Buy this Article for $10.95

Have a coupon or promotional code? Enter it here:

When you buy this you'll get access to the ePub version, a downloadable PDF, and the ability to print the full article.

Keywords

forensic nursing, HIV, postexposure prophylaxis, rape

 

Authors

  1. Draughon Moret, Jessica E.
  2. Hauda, William E. II
  3. Price, Bonnie
  4. Sheridan, Daniel J.

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.