Elizabeth S Barnert1,2, Eraka Bath3, Nia Heard-Garris4, Joyce Lee1,2, Alma Guerrero1,2, Christopher Biely1,2, Nicholas Jackson5, Paul J Chung1,6,7, Rebecca Dudovitz1,2. 1. 8783 Department of Pediatrics, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, CA, USA. 2. UCLA Children's Discovery & Innovation Institute, Mattel Children's Hospital, University of California, Los Angeles, Los Angeles, CA, USA. 3. Department of Psychiatry and Biobehavioral Medicine, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, CA, USA. 4. 2429 Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA. 5. 155697 Department of Medicine, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, CA, USA. 6. 6470 Department of Health Systems Science, Kaiser Permanente Bernard J. Tyson School of Medicine, Los Angeles, CA, USA. 7. Department of Health Policy & Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA.
Abstract
OBJECTIVES: National data on the health of children and adolescents exposed to commercial sexual exploitation (CSE) are lacking, during both adolescence and adulthood. Using nationally representative data, we examined the health of male and female adolescents in grades 7-12 who experienced CSE exposure and subsequent adult health outcomes and access to health care. METHODS: Our retrospective cohort study used data from Waves I-IV of the National Longitudinal Study of Adolescent to Adult Health (1994-2008) to characterize relationships between CSE exposure before or during adolescence and health during adolescence and adulthood. The analytic sample included 10 918 adult participants aged 24-34 in Wave IV. We performed bivariate analyses, stratified by sex, to quantify the relationship between CSE exposure before or during adolescence and adolescent and adult health outcomes. RESULTS: Four percent of participants reported having a CSE exposure before or during adolescence (5% of males, 3% of females). Factors associated with CSE exposure among adolescents included race/ethnicity, parental education level, previous abuse, same-sex romantic attractions, history of ever having run away from home, and substance use. During adolescence, exposure to CSE was associated with worse overall health, depressive symptoms, and suicidal thoughts for both males and females. In adulthood, adolescent CSE exposure was associated with depression among males and functional limitations among females. A higher percentage of males with CSE exposure before or during adolescence, compared with their non-CSE-exposed peers, used the emergency department as their usual source of care during adulthood. CONCLUSIONS: CSE exposure before or during adolescence was associated with poor adolescent and adult health outcomes and health care access. Observed differences between males and females warrant further exploration.
OBJECTIVES: National data on the health of children and adolescents exposed to commercial sexual exploitation (CSE) are lacking, during both adolescence and adulthood. Using nationally representative data, we examined the health of male and female adolescents in grades 7-12 who experienced CSE exposure and subsequent adult health outcomes and access to health care. METHODS: Our retrospective cohort study used data from Waves I-IV of the National Longitudinal Study of Adolescent to Adult Health (1994-2008) to characterize relationships between CSE exposure before or during adolescence and health during adolescence and adulthood. The analytic sample included 10 918 adult participants aged 24-34 in Wave IV. We performed bivariate analyses, stratified by sex, to quantify the relationship between CSE exposure before or during adolescence and adolescent and adult health outcomes. RESULTS: Four percent of participants reported having a CSE exposure before or during adolescence (5% of males, 3% of females). Factors associated with CSE exposure among adolescents included race/ethnicity, parental education level, previous abuse, same-sex romantic attractions, history of ever having run away from home, and substance use. During adolescence, exposure to CSE was associated with worse overall health, depressive symptoms, and suicidal thoughts for both males and females. In adulthood, adolescent CSE exposure was associated with depression among males and functional limitations among females. A higher percentage of males with CSE exposure before or during adolescence, compared with their non-CSE-exposed peers, used the emergency department as their usual source of care during adulthood. CONCLUSIONS: CSE exposure before or during adolescence was associated with poor adolescent and adult health outcomes and health care access. Observed differences between males and females warrant further exploration.
Entities:
Keywords:
adolescent health; commercial sexual exploitation; risk/risk behavior; substance abuse
Authors: Deborah S Hasin; Charles P O'Brien; Marc Auriacombe; Guilherme Borges; Kathleen Bucholz; Alan Budney; Wilson M Compton; Thomas Crowley; Walter Ling; Nancy M Petry; Marc Schuckit; Bridget F Grant Journal: Am J Psychiatry Date: 2013-08 Impact factor: 18.112
Authors: Shakira F Suglia; Ryan T Demmer; Richa Wahi; Katherine M Keyes; Karestan C Koenen Journal: Am J Epidemiol Date: 2016-02-01 Impact factor: 4.897
Authors: Elizabeth S Barnert; Rebecca Dudovitz; Bergen B Nelson; Tumaini R Coker; Christopher Biely; Ning Li; Paul J Chung Journal: Pediatrics Date: 2017-02 Impact factor: 9.703