Nonoccupational Postexposure Human Immunodeficiency Virus Prophylaxis: Acceptance Following Sexual Assault.

Abstract:

BACKGROUND:Nonoccupational postexposure prophylaxis (nPEP) for HIV following sexual assault may decrease the likelihood of HIV transmission. OBJECTIVE:The purpose of this exploratory chart review study was to examine factors associated with patients accepting post-sexual assault nPEP at three forensic nurse examiner programs in urban settings. METHODS:Forensic nursing charts of patients presenting for acute sexual assault care were reviewed as part of a mixed-methods study. RESULTS:Patients assaulted by more than one or an unknown number of assailants were over 12 times more likely to accept the offer of nPEP (adjusted odds ratio [aOR] = 12.66, 95% CI [2.77, 57.82]). In cases where no condom was used (aOR = 8.57, 95% CI [1.59, 46.10]) or when any injury to the anus or genitalia was noted (aOR = 4.10, 95% CI [1.57, 10.75]), patients were more likely to accept nPEP. Patients with any injury to the face or head were less likely to initiate nPEP (aOR = 0.32, 95% CI [0.11, 0.97]). DISCUSSION:This study is an important first step in understanding factors associated with nPEP acceptance after sexual assault.

journal_name

Nurs Res

journal_title

Nursing research

authors

Draughon Moret JE,Hauda WE 2nd,Price B,Sheridan DJ

doi

10.1097/NNR.0000000000000122

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

47-54

issue

1

eissn

0029-6562

issn

1538-9847

pii

00006199-201601000-00006

journal_volume

65

pub_type

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