Human Trafficking

Basics

Description

Sex trafficking:

  • Commercial sex act induced by force, fraud, or coercion
  • Includes minors under 18 yr old involved in commercial sex acts

Labor trafficking:

  • Recruitment, harboring, transportation, provision, or obtaining of a person for labor
  • Use of force, fraud, or coercion
  • Purpose: Involuntary servitude, peonage, debt bondage, or slavery

Epidemiology

Incidence and prevalence estimates:

  • Most human trafficking victims will present to the emergency department (ED) during their exploitation
  • Global prevalence: >40 million victims
  • Over 50,000 individuals trafficked into the US every-year
  • Estimated over half of sex trafficking involves minors
  • Up to 1% of randomly selected ED patients screen positive for trafficking

Etiology

  • Exploitation for sex, labor, services
  • Vulnerabilities exploited: poverty, abuse, isolation
  • False promises: jobs, relationships
  • Traffickers control victims through threats, violence, psychological manipulation
  • Dependence on traffickers for basic needs and survival
  • Can happen within victim’s home community or victims can be trafficked elsewhere
  • Populations at greater risk:
    • Minorities
    • Migrant patients or patients with limited English
    • Intellectually disabled patients
    • LGBTQ patients
    • Runaway youth

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