Using a Clinic-based Screening Tool for Primary Care Providers to Identify Commercially Sexually Exploited Children

Date

2015

Journal Title

Journal ISSN

Volume Title

Publisher

Journal of Applied Research on Children: Informing Policy for Children at Risk

Abstract

Commercial Sexual Exploitation of Children (CSEC), which encompasses acts of domestic minor sex trafficking, is a hidden problem in the U.S. that affects an estimated 300,000 children. Significant health impacts to victims include violence, substance abuse, mental illness, sexually transmitted diseases, and unintended pregnancy. However, due to the covert nature of sexual exploitation, the lack of understanding among service providers and law enforcement, and complex psychological factors experienced by victims, identifying CSEC is a tremendous challenge. Primary care providers can play a critical role in identifying CSEC victims within clinical settings to help address this silent epidemic. Objective: The goal of this project was to assess the prevalence of CSEC using a clinic-based screening tool within a community health center serving indigent populations, with a large proportion of the patients being of Asian and Pacific Islander descent. Methods: Medical charts were reviewed of young female patients (n=621) between 13-23 years of age and seeking clinical services in Asian Health Services’ Teen Clinic from 2008 through 2011, during the implementation of a clinic-based CSEC screening tool used by primary care providers. The CSEC screening tool consists of two questions about sexual exploitation. Results: Of the 621 patients in the study, 57.5% were Asian and Pacific Islander. Clinical providers applied the CSEC screening tool on 28.5% (n=177) of female patients in the study. Of the 177 patients who were screened, 7.3% (n=13) responded positive to questions about commercial sexual exploitation. (Author Abstract)

Description

Keywords

child abuse, trafficking, adolescents, girls, International Resources, clinical screening, research

Citation

Chang, K. S., Lee, K., Park, T., Sy, E., & Quach, T. (2015). Using a Clinic-based Screening Tool for Primary Care Providers to Identify Commercially Sexually Exploited Children. Journal of Applied Research on Children: Informing Policy for Children at Risk, 6(1), 6.

DOI