Barriers to post exposure prophylaxis (PEP) completion after rape
A South African qualitative study
Bibliographic Data
| ID | 15099558 |
|---|---|
| Authors | Naeema Abrahams (0000-0002-6138-6256, South African Medical Research Council, corresponding author), Naeemah Abrahams, Rachel Jewkes (0000-0002-4330-6267, South African Medical Research Council) |
| Year | 2010 |
| Volume | 12 |
| Issue | 5 |
| Pages | 471-484 |
| Publication date | 2010-06-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Culture Health & Sexuality (JOURNAL) |
| Journal identifiers | ISSN: 1369-1058 • E-ISSN: 1464-5351 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/13691050903556316 |
| PMID | 20169481 |
| OpenAlex | W2110023878 |
| Language | EN |
| Citations received | 24 |
| References cited | 7 |
Sexual violence and HIV are two serious public health problems in South Africa. Post exposure prophylaxis (PEP) to prevent HIV after rape was introduced into the South African public health services in 2002 but many questions on the completion of PEP medication remain. A qualitative study involving in-depth interviews was conducted with 29 women attending sexual assault services in an urban and a rural site to explore PEP use after rape. It showed how PEP adherence was a complex and challenging experience, with survivors experiencing disruptions in their lives and unable to adhere to the medication adequately. Only nine completed their prescribed drug regimes. Rape stigma and perceptions of rape impacted on adherence, which became a lesser priority if the rape was contested by important others. Being blamed and not receiving social support had profound psychological impact. Stigma of rape and fear of HIV played very powerful roles in debilitating women's ability to take medication to prevent HIV infection. Further research is needed to support the development of interventions that acknowledge the complex barriers to adherence of PEP after rape
Family medicine · Human immunodeficiency virus (HIV · Psychiatry · Psychological intervention · Public health · Qualitative research · Social stigma · Stigma (botany · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Medicine · Nursing · Psychology · Sex work and related issues
Impact of Geographic and Transportation-Related Barriers on HIV Outcomes in Sub-Saharan Africa
Worldwide prevalence of non-partner sexual violence
Stereotypic Beliefs About Masculine Honor Are Associated With Perceptions of Rape and Women Who Have Been Raped
Sex crime rate and female labour force participation in South Africa
Group-based Self-Help Plus, Problem Management Plus and pre-exposure prophylaxis to improve mental health and reduce HIV risk in survivors of rape in KwaZulu-Natal, South Africa
Sexual violence stigma experiences among refugee adolescents and youth in Bidi Bidi refugee settlement, Uganda
Impact of telephonic psycho-social support on adherence to post-exposure prophylaxis (PEP) after rape
Impact of HIV on and the constructions of masculinities among HIV-positive men in South Africa
Ngutulu Kagwero (agents of change)
Should community health workers offer support healthcare services to survivors of sexual violence? a systematic review
Experiências de mulheres usuárias de profilaxia pós-exposição sexual ao HIV (PEP sexual)
Reclaiming Control” Patient Acceptance and Adherence to HIV Post-Exposure Prophylaxis Following Sexual Assault
Mixed-methods findings from the Ngutulu Kagwero (agents of change) participatory comic pilot study on post-rape clinical care and sexual violence prevention with refugee youth in a humanitarian setting in Uganda
Awareness and low uptake of post exposure prophylaxis for HIV among clinical medical students in a high endemicity setting
Perceptions of females about trauma-informed services for survivors of sexual violence in south western Uganda- a qualitative study
Missed treatment opportunities and barriers to comprehensive treatment for sexual violence survivors in Kenya
High Levels of Concomitant Behavioral Health Disorders Among Patients Presenting for HIV Non-occupational Post-exposure Prophylaxis at a Boston Community Health Center Between 1997 and 2013
Attending to vulnerability in sexual violence research
The lived experience of help-seeking by South African women after sexual assault
Girls are not free”—In and out of the South African school
Representação social da violência sexual e sua relação com a adesão ao protocolo de quimioprofilaxia do HIV em mulheres jovens e adolescentes
Understanding intra-vaginal and labia minora elongation practices among women heads-of-households in Zambézia Province, Mozambique
Crime and safety in rural areas
Stigma as Social Control
Social Support, Positive States of Mind, and HIV Treatment Adherence in Men and Women Living With HIV/Aids.
Depressive Symptoms, Neurocognitive Impairment, and Adherence to Highly Active Antiretroviral Therapy Among HIV-Infected Persons
Adherence to Antiretroviral Therapy in Sub-Saharan Africa and North America
The Psychological Impact of Rape
HIV-related stigmatization and discrimination
The epidemiology of rape and sexual coercion in South Africa
Injuries are Beyond Love
| Unique citing works | 24 |
|---|---|
| Citations per year | 1,5 |
| Citation span | 2010 - 2025 (16) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 24 |