Andrea N. Cimino

A Predictive Theory of Intentions to Exit Street-Level Prostitution

Street-level prostitution is notoriously difficult to escape and rarely do women exit prostitution on their first attempt or without experiencing serious negative consequences to their physical or mental health. Unfortunately, few theories exist that explain the exiting process and those that do exist are difficult to test quantitatively. This article applies the integrative model of behavioral prediction to examine intentions to exit prostitution through attitudes, norms, and self-efficacy beliefs that underlie a woman’s intention to exit prostitution. Constructs unique prostitution—agency and societal context—enhance the model. This theory may explain and predict an exit from street-level prostitution.

The Impact of Abuse History and Trauma Symptoms on Successful Completion of a Prostitution-exiting Program

This study examines the trauma symptoms and life experiences of 49 women in a residential prostitution-exiting program and identifies differences among women who complete 90 days of the program and women who drop out of the program prior to completing 90 days. The majority of the women reported childhood abuse, adult abusive relationships, and victimization. Women who completed 90 days of treatment were found to be older than the non-completers. Non-completers were more likely to report clinically significant trauma symptoms including dissociation, poor coping behaviors, sex-related issues, and dysfunctional sexual behavior than completers. These findings suggest the importance of incorporating trauma-focused intervention early in the services provided in the exiting programs as well as the need to address the traumatic symptoms related to childhood and adult trauma histories. Findings also indicate the importance of clinically addressing trauma-related sexual issues, concerns, and behavior.

Collaborating With Police Departments: Recruitment in the Oklahoma Lethality Assessment (OK-LA) Study:

In a study to evaluate a collaborative police and social service intervention, researchers asked police officers to recruit intimate partner violence victims at the scene of domestic violence incidents. This article reviews the process of building successful partnerships with police departments as well as the strategies developed with collaborating police departments to create successful recruitment methods and enhance officer and department engagement with recruitment procedures. Over a period of 298 days, 800 victims were referred to the research study. Of these referrals, we were unable to contact 41.3%; of those contacted ( n = 471), we conducted interv iews with 67.73%.

A Confirmatory Factor Analysis of the Interpersonal and Social Empathy Index

The principal purpose of this research was to gather evidence regarding the validity of scores on a multidimensional measure of empathy, the Interpersonal and Social Empathy Index (ISEI). A secondary purpose was to estimate the correlations between factors underlying scores on a measure of interpersonal empathy and scores on a measure of social empathy. An exploratory factor analysis was performed on half of the sample (n = 214) to establish the underlying factor structure. The 32-item measure yielded a 4-factor, 15-item solution. The other half of the sample (n = 236) underwent a confirmatory factor analysis to examine the subsample’s psychometric properties by comparing 3 hypothesized measurement models, and correlations between factors. A correlated 4-factor model demonstrated the best fit of all models, χ2 (84, N = 236) = 162.59, p < .001; CFI = .96; WRMR = .78; RMSEA = .06. This model suggests that key elements of interpersonal empathy are related to macro perspective-taking, which is a key component of social empathy. The findings suggest the full spectrum of social empathy includes elements of interpersonal empathy; however, additional research is needed to assess the extent of that relationship.

Women Reentering the Community: Understanding Addiction and Trauma-Related Characteristics of Recidivism

Women represent 26% of those arrested for serious crimes; many have posttraumatic stress and co-occurring substance use disorders, which may influence recidivism. This study examined 57 women residing in a community re-entry program after exiting prison. Participants completed the Trauma Symptom Inventory and Substance Abuse Subtle Screening Inventory. A discriminant function analysis accounted for 34% of between-group variability and provided a profile of women who recidivated. Women who recidivated had greater alcohol dependence and lower rates of sexual dysfunction and sexual concerns. Practitioners should consider potential links between substance abuse, trauma, and sexual behavior in treatment settings.

How Immigration Enforcement Affects the Lives of Older Latinos in the United States

The purpose of this study was to examine the impact of U.S. immigration enforcement on the lives of older Latinos in the United States. Data were drawn from the 2007 Pew Hispanic Center National Survey of Latinos. The sample consisted of 326 participants who were age 55 years or older. Multivariate ordinal logistic regressions indicated that participants who had greater hardships as a result of U.S. immigration enforcement (a) had lower use of government services, (b) perceived the situation for Latinos worse today, (c) had a greater fear of deportation, and (d) perceived a lower quality of life for themselves.

Childhood Maltreatment and Child Protective Services Involvement Among the Commercially Sexually Exploited: A Comparison of Women Who Enter as Juveniles or as Adults

Abstract A risk for commercial sexual exploitation is childhood maltreatment. It’s unknown whether juveniles in commercial sexual exploitation experience more childhood maltreatment than adults or how involved child protective services is in investigating maltreatment, a focus of this study. Women (N = 96) who sold sex commercially completed a cross-sectional questionnaire. Descriptive statistics, t tests, chi-squares, and odds ratios were used to examine differences in background, childhood maltreatment, and child protective services involvement by juvenile or adult entry. Although 93% of participants experienced child maltreatment, juveniles had increased odds of parent/caregiver sexual abuse, being left alone, being kicked out, and running away from a parent/caregiver. There were no differences in cumulative childhood maltreatment resulting in an investigation or removal, indicating that juveniles not investigated or removed by child protective services had as much childhood maltreatment as juveniles who were investigated or removed by child protective services. Results highlight the need for child welfare staff to recognize childhood maltreatment as risks for commercial sexual exploitation.

Supportive exits: A best practices report for a sex worker intervention

Abstract Despite the prevalence of agencies serving sex workers in the United States, there are few program evaluations of supportive services. Phenomenological methods were used to explore the lived experiences of 13 sex workers receiving supportive services in a major city in the American Southwest. Results from this study suggest that clients find the trusted and supportive community within the agency especially helpful. Length of time with the agency influenced respondents’ perceptions of supportive services. Respondents, however, suggested improvements to services such as mentorship programs, opportunities for outreach participation, and services for male sex workers.

Entering Prostitution in Adolescence: History of Youth Homelessness Predicts Earlier Entry

ABSTRACT The effect of youth homelessness on age of entry into prostitution was tested, controlling for other known covariates using a multivariate model. Women (N = 96) who self-identified as having engaged in prostitution completed cross-sectional standardized questionnaires (Mage = 42.6, SD = 9.18; 62% African American). Women with a history of youth homelessness entered prostitution nearly 8 years earlier than their peers without this history (at 18 vs. 25 years old). Lack of a high school degree or equivalent also predicted an earlier age of entry (at 20 vs. 28 years old). Findings highlight the poverty dynamics that underlie the relationship between early entry into prostitution and homelessness. Young women, living on the street or in shelters, with limited education and employment opportunities, are at high risk of entering prostitution when they are barely out of adolescence. Future research will be better able to design age-specific prevention strategies.

Examining Trauma and Readiness to Change among Women in a Community Re-Entry Program

ABSTRACT Background: Posttraumatic stress disorder (PTSD) and co-occurring substance use disorders (SUDs) are common among women who are incarcerated. Objective: The purpose of this study was to examine the relationship between trauma and readiness to change substance use behaviors. Methods: This study used data from 103 participants enrolled in a residential re-entry program for women with SUDs and trauma history. Women reporting clinically elevated Trauma Symptom Inventory (TSI) subscale scores were compared to those without elevated scores on the University of Rhode Island Change Assessment (URICA) readiness to change instrument. Primary analyses included t-tests and ANCOVA to control for age and ethnicity. Results: In general, women with clinically elevated trauma scores also reported greater readiness to change. The analyses revealed significant differences on the URICA Readiness to Change scores between women who had elevated Defensive Avoidance and Impaired Self-Reference according to the TSI. Results approached significance for women who had elevated TSI subscale scores for Sexual Concerns and Dissociation. Conclusions: These results point to a need to further understand links between trauma and readiness to change, particularly, the role of posttraumatic growth and psychological distress. This study has implications for social workers and clinicians delivering evidence-based treatment. Women who had high trauma symptoms were more willing to address change. Findings also suggest a need to tailor interventions to include motivational components that are also trauma-informed.