UNDERSTANDING THE PHYSICAL AND PSYCHOLOGICAL HEALTH AND WELLNESS NEEDS OF MINOR SEX TRAFFICKING VICTIMS

Our new study sheds light on the complex health needs of young survivors of commercial sexual exploitation (CSE) in the U.S. Drawing from survey data from 534 youth (ages 13–24) who experienced or were at high risk for CSE, along with in-depth interviews with 35 adult survivors, this research provides critical insights into their health experiences across the care continuum.

Youth impacted by CSE report significantly higher rates of physical and mental health concerns compared to their peers. These findings underscore the importance of trauma-informed, survivor-centered care—not only to identify victimization but to tailor health services to their unique needs. During exploitation, youth most often relied on emergency rooms or clinics, with limited access to preventive care. Reproductive health emerged as a major concern, with many turning to Planned Parenthood—though increasing restrictions on reproductive services have created new barriers. Substance use was also common, and stigma around addiction often discouraged youth from disclosing vital health information. Many survivors described avoiding healthcare due to past experiences of discrimination or disrespect from providers, reinforcing the urgent need for more empathetic and inclusive care models.

These findings have powerful implications for improving healthcare policy, practice, and provider training—helping to ensure young CSE survivors receive the support and services they need.