Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/23338
Appears in Collections:Faculty of Social Sciences Journal Articles
Peer Review Status: Refereed
Title: Access to, and experiences of, healthcare services by trafficked people: findings from a mixed-methods study in England
Authors: Westwood, Joanne
Howard, Louise
Stanley, Nicky
Zimmerman, Cathy
Gerada, Clare
Oram, Sian
Contact Email: joanne.westwood@stir.ac.uk
Keywords: health services accessibility
immigration
minority groups
primary health care
qualitative
trafficking in human beings
Issue Date: Nov-2016
Publisher: Royal College of General Practitioners
Citation: Westwood J, Howard L, Stanley N, Zimmerman C, Gerada C & Oram S (2016) Access to, and experiences of, healthcare services by trafficked people: findings from a mixed-methods study in England, British Journal of General Practice, 66 (652), pp. e794-e801.
Abstract: Background  Trafficked people experience high levels of physical and psychological morbidity, but little is known about trafficked people’s experiences of accessing and using healthcare services during or after their trafficking experiences.  Aim  To explore trafficked people’s access to and use of healthcare during and after trafficking  Design  Mixed methods study (cross-sectional survey comprising of a structured interview schedule and open-ended questions).  Setting  Trafficked people’s accommodation or support service offices in locations across England. Method Participants were asked open-ended questions regarding their use of healthcare services during and after trafficking. Interviews were conducted with professionally qualified interpreters where required. Thematic analysis was used to analyse the data.  Results  136 trafficked people participated, 91 (67%) female and 45 (33%) male. Participants reported being trafficked for domestic servitude (n=40; 30%) sexual exploitation (n=41; 31%) and labour exploitation (e.g., agriculture, factor work) 52 (39%). One-fifth (n=26, 19%) reported access to health care services while trafficked, most often general practitioners (GPs) surgeries and walk-in-centres. Many reported that traffickers restricted access to services, accompanied them or interpreted for them during consultations. Requirements to present identity documents to register for care and poor access to interpreters were barriers to care during and after trafficking. Advocacy and assistance from support workers were critical to health service access for trafficked people.  Conclusions  Trafficked people access health services during and after the time they are exploited, but encounter significant barriers. GPs and other practitioners would benefit from guidance on how trafficked people can be supported to access care, especially where they lack official documentation.
Type: Journal Article
URI: http://hdl.handle.net/1893/23338
DOI Link: http://dx.doi.org/10.3399/bjgp16X687073
Rights: Author's Accepted Manuscript: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Publisher version: This item has been embargoed for a period. During the embargo please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study. Publisher policy allows this work to be made available in this repository. Published in British Journal of General Practice, 2016, vol. 66 no. 652 e794-e801 by Royal College of General Practitioners. The original publication is available at: http://dx.doi.org/10.3399/bjgp16X687073
Affiliation: Social Work
King's College London
University of Central Lancashire
London School of Hygiene and Tropical Medicine
The Hurley Group
King's College London

Files in This Item:
File Description SizeFormat 
Westwood et al BJGPfinalrevisedversion.pdfAuthor's Accepted Manuscript318.85 kBAdobe PDFUnder Embargo until 31/12/2999     Request a copy
Table 1.pdfAuthor's Accepted Manuscript88.39 kBAdobe PDFUnder Embargo until 31/12/2999     Request a copy
Table 2.pdfAuthor's Accepted Manuscript145.62 kBAdobe PDFUnder Embargo until 31/12/2999     Request a copy
Westwood-etal-BJGP-2016.pdfPublisher version90.6 kBAdobe PDFUnder Embargo until 1/11/2017     Request a copy

Note: If any of the files in this item are currently embargoed, you can request a copy directly from the author by clicking the padlock icon above. However, this facility is dependant on the depositor still being contactable at their original email address.

This item is protected by original copyright



Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

If you believe that any material held in STORRE infringes copyright, please contact library@stir.ac.uk providing details and we will remove the Work from public display in STORRE and investigate your claim.