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Patterns of violence and coercion with mental health among female and male trafficking survivors: a latent class analysis with mixture models

Epidemiology and psychiatric sciences, 2020-01, Vol.29, p.e38-e38, Article e38 [Peer Reviewed Journal]

The Author(s) 2019 2019 The Author(s) ;ISSN: 2045-7960 ;EISSN: 2045-7979 ;DOI: 10.1017/S2045796019000295 ;PMID: 31142398

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Title:
Patterns of violence and coercion with mental health among female and male trafficking survivors: a latent class analysis with mixture models
Author: Iglesias-Rios, L ; Harlow, S D ; Burgard, S A ; West, B ; Kiss, L ; Zimmerman, C
Subjects: Adolescent ; Adult ; Anxiety - epidemiology ; Anxiety - psychology ; Cambodia - epidemiology ; Child ; Coercion ; Crime Victims - psychology ; Crime Victims - statistics & numerical data ; Depression - epidemiology ; Depression - psychology ; Female ; Human Trafficking - psychology ; Human Trafficking - statistics & numerical data ; Humans ; Latent Class Analysis ; Male ; Mental Health ; Original ; Sex Offenses - psychology ; Sex Offenses - statistics & numerical data ; Stress Disorders, Post-Traumatic - epidemiology ; Stress Disorders, Post-Traumatic - psychology ; Survivors ; Thailand - epidemiology ; Vietnam - epidemiology ; Violence - psychology ; Violence - statistics & numerical data
Is Part Of: Epidemiology and psychiatric sciences, 2020-01, Vol.29, p.e38-e38, Article e38
Description: Human trafficking is a crime and a human rights violation that involves various and simultaneous traumatic events (sexual and physical violence, coercion). Yet, it is unknown how the patterning of violence and coercion affects the mental health of female and male trafficking survivors. We conducted a cross-sectional study using a sample of 1015 female and male survivors of trafficking who received post-trafficking assistance services in Cambodia, Thailand or Vietnam. We assessed symptoms of anxiety and depression with the Hopkins Symptoms Checklist and symptoms of post-traumatic stress disorder (PTSD) with the Harvard Trauma Questionnaire. Violence was measured with questions from the World Health Organization International Study on Women's Health. Latent class analysis (LCA) was used to identify distinct patterns of violence and coercion in females and males. Novel multi-step mixture modelling techniques were employed to assess the association of the emergent classes with anxiety, depression and PTSD in females and males. LCA identified two distinct classes of violence and coercion experiences in females (class I: severe sexual and physical violence and coercion (20%); class II: sexual violence and coercion (80%)) and males (class I: severe physical violence and coercion (41%); class II: personal coercion (59%)). Females in class I had a two-fold increase in the odds of anxiety (OR = 2.10; 95% CI: 1.57-2.81) and PTSD (OR = 2.07; 95% CI: 1.03-4.17) compared with females in class II, but differences in the prevalence of anxiety, depression and PTSD were not significant when comparing males in class I to class II. Specific patterns of violence and coercion provide a more in-depth understanding of the role of gender in the experience of violence and coercion and its association with mental health in survivors of trafficking. This information could be useful to target comprehensive mental health services for female and male trafficking survivors.
Publisher: England: Cambridge University Press
Language: English
Identifier: ISSN: 2045-7960
EISSN: 2045-7979
DOI: 10.1017/S2045796019000295
PMID: 31142398
Source: ProQuest One Psychology
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Patterns of violence and coercion with mental health among female and male trafficking survivors: a latent class analysis with mixture models

The Author(s) 2019 2019 The Author(s) ;ISSN: 2045-7960 ;EISSN: 2045-7979 ;DOI: 10.1017/S2045796019000295 ;PMID: 31142398

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