;Oram, Sian
研究背景被拐卖人口的生理和心理疾病发病率较高，但人们对被拐卖人口在被拐卖期间或被拐卖后获得和使用医疗服务的经历却知之甚少。贩运期间和贩运后的卫生保健。设计和设置一个混合方法的研究-横断面调查，包括结构化的访谈时间表和开放式问题-在被贩运的人的住宿或支持服务办公室在England.MethodParticipants被问到开放式的问题，他们使用的医疗保健服务期间和贩运后。必要时，与合格的专业口译员进行了面谈。主题分析被用来分析data.ResultsIn总数，136被贩卖的人（从160接触）参加了开放式的访谈，其中91（67%）是女性和45（33%）男性。参与者报告说，被贩运的目的是家庭奴役（n = 40; 29%）、性剥削（n = 41; 30%）和劳动剥削（例如，农业或工厂工作）（n = 52; 38%）。许多答复者报告说，贩运者限制她们获得服务，在咨询期间陪伴她们或为她们提供翻译。要求出示身份证件才能登记接受照料，沿着难以获得翻译，这些都是在贩运期间和贩运后获得照料的障碍。支持工作者的宣传和援助是至关重要的人谁被trafficked. Conclusionchicked人获得医疗服务期间和之后的时间，他们被剥削，但遇到重大障碍。全科医生和其他从业人员将受益于如何支持这些人获得护理的指导，特别是如果他们缺乏官方文件。
BackgroundPhysical and psychological morbidity is high in trafficked people but little is known about their experiences of accessing and using healthcare services while, or after, being trafficked.AimTo explore trafficked people's access to, and use of, health care during and after trafficking.Design and settingA mixed-methods study - a cross-sectional survey comprising a structured interview schedule and open-ended questions - was undertaken in trafficked people's accommodation or support service offices across England.MethodParticipants were asked open-ended questions regarding their use of healthcare services during and after trafficking. Interviews were conducted with professionally qualified interpreters where required. Thematic analysis was used to analyse the data.ResultsIn total, 136 trafficked people (from 160 contacted) participated in the open-ended interviews of whom 91 (67%) were female and 45 (33%) male. Participants reported being trafficked for domestic servitude (n = 40; 29%), sexual exploitation (n = 41; 30%), and labour exploitation (for example, agriculture or factory work) (n = 52; 38%). Many responders reported that traffickers restricted access to services, accompanied them, or interpreted for them during consultations. Requirements to present identity documents to register for care, along with poor access to interpreters, were barriers to care during and after trafficking. Advocacy and assistance from support workers were critical to health service access for people who have been trafficked.ConclusionTrafficked people access health services during and after the time they are exploited, but encounter significant barriers. GPs and other practitioners would benefit from guidance on how these people can be supported to access care, especially if they lack official documentation.