Understanding Risk and Prevention in Midwestern Antitrafficking Efforts: Service Providers' Perspectives

Since the 2000 passage of both the Trafficking Victims Protection Act (TVPA) and the U.N.’s Palermo Protocols, human trafficking has gained a notable global presence as a human rights concern. Community organizations, nonprofits, scholars, policymakers, and service providers have developed programs to identify and address human trafficking. Despite these efforts, finding reliable methods to document and quantify the instances of human trafficking continues to challenge researchers. Moreover, many believe trafficking is a problem primarily located in urban areas or along national borders. Drawing from seven years of interviews with service providers who work in this sector, combined with survey results from an additional 722 service providers, this project adds to the growing body of research on human trafficking, specifically in the Midwestern United States. The findings of this study indicate that place and location matter in antitrafficking, especially with regard to availability of and access to resources across urban and rural areas. However, these service providers also identify similar concerns across regions with regards to trafficking warning signs and risk factors—for both sex and labor trafficking—as well as community resources that could prevent trafficking or alleviate vulnerability. These findings point toward the benefit of research that is geographically focused and involves both qualitative and quantitative research. Additionally, this research has uncovered unexpected groups of community members that may be vital in the identification and prevention of human trafficking. Though there is a growing body of research about the role of medical practitioners, law enforcement, foster care workers, and social workers in the struggle to address trafficking, there are other groups that also have important insight into the risks their communities face. Interviews revealed that firefighters have particular relationships with the communities they serve and may be ideally positioned to address human trafficking, exploitation, and vulnerability because of these relationships

Understanding Risk and Prevention in Midwestern Antitrafficking Efforts: Service Providers\u27 Perspectives

Since the 2000 passage of both the Trafficking Victims Protection Act (TVPA) and the U.N.’s Palermo Protocols, human trafficking has gained a notable global presence as a human rights concern. Community organizations, nonprofits, scholars, policymakers, and service providers have developed programs to identify and address human trafficking. Despite these efforts, finding reliable methods to document and quantify the instances of human trafficking continues to challenge researchers. Moreover, many believe trafficking is a problem primarily located in urban areas or along national borders. Drawing from seven years of interviews with service providers who work in this sector, combined with survey results from an additional 722 service providers, this project adds to the growing body of research on human trafficking, specifically in the Midwestern United States. The findings of this study indicate that place and location matter in antitrafficking, especially with regard to availability of and access to resources across urban and rural areas. However, these service providers also identify similar concerns across regions with regards to trafficking warning signs and risk factors—for both sex and labor trafficking—as well as community resources that could prevent trafficking or alleviate vulnerability. These findings point toward the benefit of research that is geographically focused and involves both qualitative and quantitative research. Additionally, this research has uncovered unexpected groups of community members that may be vital in the identification and prevention of human trafficking. Though there is a growing body of research about the role of medical practitioners, law enforcement, foster care workers, and social workers in the struggle to address trafficking, there are other groups that also have important insight into the risks their communities face. Interviews revealed that firefighters have particular relationships with the communities they serve and may be ideally positioned to address human trafficking, exploitation, and vulnerability because of these relationships

“I Need to Hurt You More”: Namibia’s Fight to End Gender-Based Violence

This is the published version. Copyright 2015 University of Chicago PressThe article discusses efforts to combat gender-based violence in Namibia. Particular focus is given to the relationship between legislation and social transformation. Details on parliamentary debates surrounding the Namibian Combating Rape Act of 2000 are presented. It is suggested that regressive gender roles in Namibian society have diminished the law's ability to address gender-based violence. Other topics include marital rape, the Namibian war for independence, and women resistance fighters

Policy Responses to Human Trafficking in Southern Africa: Domesticating International Norms

This is the author's accepted manuscript. The final published version will be available from Springer Verlag at http://dx.doi.org/10.1007/s12142-014-0303-9.Human trafficking is increasingly recognized as an outcome of economic insecurity, gender inequality, and conflict, all significant factors in the region of southern Africa. This paper examines policy responses to human trafficking in southern Africa and finds that there has been a diffusion of international norms to the regional and domestic levels. This paper finds that policy change is most notable in the strategies and approaches that differ at each level: international and regional agreements emphasize prevention measures and survivor assistance, but national policies emphasize prosecution measures. Leaders across the region have adapted these policy norms to fit regionally specific conditions, including HIV/AIDS, conflict, traditional leaders, and prostitution. Yet, national policies often fail to incorporate preventative solutions to address gender inequality, human rights, and economic development. Until appropriate funding and preventative measures are introduced, the underlying issues that foster human trafficking will continue

Aligned Across Difference: Structural Injustice, Sex Work, and Human Trafficking

Feminist scholars and activists engage in meaningful, contentious debates about the relationships among sex, gender, power, and society. One of the most recent iterations of these arguments reinscribes the pleasure of sex positivity and danger of patriarchal exploitation onto new subjects: sex work and human trafficking. This paper brings together two separate empirically based research projects, one working with sex workers and the other working with members of the anti-trafficking community. As scholars working across these topics, we provide new normative propositions that may bridge these different approaches to resilience, survival, danger, and risk. We find that the real threat identified by our participants was the wide reach of the carceral state onto migrating, working, and trafficked bodies. Our projects find unexpected commonality in shared perceptions of pleasure, agency, and danger among sex workers, human trafficking survivors, and service providers working with trafficked persons. Current debates ignore the lived experiences of our participants, who attempt to find pleasure in context-specific agency and survival, and who locate danger in the looming forces of the security state, criminality, and structural inequalities

Women's Activism in South Africa: Working Across Divides

Women's Activism in South Africa provides the most comprehensive collection of women's experiences within civil society since the 1994 transition. This book captures South African women's stories of collective activism and social change at a crucial point for the future of democracy in the country, if not the continent. Pulling together the voices of activists and scholars, South Africa's path to democracy and the assurance of gender rights emerge as a complex journey of both successes and challenges. The collection elucidates a new form of pragmatic feminism, building upon the elasticity between the state and civil society. What the cases demonstrate is that while the state itself may not be a panacea, it still represents a key source of power and the primary locus of vital resources, including the rights of citizenship, access to basic needs, and the promise of protection from genderbased violence - all central to women's particular needs in South Africa

A Prototype Comparison of Human Trafficking Warning Signs: U.S. Midwest Frontline Workers’ Perceptions

Guided by the cognitive prototype approach, this article examines the prototype structure of the frontline workers’ perceptions concerning warning sign indicators in human trafficking. Online survey responses across a range of workplace sectors were analyzed using multiple-group confirmatory factor analysis (MG-CFA) for three groups. These groups were based on respondents’ self-reported human trafficking experiences: no witness (no encounter of human trafficking), sex trafficking witness, and labor trafficking witness. The MG-CFA analysis revealed a three-factor structure – physical condition, reproductive health, and personal risk – representing the participants’ perceptions of the warning signs. Further analysis showed group-level mean (latent intercept) and variance differences between the prototype structures of the three witness groups. The final structural model results indicate that these group-level prototype differences can be explained by two organizational resource variables: identification protocol and training. The results are discussed in light of the current empirical literature on human trafficking identification, stereotypical frames of victimhood, and policy practices

Frontline Workers’ Perceptions of Human Trafficking: Warning Signs and Risks in the Midwest

Research on human trafficking in the U.S. has centered overwhelmingly on coastal regions, border states, and urban hubs. In an attempt to understand perceptions of exploitation and human trafficking more broadly, this paper focuses on frontline workers in the Midwest. Service providers in the legal/law enforcement, medical, non-profit, social service, and foster care sectors often encounter exploited or trafficked persons in their work. Their perceptions offer a unique insight into how trafficking may manifest and how frontline workers interface with vulnerable, exploited, or trafficked persons seeking resources or assistance. Using survey data from 667 participants across two Midwestern states, we find important similarities in perceived trafficking warning signs and risk factors, as well as differences in how these providers can address their clients’ immediate needs. We present these findings through both descriptive statistical summaries of questions regarding micro-level and macro-level trafficking factors and qualitative data from a set of open-ended survey questions. Results indicate the need for better site-specific policy to address the nuances of anti-trafficking work across the Midwest

Low-cost liquid medium for in vitro cultivation of Leishmania parasites in low-income countries

Background: Cutaneous Leishmaniasis (CL) induced by Leishmania aethiopica has two clinical manifestations: ulcerating, self-healing CL and non-ulcerating, non-healing CL. The grossly disfiguring multiple nodules on the face and exterior surface of limbs during non-ulcerative CL are sometimes misdiagnosed as other skin infections. Thus the need for definitive and prompt laboratory diagnosis will be required. Identifying Leishmania parasite by culture method is considered as a definitive method for initiation of treatment and as an effective component of leishmaniasis control methods. Recently the involvement of Fas (CD95) and Tumor Necrosis Factor (TNF) Related Apoptosis Inducing Ligand (TRAIL) induced apoptotic pathways were proposed to be involved in tissue destruction and ulceration during L. major induced CL. Aims: 1) to develop an alternative culture media that could minimize the cost for culturing Leishmania from patient lesions. 2) to investigate if the expression of FasL and TRAIL differs in ulcerating and non- ulcerative CL. Methods: GALF-1 media was formulated in our lab and compared to RPMI 1640 medium and conventional Locke s semi solid media (LSSM) which is one of the modifications of Novy-MacNeal-Nicolle (NNN) culture media. Amastigotes transformation, cryopreservation, recovery of parasites, cost and mass cultivation were analysed. Expression of Fas ligand (FasL), TRAIL and apoptosis were assessed by immunohistology in human skin biopsies from L. aethiopica induced ulcerative or non-ulcerative CL. FasL and TRAIL blocking experiments were performed in a murine model of CL. Results and discussion: GALF-1 is cheap and its ingredients available in a low income country such as Ethiopia. GALF-1 was able to transform amastigotes from Ethiopian patients samples and could be used to cultivate promastigotes in large quantities. Cost analysis showed 80% to 95 % decreased costs as compared to conventional media. Promastigotes cultured with GALF-1 could be cryopreserved in liquid nitrogen with comparable re-culture potential to conventional media. Affordability of diagnostic assays is a key issue for resource poor countries and the possibility to cut the cost of the efficient culture method for diagnosis through the use of inexpensive local formulated reagents could improve the diagnosis of leishmaniasis in low income endemic countries. More FasL expressing cells were detected in dermis of ulcerative CL as compared to non-ulcerative CL and controls. TRAIL expression was higher in ulcerative CL as compared to non-ulcerative CL and controls in both epidermis and dermis. Increased dermal expression of FasL and TRAIL was associated with ulcer formation during CL. This correlated with an inhibition of the ulcerative process in a murine CL model during FasL and TRAIL neutralisation.The mechanisms of the involvement of FasL and TRAIL in ulceration was not elucidated and putative reason(s) for the difference in dysregulation of apoptosis are discussed

Anthropometric measures and serum estrogen metabolism in postmenopausal women: the Women’s Health Initiative Observational Study

Background: Several anthropometric measures have been associated with hormone-related cancers. However, it is unknown whether estrogen metabolism plays an important role in these relationships. We examined whether measured current body mass index (BMI), waist-to-hip ratio (WHR), height, and self-reported BMI at age 18 years were associated with serum estrogens/estrogen metabolites using baseline, cross-sectional data from 1835 postmenopausal women enrolled in the Women’s Health Initiative Observational Study. Methods: Fifteen estrogens/estrogen metabolites were quantified using liquid chromatography-tandem mass spectrometry. Geometric means (GMs) of estrogens/estrogen metabolites (in picomoles per liter) were estimated using inverse probability weighted linear regression, adjusting for potential confounders and stratified on menopausal hormone therapy (MHT) use. Results: Among never or former MHT users, current BMI (≥30 vs. <25 kg/m2) was positively associated with parent estrogens (multivariable adjusted GM 432 vs. 239 pmol/L for estrone, 74 vs. 46 pmol/L for estradiol; p-trend < 0.001 for both) and all of the 2-, 4-, and 16-pathway estrogen metabolites evaluated (all p-trend ≤ 0.02). After additional adjustment for estradiol, unconjugated methylated 2-catechols were inversely associated (e.g., 2-methoxyestrone multivariable GM 9.3 vs. 12.0 pmol/L; p-trend < 0.001). Among current MHT users, current BMI was not associated with parent estrogens but was inversely associated with methylated catechols (e.g., 2-methoxyestrone multivariable GM 216 vs. 280 pmol/L; p-trend = 0.008). Similar patterns of association were found with WHR; however, the associations were not independent of BMI. Height and BMI at age 18 years were not associated with postmenopausal estrogens/estrogen metabolite levels. Conclusions: Our data suggest that postmenopausal BMI is associated with increased circulating levels of parent estrogens and reduced methylation of catechol estrogen metabolites, the estrogen metabolism patterns that have previously been associated with higher breast cancer risk. Electronic supplementary material The online version of this article (doi:10.1186/s13058-017-0810-0) contains supplementary material, which is available to authorized users