Medical Perspectives on Human Trafficking in Adolescents: A Case-Based Guide
暫譯: 青少年人口販運的醫學觀點：案例導向指南

人類販運在醫學領域中是一個日益嚴重的問題，特別是對於青少年群體。早期和中期青少年的青春期及神經發展可能成為創傷聯結和人類販運的立足點。迄今為止，醫學文獻中關於人類販運的案例研究仍然很少。這些案例往往被忽視，而人類販運的患者因多種原因不太可能向醫生透露他們的受害經歷。因此，醫生未能提出關鍵問題，也未能注意到人類販運的重要警示信號。研究顯示，這主要是由於缺乏醫學訓練和意識，導致許多醫生否認人類販運的受害者會來到他們的診所或專科。

本書為臨床醫生提供了一本基於案例的指南，幫助他們應對在實踐中可能遇到的人類販運情境。這些案例包括涉及性販運和勞動販運的情況；男性、女性及跨性別受害者；來自不同種族、民族、地理和社會經濟背景的受害者；以及青少年和年輕成人受害者在青少年醫學、一般小兒科、新生兒學、風濕病學、移植醫學和婦產科等領域的表現，除了典型的急診科表現外。

每個案例後面都有一段討論，突顯青少年和年輕成人患者中人類販運的關鍵方面。這些討論還參考了日益增長的人類販運研究，幫助讀者了解在青少年和年輕成人群體中報告人類販運的醫療法律方面，並提供有用的問題、練習和資源，以促進與青少年醫學和年輕成人患者互動的醫療專業人員之間的討論。

由醫生、法律倡導者和律師撰寫的《青少年人類販運的醫學觀點》是所有關心青少年患者的臨床醫生的權威指南。這本書對於心理健康專業人員和社會工作者也是一個有用的資源。

Kanani Titchen, MD, is an Assistant Professor of Pediatrics at the University of California, San Diego in the Division of Adolescent Medicine, Department of Pediatrics at Rady Children's Hospital. She formerly was director of Adolescent Medicine at St. Barnabas Hospital System in Bronx, NY, and has trained with GEMS (Girls Educational & Mentoring Services), Sanctuary for Families, HEAL Trafficking, and the U.S. Dept of Health and Human Services. Dr. Titchen has spoken on television news, public radio, and TEDx about the need for a trauma-informed approach for working with trafficking victims and survivors. Through the Physicians Against the Trafficking of Humans with the American Medical Women's Association, she has conducted CME-accredited human trafficking trainings at hospital systems nationwide and produced an online video tutorial to teach healthcare professionals about sex trafficking. She has authored articles about human trafficking for medical journals, textbooks, and the lay press. Dr. Titchen holds an MD from Sidney Kimmel Medical College at Thomas Jefferson University where she also completed her pediatrics residency, and she is a graduate of Montefiore's fellowship in Adolescent Medicine.

Elizabeth Miller, MD, PhD, is chief of Adolescent Medicine at Children's Hospital of Pittsburgh of UPMC, and professor of Pediatrics at the University of Pittsburgh School of Medicine. Trained in medical anthropology as well as internal medicine and pediatrics, Dr. Miller's research has included examination of sex trafficking among adolescents in Asia, teen dating abuse, and reproductive health, with a focus on underserved youth populations including pregnant and parenting teens; and foster, homeless, and gang-affiliated youth. Her current research focuses on the impact of gender-based violence on young women's reproductive health. She conducts research on brief clinical interventions to reduce partner violence and unintended pregnancy, funded by the National Institute of Child Health and Human Development and the National Institute of Justice. In addition, she is conducting a study of a sexual violence prevention program entitled; Coaching Boys into Men; which involves training coaches to talk to their young male athletes about stopping violence against women, funded by the Centers for Disease Control and Prevention. She is also involved in projects to reduce gender-based violence and improve adolescent and young adult women;s health in India and Japan.

Kanani Titchen醫學博士是加州大學聖地牙哥分校小兒科青少年醫學部的助理教授，並在Rady兒童醫院任職。她曾擔任紐約布朗克斯聖巴納巴醫院系統的青少年醫學主任，並曾與GEMS（女孩教育與輔導服務）、家庭庇護所、HEAL Trafficking及美國衛生與公共服務部進行培訓。Titchen醫生曾在電視新聞、公共廣播及TEDx上發表演講，強調對於處理人口販運受害者及倖存者需要採取創傷知情的方法。透過美國醫學女性協會的反對人口販運醫生組織，她在全國醫院系統進行了CME認證的人口販運培訓，並製作了一個線上視頻教程，以教導醫療專業人員有關性交易的知識。她為醫學期刊、教科書及大眾媒體撰寫了有關人口販運的文章。Titchen醫生擁有托馬斯傑佛遜大學Sidney Kimmel醫學院的醫學博士學位，並在該校完成了小兒科住院醫師訓練，同時也是Montefiore青少年醫學研究所的研究員畢業生。

Elizabeth Miller醫學博士、哲學博士是匹茲堡兒童醫院UPMC青少年醫學部的主任，並且是匹茲堡大學醫學院的小兒科教授。Miller醫生在醫學人類學、內科及小兒科方面接受過訓練，她的研究包括對亞洲青少年性交易、青少年約會虐待及生殖健康的調查，特別關注服務不足的青少年群體，包括懷孕及育有子女的青少年；以及寄養、無家可歸及幫派相關的青少年。她目前的研究重點是性別暴力對年輕女性生殖健康的影響。她進行了有關減少伴侶暴力及意外懷孕的短期臨床干預研究，該研究由國家兒童健康與人類發展研究所及國家司法研究所資助。此外，她正在進行一項名為「將男孩培養成男人」的性暴力預防計劃研究，該計劃涉及訓練教練與年輕男性運動員討論停止對女性的暴力行為，該研究由疾病控制與預防中心資助。她還參與了在印度和日本減少性別暴力及改善青少年和年輕女性健康的項目。