Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/23338
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dc.contributor.authorWestwood, Joanneen_UK
dc.contributor.authorHoward, Louiseen_UK
dc.contributor.authorStanley, Nickyen_UK
dc.contributor.authorZimmerman, Cathyen_UK
dc.contributor.authorGerada, Clareen_UK
dc.contributor.authorOram, Sianen_UK
dc.date.accessioned2016-11-22T00:27:29Z-
dc.date.available2016-11-22T00:27:29Zen_UK
dc.date.issued2016-11en_UK
dc.identifier.urihttp://hdl.handle.net/1893/23338-
dc.description.abstractBackground  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.en_UK
dc.language.isoenen_UK
dc.publisherRoyal College of General Practitionersen_UK
dc.relationWestwood 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. https://doi.org/10.3399/bjgp16X687073en_UK
dc.rights[Westwood et al BJGPfinalrevisedversion.pdf] 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.en_UK
dc.rights[Westwood-etal-BJGP-2016.pdf] 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/bjgp16X687073en_UK
dc.subjecthealth services accessibilityen_UK
dc.subjectimmigrationen_UK
dc.subjectminority groupsen_UK
dc.subjectprimary health careen_UK
dc.subjectqualitativeen_UK
dc.subjecttrafficking in human beingsen_UK
dc.titleAccess to, and experiences of, healthcare services by trafficked people: findings from a mixed-methods study in Englanden_UK
dc.typeJournal Articleen_UK
dc.rights.embargodate2999-12-28en_UK
dc.rights.embargoreason[Westwood-etal-BJGP-2016.pdf] Publisher requires embargo of 12 months after formal publication.en_UK
dc.rights.embargoreason[Table 2.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.rights.embargoreason[Table 1.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.rights.embargoreason[Westwood et al BJGPfinalrevisedversion.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.identifier.doi10.3399/bjgp16X687073en_UK
dc.identifier.pmid27672141en_UK
dc.citation.jtitleBritish Journal of General Practiceen_UK
dc.citation.issn1478-5242en_UK
dc.citation.issn0960-1643en_UK
dc.citation.volume66en_UK
dc.citation.issue652en_UK
dc.citation.spagee794en_UK
dc.citation.epagee801en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.type.statusAM - Accepted Manuscripten_UK
dc.type.statusAM - Accepted Manuscripten_UK
dc.type.statusAM - Accepted Manuscripten_UK
dc.author.emailjoanne.westwood@stir.ac.uken_UK
dc.citation.date27/09/2016en_UK
dc.contributor.affiliationSocial Worken_UK
dc.contributor.affiliationKing's College Londonen_UK
dc.contributor.affiliationUniversity of Central Lancashireen_UK
dc.contributor.affiliationLondon School of Hygiene and Tropical Medicineen_UK
dc.contributor.affiliationThe Hurley Groupen_UK
dc.contributor.affiliationKing's College Londonen_UK
dc.identifier.isiWOS:000390882700003en_UK
dc.identifier.scopusid2-s2.0-84994219979en_UK
dc.identifier.wtid567313en_UK
dc.date.accepted2016-05-31en_UK
dc.date.filedepositdate2016-06-17en_UK
Appears in Collections:Faculty of Social Sciences Journal Articles

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