TY  - JOUR
PY  - 2018//
TI  - Evaluation of a tool to identify child sex trafficking victims in multiple healthcare settings
JO  - Journal of Adolescent Health
A1  - Greenbaum, V. Jordan
A1  - Livings, Michelle S.
A1  - Lai, Betty S.
A1  - Edinburgh, Laurel
A1  - Baikie, Peggy
A1  - Grant, Sophia R.
A1  - Kondis, Jamie
A1  - Petska, Hillary W.
A1  - Bowman, Mary Jo
A1  - Legano, Lori
A1  - Kas-Osoka, Oriaku
A1  - Self-Brown, Shannon
SP  - 745
EP  - 752
VL  - 63
IS  - 6
N2  - PURPOSE: Estimate the prevalence of child sex trafficking (CST) among patients seeking care in multiple healthcare settings; evaluate a short screening tool to identify victims in a healthcare setting. <br><br>METHODS: This cross-sectional observational study involved patients from 16 sites throughout the U.S.: five pediatric emergency departments, six child advocacy centers, and five teen clinics. Participants included English-speaking youth ages 11-17years. For emergency department sites, inclusion criteria included a chief complaint of sexual violence. Data on several domains were gathered through self-report questionnaires and examiner interview. Main outcomes included prevalence of CST among eligible youth; sensitivity, specificity, positive/negative predictive values, and positive/negative likelihood ratios for a CST screening tool. <br><br>RESULTS: Eight hundred and ten participants included 91 (11.52%) youth from emergency departments, 395 (48.8%) from child advocacy centers, and 324 (40.0%) from teen clinics. Overall prevalence of CST was 11.1%: 13.2% among emergency department patients, 6.3% among child advocacy center patients, and 16.4% among teen clinic patients, respectively. The screen had a sensitivity, specificity, and positive likelihood ratio of 84.44% (75.28, 91.23), 57.50% (53.80, 61.11), and 1.99% (1.76, 2.25), respectively. <br><br>CONCLUSIONS: This study demonstrates a significant rate of CST among patients presenting to emergency departments (for sexual violence complaints), child advocacy centers, and teen clinics. A six-item screen showed relatively good sensitivity and moderate specificity. Negative predictive value was high. Intervention for a "positive" screen may identify victims and help prevent high-risk youth from becoming victimized. This is one of the first CST screening tools specifically developed and evaluated in the healthcare setting.<br><br>Copyright © 2018 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 1054-139X
UR  - http://dx.doi.org/10.1016/j.jadohealth.2018.06.032
ID  - ref1
ER  -