TY - JOUR PY - 2023// TI - Understanding health care utilization and occupational exposures of labor-trafficked people JO - Journal of health care for the poor and underserved A1 - DeCicco, Philip A1 - Prakash, Jaya A1 - Rapkin, Meredith A1 - Brown, Kate A1 - Stoklosa, Hanni SP - 845 EP - 862 VL - 34 IS - 3 N2 - OBJECTIVES: To describe health care utilization and occupational exposures during trafficking among foreign-born people labor-trafficked in the U.S.

METHODS: Retrospective analysis of immigration files for health data among 114 labor-trafficked individuals.

RESULTS: Mean age was 30. Files of 38% mentioned accessing medical services at least once, mostly via hospitals (73%-81%). Forty-three percent (43%) had U.S. citizen children-indicating their children and spouses interacted with social and medical systems during exploitation. Almost all (97%) had limited English proficiency, and 75% did not have legal immigration status. Employers/traffickers interfered with access to health care and forced victims to work while injured. Half (50%) had sick family members. Victims reported physical and sexual abuse, toxic and environmental occupational exposures, and sleep disturbances.

CONCLUSIONS: This is the largest study to elucidate health concerns and care utilization patterns among labor-trafficked people. Concerted resources must be dedicated to understanding health needs and health systems intervention opportunities for labor-trafficked people.

Language: en

LA - en SN - 1049-2089 UR - http://dx.doi.org/ ID - ref1 ER -