Understanding Commercially Sexually Exploited Youths' Facilitators and Barriers toward Contraceptive Use: I Didn't Really Have a Choice

Kelly, Mikaela; Bath, Eraka; Godoy, Sarah M.; Abrams, Laura S.; Barnert, Elizabeth S.

doi:10.1016/j.jpag.2018.11.011

Cited by 14 publications

(16 citation statements)

References 16 publications

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“…Many juvenile justice facilities screen for pregnancy and STIs, with youth receiving needed care and treatments while in custody 9. Pre-release planning that anticipates reentry needs and continues to address youths’ reproductive health concerns during reentry can further prevent and treat STIs, decrease the rate of unintended pregnancy, and facilitate teen pregnancy being as transformative and healthy as possible 42…”

Section: Discussionmentioning

confidence: 99%

Reproductive health needs of recently incarcerated youth during community reentry: a systematic review

Barnert

Sun

Abrams

2019

BMJ Sex Reprod Health

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BackgroundYouth involved in the juvenile justice system have high reproductive health needs and, on exiting detention, face the challenging transition of reentry. We conducted a systematic literature review to describe what is known about youths’ reproductive health needs during community reentry after incarceration.MethodsWe searched PubMed, CINAHL, Cochrane Library, and Google Scholar for articles containing key words with the concepts ‘child or adolescent’, ‘incarcerated’ and 'reentry'. In the search, we defined the concept of ‘reentry’ as within 1 month prior to release (to include interventions involving pre-release planning) and up to 18 months after release from incarceration.ResultsOur search yielded 2187 articles. After applying all exclusion criteria, 14 articles on reproductive health remained for extraction. The articles provided data on the following aspects of youths’ reproductive health: frequency of condom use (eight articles), sexual risk behaviours other than lack of condom use (seven articles), and prevalence of sexually transmitted infections (three articles).ConclusionsThe literature on the reproductive health needs of youth undergoing reentry is extremely limited. Current intervention studies yield mixed but promising results and more intervention studies that address both pre-release reentry planning and the post-incarceration period are needed. Given incarcerated youths’ well-documented reproductive health disparities compared with non-incarcerated adolescents, the identified gaps represent important opportunities for future research and programmatic emphasis.

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Section: Discussionmentioning

confidence: 99%

Reproductive health needs of recently incarcerated youth during community reentry: a systematic review

Barnert

Sun

Abrams

2019

BMJ Sex Reprod Health

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“…The qualitative findings presented in this article are part of a larger, multi-year, mixed-methods study that took a community-engaged approach to seek perspectives from girls and young women affected by CSE and their multi-disciplinary service providers, including health care providers, case managers, and personnel related to foster care and judicial systems. [10][11][12]15,20,23 This article describes participants' views related to: (i) perception of utilizing mobile technology to improve service access and engagement; (ii) recommendations for developing and sustaining youth engagement in court-referred or mandated treatment and services through mHealth technology; and (iii) concerns associated with emergent technology. Pertinent findings were examined using iterative and inductive qualitative analytic techniques.…”

Section: Methodsmentioning

confidence: 99%

“…Youth experiencing CSE are at increased risk for emergent health needs resulting from forced sexual activity, violence, and abuse, such as sexually transmitted infections or unintended pregnancies. [10][11][12][13][14] Additionally, these youth may also experience elevated behavioral health needs, such as depression, anxiety, and suicidality. 5,14 The literature shows that individuals experiencing CSE are known to access health care treatment at public and private health offices, emergency departments, urgent care centers, and family planning clinics.…”

mentioning

confidence: 99%

Perspectives of Girls and Young Women Affected by Commercial Sexual Exploitation: mHealth as a Tool to Increase Engagement in Care

Bath¹,

Godoy²,

Perris³

et al. 2021

Journal of Health Care for the Poor and Underserved

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“…Assessing minor-aged patients is an important area of future research, as mandated reporting procedures may alter patient interactions and harm-reduction strategies may differ. 25 Second, it is possible this study's participants were not comfortable disclosing situations with particularly difficult or negative experiences or situations where they skipped ST risk-screening questions altogether. However, efforts were made to prompt for clinical practice examples in order to enhance the descriptions and normalize the challenges of conducting patient assessments.…”

Section: Limitationsmentioning

confidence: 98%

‘Have you ever traded sex for money or drugs?’ Health care providers’ perspectives on sex trafficking risk assessments in clinics

Gerassi

Pederson

2021

J Health Serv Res Policy

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Objective The United States’ Institute of Medicine recommends that health care providers be aware of sex trafficking (ST) indicators and conduct risk assessments to identify people at risk. However, the challenges among those who conduct such assessments remain largely understudied. The aim of this study was to understand the perceived barriers to ST risk assessment among health care providers in a large health care organization. Methods This study used a collective case study approach in five sites of a large health care organization that serves high-risk populations in a Midwestern state. Twenty-three in-depth, semi-structured interviews were conducted with health care staff (e.g. medical assistants, nurse practitioners). Two research team members conducted independent deductive coding (e.g. knowledge of ST), and inductive coding to analyse emerging themes (e.g. responses to ST risk or commercial sex disclosures, provider role ambiguity). Results Although staff routinely screened by asking ‘Have you ever traded sex for money or drugs?’, participants primarily described avoiding further discussions of ST with adult patients because they (1) aimed to be non-judgmental, (2) viewed following up as someone else’s job, and/or (3) lacked confidence to address ST concerns themselves, particularly when differentiating sex work from ST. Differences all emerged based on clinical context (e.g. urban location). Conclusions There may be missed opportunities to assess patients for ST risk and use harm-reduction strategies or safety plan to address patients’ needs. Implications for practice, policy, and future research are discussed.

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Understanding Commercially Sexually Exploited Youths' Facilitators and Barriers toward Contraceptive Use: I Didn't Really Have a Choice

Cited by 14 publications

References 16 publications

Reproductive health needs of recently incarcerated youth during community reentry: a systematic review

Reproductive health needs of recently incarcerated youth during community reentry: a systematic review

Perspectives of Girls and Young Women Affected by Commercial Sexual Exploitation: mHealth as a Tool to Increase Engagement in Care

‘Have you ever traded sex for money or drugs?’ Health care providers’ perspectives on sex trafficking risk assessments in clinics

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