Nonoccupational Postexposure Human Immunodeficiency Virus Prophylaxis: Acceptance Following Sexual Assault

• Autores: Jessica E. Draughon Moret, William E. Hauda, Bonnie Price, Daniel J. Sheridan
• Localización: Nursing research: An AJN Company publication, ISSN 0029-6562, Vol. 65, Nº. 1, 2016, págs. 47-54
• Idioma: inglés
• DOI: 10.1097/nnr.0000000000000122
• Enlaces
  • Texto completo
• Resumen

  • 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.