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Health care providers are highly likely to encounter persons who have been domestically sex trafficked and, therefore, possess valuable insights that could be useful in understanding and improving existing services and supports. In-depth interviews were conducted with 31 health care providers residing and working in Canada's largest province, Ontario. Results were analyzed using Braun and Clarke's analytical framework. Across providers, a key theme was identified: "Facilitators to improve care", which was comprised of two sub-themes, "Address needs in service provision" and "Center unique needs of survivors". From these results, eight wide-ranging recommendations to improve services and supports were developed (eg, Jointly mobilize an intersectoral, collaborative, and coordinated approach to sex trafficking service provision; Employ a survivor-driven approach to designing and delivering sex trafficking services). These recommendations hold the potential to enhance services in Canada and beyond by reducing barriers to access and care, facilitating disclosure, aiding in recovery, and empowering those who have been domestically sex trafficked. [ABSTRACT FROM AUTHOR]

Introduction: Although there is a growing body of evidence to suggest that persons who have been sex trafficked can suffer devastating health consequences and often face challenges accessing suitable care that addresses their health and overall well-being, little existing research has adopted a survivor-informed approach. Centering the voices of sex-trafficked women in this research will provide valuable insights into their health-related experiences and can help lay the foundation for survivor-centric healthcare responses. Methods and analysis: Using a semi-structured interview guide, we will interview women who have been domestically sex trafficked in Ontario; recruitment will continue until data saturation is reached. Interview questions and prompts will elicit information about women's experiences prior to, during, and after their trafficking ordeal, with particular attention paid to their encounters with healthcare providers. Intersectionality theory will inform strategies for recruitment, data collection, and data analysis. Data will be analyzed deductively as well as inductively using Braun and Clarke's six phases of reflexive thematic analysis. The study's design was informed by the consolidated criteria for reporting qualitative research (COREQ), which ensures a comprehensive and robust reporting of interview data. We will continue to adhere to the COREQ checklist throughout the data collection, analysis, and findings write-up phases, helping to ensure methodological accuracy and transparency. Discussion: To our knowledge, this will be the first Canada-specific investigation to apply intersectionality theory to explore the experiences of well-being, health, and healthcare from the perspectives of women who have been domestically sex trafficked. The results of this study hold the potential to improve responses to trafficking within the healthcare sector. Specifically, the findings could be used to inform the development of education materials and curricula for medical students and continuing professional education for health and allied healthcare providers. They could also inform the creation of patient experience surveys and intake forms for sex trafficked patients. [ABSTRACT FROM AUTHOR]

Sex trafficking has been identified as a prominant health and human rights concern in Canada. However, there has been little empirical research on the topic and existing studies are largely found within the grey literature. This review sought to identify and summarize the current scholarly literature about sex trafficking of women and girls in Canada. We identified empirical studies using a keyword search in ProQuest, Web of Science, and Scopus. Eligible articles were published in English in 2000 or later, included a focus on women victim/survivors, and analyzed human/participant data. Only 14 studies met eligibility criteria. Most studies were qualitative, based on interviews or focus groups primarily with stakeholders, and set in the province of Ontario. Key findings highlighted challenges in conceptualizing sex trafficking centered largely around issues of coercion and consent. Pathways into trafficking (economic displacement, past abuse, and broken ties with family and community) and gaps and barriers in anti-trafficking responses (narrow or conflicting definitions, stigmatization and criminalization of sex work, and a lack of accessible or appropriate services) particularly impacted Indigenous, im/migrant, and other marginalized women and girls. There is a pausity of empirical studies on sex trafficking in Canada and this has implications for the development of data-driven policies and protocols. Further research should seek to highlight the voices of survivors and impacted communities and evaluate strengths and limitations of Canadian anti-trafficking interventions. [ABSTRACT FROM AUTHOR]

Criminal laws in Canada and many other countries are currently premised on the assumption of homogeneity, that is, people in sex work are cis women and girls who are being sexually exploited/sex trafficked. This perspective is also shared by antiprostitution groups and many researchers investigating the "prostitution problem". Perpetuating this position obscures their demographic multiplicity and variety of lived experiences. We interviewed 10 leaders from seven sex worker organizations (SWOs) across Canada who reported a diversity among their clientele that is rarely captured in the extant literature and absent from the current Canadian criminal code. Our findings reveal the important role that SWOs have to play in facilitating access to health and social services and providing spaces where people in sex work can gather in safe and supportive environments, without the fear of stigma, discrimination, or police harassment. We conclude that SWOs can operate as a structural intervention beyond decriminalization that can improve equitable access to health and social services for sex workers Despite SWOs' efforts, sex workers' mobilization is still limited by micro-, meso-, and macrolevel stigmatization that prevents and/or discourages some workers from accessing their programs and services. [ABSTRACT FROM AUTHOR]

This paper explores police officers' experiences working in a specialized human trafficking unit in Canada to identify challenges, strategies, and responses to working with victim-survivors. Analyzing data from semi-structured interviews, we find that officers deploy victim-centered responses reflecting procedural justice outcomes due to their awareness that the criminal justice process often re-victimizes. Officers' deployment of procedural justice acknowledges the victim-survivor trauma, but also allows them to build a stronger case through evidence gathering, increasing the potential for charges and convictions, also known as distributive justice. We argue that this illustrates that these two approaches to justice are interdependent. [ABSTRACT FROM AUTHOR]

Introduction: There has been limited research on sex trafficking in Canada from a health and health care perspective, despite U.S. research which points to health care providers as optimally positioned to identify and help those who have been sex trafficked. We aim to better understand health care providers' knowledge about, attitudes towards, and care of those who have been sex trafficked in Ontario, Canada. Methods and analysis: Using a semi-structured interview guide, we will interview physicians, nurses, and social workers working in a health care setting in Ontario until data saturation is reached. An intersectional lens will be applied to the study; analysis will follow the six analytic phases outlined by Braun and Clarke. In the development of this study, we consulted the consolidated criteria for reporting qualitative research (COREQ) with regards to reflexivity and study design. We will continue to consult this checklist as the study progresses and in the writing of our analysis and findings. Discussion: To our knowledge, this will be the first study of its kind in Canada. The results hold the potential to inform the development of standardized training on sex trafficking for health care providers. Results of the study may be useful in addressing sex trafficking in other jurisdictions. [ABSTRACT FROM AUTHOR]

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Human trafficking has received considerable attention from policymakers, researchers and service providers globally, with resulting interventions often positioning trafficking as something that simply exists. Drawing on Bacchi's 'What's the Problem Represented to be?' approach, this article proposes that trafficking is continually made through efforts designed to eradicate it. We conducted 22 interviews with representatives from social service organisations funded by the government of Ontario, Canada, for anti-trafficking programming. These interviews provide insight into how trafficking is being represented and with what effects. Our findings suggest that organisational initiatives often rely on individualised health-related interventions, such as trauma-informed counselling and other mental health support, to address trafficking. In the process, various sex work activities are deemed 'symptoms' of trafficking, and perceived pathways to engaging in sex work (such as drug use/dependence, a history of trauma and low self-esteem) are produced as 'causes' or 'risk factors'. We contend that by pathologising sex work and sex workers, organisations are employing a contradictory neoliberal paternalism to advance a public health representation of human trafficking that simultaneously responsibilises and disenfranchises purported victims. [ABSTRACT FROM AUTHOR]

Over the last decade, the problem of sex trafficking has become an alarming global concern. Reports suggest that half of active cases of sex trafficking involve female children and youth. This paper considers the mental health impact of sex trafficking on illegalized female trafficked youth under the age of 29 who live in Canada without legal immigration status. It will draw on a qualitative research, including individual interview and survey questionnaires, to explore the lived conditions and mental health outcomes of illegalized trafficked youth in the Greater Toronto Area. Sex trafficking is a gender and human rights violation, as well as a total control over an individual's body, sexuality, and livelihood. Trafficking negatively impacts the social determinants of health and mental health of trafficked persons. This paper provides three recommendations to improve mental health conditions of illegalized trafficked youth. [ABSTRACT FROM AUTHOR]