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Reclaiming Control” Patient Acceptance and Adherence to HIV Post-Exposure Prophylaxis Following Sexual Assault

Dados Bibliográficos

ID15736716
AutoresJessica E Draughon (0000-0002-2597-021X, UC Davis Health System, autor correspondente), Daniel J Sheridan (0000-0003-2019-7843, Johns Hopkins University), J Wenzel (0000-0002-2382-2133, Johns Hopkins University), Jennifer A Wenzel (Johns Hopkins University)
Ano2021
Volume8
Páginas23333936211046581-23333936211046581
Data de publicação2021-01-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoGlobal Qualitative Nursing Research (JOURNAL)
Identificadores do periódicoISSN: 2333-3936 • E-ISSN: 2333-3936
EditoraSAGE Publishing (PUBLISHER • US)
DOI10.1177/23333936211046581
PMID35187201
OpenAlexW3209876441
IdiomaEN
Referências citadas66

Sexual assault is an irrefutable trauma; an insult to the autonomy of the person forced into sexual acts. Sexual assault sequelae range from physical injury and acute traumatic stress, to pregnancy and sexually transmitted infections, including human immunodeficiency virus (HIV). HIV post-exposure prophylaxis (HIV PEP) following sexual assault may decrease the likelihood of HIV transmission. Many patients seeking healthcare post-sexual assault either do not initiate HIV PEP or do not complete the 28-day medication regimen. In this qualitative interpretive description, we interviewed sexual assault patients ( N =11) about HIV PEP discussions/reactions, attitudes and understanding related to HIV and PEP, and barriers and facilitators of HIV PEP acceptance and adherence. Participants described a process of losing and reclaiming control throughout post-assault care and follow-up; and how this affected HIV PEP-related decision-making. Most HIV PEP decisions were described as a process of reclaiming control over one outcome while simultaneously losing control of another

Family medicine · Human immunodeficiency virus (HIV · Medical emergency · Men who have sex with men · Poison control · Post-exposure prophylaxis · Pre-exposure prophylaxis · Sexual assault · Suicide prevention · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Sex work and related issues

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