Confronting Discrimination: Opportunities and Challenges in Addressing Human Trafficking for Forensic Nurses and Related Disciplines.

Background: Commercial sexual exploitation of children (CSEC) is a critical public safety and health concern in the United States. While evidence exists on the healthcare needs of exploited youth, less is known about the barriers they face accessing care. Discrimination in health care is one barrier reported by exploited youth and can include the perception of being treated differently based on perceived intelligence, engagement in commercial sex, or not feeling heard by nurses or doctors.

Aims: To explore asa experienced or are at high risk of CSEC.

Methods: Survey data from a sample of 534 young people aged 13-24 years who experienced or are at risk of CSEC were collected via agency partnership and social media. Ordinary least squares and logistic regression models examined the associations among victimization histories and different perceived discrimination events in healthcare settings. CSEC disclosure is highly associated with discriminatory events in medical settings.

Results: Among evaluated victimization histories, CSEC experiences were the most highly associated with an increase in the odds of each discriminatory event in the present measure, compared to other victimization histories that yielded lower associations of discrimination in medical settings. Experiences of discrimination in health care are an underexamined barrier to CSEC victims seeking and engaging with health care.

Implications: By fostering a supportive, nonjudgmental environment, healthcare providers can improve healthcare experiences for CSEC survivors. Recommendations include enhancing training for healthcare professionals and creating more accessible and supportive healthcare services tailored to the unique needs of these young people.