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HIV postexposure prophylaxis use among Ontario female adolescent sexual assault victims: a prospective analysis.
Sex Transm Dis 2008; 35(12):973-8ST

Abstract

BACKGROUND

This study examined the use of HIV postexposure prophylaxis (PEP) among sexually assaulted adolescent females.

METHODS

We analyzed data from the HIV PEP Project, an implementation and evaluation of a program of universal offering of PEP to sexual assault victims of all ages. Baseline and follow-up data were collected prospectively from consecutive clients seen at 18 hospital-based sexual assault treatment centers in Ontario, Canada from September 2003 to January 2005. Among 386 at-risk female adolescents, we examined the provision and uptake of and adherence to PEP, and factors related to antiretroviral acceptance and completion.

RESULTS

Most adolescents were single (94.5%), living with family (68.0%), and attending school (67.4%). Slightly over two-fifths (42.7%) accepted and one-third (33.6%) completed the 28-day course of PEP. Factors associated with PEP acceptance were health care provider encouragement, being a student, and being moderately-to-highly anxious. PEP completion was associated with being white and an assailant known less than 24 hours.

CONCLUSIONS

Our findings highlight the importance of the health care provider's role in counseling sexually assaulted female adolescents about HIV PEP use. The results also suggest that at-risk adolescents not enrolled in school and those from culturally diverse backgrounds may require additional supports.

Authors+Show Affiliations

Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada. janice.dumont@wchospital.caNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18836390

Citation

Du Mont, Janice, et al. "HIV Postexposure Prophylaxis Use Among Ontario Female Adolescent Sexual Assault Victims: a Prospective Analysis." Sexually Transmitted Diseases, vol. 35, no. 12, 2008, pp. 973-8.
Du Mont J, Myhr TL, Husson H, et al. HIV postexposure prophylaxis use among Ontario female adolescent sexual assault victims: a prospective analysis. Sex Transm Dis. 2008;35(12):973-8.
Du Mont, J., Myhr, T. L., Husson, H., Macdonald, S., Rachlis, A., & Loutfy, M. R. (2008). HIV postexposure prophylaxis use among Ontario female adolescent sexual assault victims: a prospective analysis. Sexually Transmitted Diseases, 35(12), pp. 973-8. doi:10.1097/OLQ.0b013e3181824f3c.
Du Mont J, et al. HIV Postexposure Prophylaxis Use Among Ontario Female Adolescent Sexual Assault Victims: a Prospective Analysis. Sex Transm Dis. 2008;35(12):973-8. PubMed PMID: 18836390.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - HIV postexposure prophylaxis use among Ontario female adolescent sexual assault victims: a prospective analysis. AU - Du Mont,Janice, AU - Myhr,Terri L, AU - Husson,Heather, AU - Macdonald,Sheila, AU - Rachlis,Anita, AU - Loutfy,Mona R, PY - 2008/10/7/pubmed PY - 2009/1/28/medline PY - 2008/10/7/entrez SP - 973 EP - 8 JF - Sexually transmitted diseases JO - Sex Transm Dis VL - 35 IS - 12 N2 - BACKGROUND: This study examined the use of HIV postexposure prophylaxis (PEP) among sexually assaulted adolescent females. METHODS: We analyzed data from the HIV PEP Project, an implementation and evaluation of a program of universal offering of PEP to sexual assault victims of all ages. Baseline and follow-up data were collected prospectively from consecutive clients seen at 18 hospital-based sexual assault treatment centers in Ontario, Canada from September 2003 to January 2005. Among 386 at-risk female adolescents, we examined the provision and uptake of and adherence to PEP, and factors related to antiretroviral acceptance and completion. RESULTS: Most adolescents were single (94.5%), living with family (68.0%), and attending school (67.4%). Slightly over two-fifths (42.7%) accepted and one-third (33.6%) completed the 28-day course of PEP. Factors associated with PEP acceptance were health care provider encouragement, being a student, and being moderately-to-highly anxious. PEP completion was associated with being white and an assailant known less than 24 hours. CONCLUSIONS: Our findings highlight the importance of the health care provider's role in counseling sexually assaulted female adolescents about HIV PEP use. The results also suggest that at-risk adolescents not enrolled in school and those from culturally diverse backgrounds may require additional supports. SN - 1537-4521 UR - https://www.unboundmedicine.com/medline/citation/18836390/HIV_postexposure_prophylaxis_use_among_Ontario_female_adolescent_sexual_assault_victims:_a_prospective_analysis_ L2 - http://Insights.ovid.com/pubmed?pmid=18836390 DB - PRIME DP - Unbound Medicine ER -