Clinical Profiles and Factors Associated With Treatment Initiation in Survivors of Sex Trafficking: A Comparison With Survivors of Domestic Violence and Sexual Assault

Author: Ghafoori, Bita; Martinho, Gabriela; Gonçalves, Mariana & Matos, Marlene

Abstract: Little is known about formal help-seeking for mental health issues in survivors of human sex trafficking (ST) and if their experiences are different from those initiating treatment for sexual assault (SA) or domestic violence (DV). This study sought to characterize the clinical and trauma profiles of treatment-seeking survivors of ST as compared with DV and SA and the predictors of mental health treatment initiation in these three groups. The research was based on a secondary data analysis of data gathered from 1,264 treatment-seeking adults from a community mental health treatment facility in the United States. Compared with DV and SA survivors, ST survivors were significantly younger, female, Black, single, unemployed, completed less than high school, and were from the United States. Despite the presence of clinical symptoms among all three groups, findings suggest significant differences in clinical and trauma profiles, with ST survivors reporting lower levels of mental health symptomology compared to DV and SA survivors. Older age (OR = 1.03, 95% CI [1.01, 1.05]), female sex (OR = 3.03, 95% CI [1.89, 4.88]), employment (OR = 0.40, 95% CI [0.24, 0.66]), and better social relationships (OR = 1.09, 95% CI [1.01, 1.16]) were significantly associated with treatment initiation. This research highlights some important predictors of formal help-seeking, including perceived social relationships. Assessing for support systems in these three groups of survivors of interpersonal violence early when engaging survivors is recommended.

Keywords: survivors, sex trafficking, sexual assault, domestic violence, treatment initiation