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Published on: October 12, 2018
Nonoccupational Postexposure Human Immunodeficiency Virus Prophylaxis: Acceptance Following Sexual Assault
Jessica E Draughon Moret1, William E Hauda, Bonnie Price
1Jessica E. Draughon Moret, PhD, RN, SANE-A, is Assistant Professor of Clinical Nursing, Betty Irene Moore School of Nursing, University of California Davis. William E. Hauda II, MD, is Medical Director, Forensic Assessment and Consultation Team, Inova Fairfax Hospital, Falls Church, Virginia. Bonnie Price, RN, SANE-A, SANE-P, AFN-BC, is Director, Forensic Nurse Examiner Program, Bon Secours St. Mary's Hospital, Richmond, Virginia. Daniel J. Sheridan, PhD, RN, FAAN, is Professor, Goldfarb School of Nursing, Barnes-Jewish College, St. Louis, Missouri.
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.
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