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A Qualitative Exploration of Sexual Assault Patients' Barriers to Accessing and Completing HIV Prophylaxis.
J Forensic Nurs 2017 Apr/Jun; 13(2):45-51JF

Abstract

Sexual assault patients may encounter barriers when accessing, accepting, and completing nonoccupational postexposure prophylaxis (nPEP), such as lacking insurance or an understanding of nPEP. However, less is known about how sexual assault forensic examiner (SAFE) programs' protocols, approaches to discussing nPEP, and community resources may influence nPEP completion. Utilizing a qualitative case study framework, we conducted semistructured interviews with 10 SAFEs from an urban SAFE program in which emergency department physicians write prescriptions for nPEP before sending patients to the SAFE program. The participants identified barriers encountered by their patients, ranging from emergency department providers inconsistently offering prescriptions for the correct medication, to difficulty locating a local pharmacy stocking nPEP. The SAFEs also expressed concern that uninsured patients had to complete additional steps to access nPEP, while feeling overwhelmed by the immediacy of their assaults. Several participants raised concern that patients' emotional distress and fear of acquiring HIV may impede their ability to comprehend information and access nPEP. Participants also noted that the 28-day nPEP regimen might be a daily reminder for patients of the sexual assault. The SAFEs identified multiple strategies for discussing HIV and nPEP with these patients. Implications of the SAFE's role in reducing barriers are discussed.

Authors+Show Affiliations

Author Affiliations: School of Social Work, Wayne State University.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28525428

Citation

Djelaj, Valentina, et al. "A Qualitative Exploration of Sexual Assault Patients' Barriers to Accessing and Completing HIV Prophylaxis." Journal of Forensic Nursing, vol. 13, no. 2, 2017, pp. 45-51.
Djelaj V, Patterson D, Romero CM. A Qualitative Exploration of Sexual Assault Patients' Barriers to Accessing and Completing HIV Prophylaxis. J Forensic Nurs. 2017;13(2):45-51.
Djelaj, V., Patterson, D., & Romero, C. M. (2017). A Qualitative Exploration of Sexual Assault Patients' Barriers to Accessing and Completing HIV Prophylaxis. Journal of Forensic Nursing, 13(2), pp. 45-51. doi:10.1097/JFN.0000000000000153.
Djelaj V, Patterson D, Romero CM. A Qualitative Exploration of Sexual Assault Patients' Barriers to Accessing and Completing HIV Prophylaxis. J Forensic Nurs. 2017;13(2):45-51. PubMed PMID: 28525428.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A Qualitative Exploration of Sexual Assault Patients' Barriers to Accessing and Completing HIV Prophylaxis. AU - Djelaj,Valentina, AU - Patterson,Debra, AU - Romero,Christina M, PY - 2017/5/20/entrez PY - 2017/5/20/pubmed PY - 2017/10/12/medline SP - 45 EP - 51 JF - Journal of forensic nursing JO - J Forensic Nurs VL - 13 IS - 2 N2 - Sexual assault patients may encounter barriers when accessing, accepting, and completing nonoccupational postexposure prophylaxis (nPEP), such as lacking insurance or an understanding of nPEP. However, less is known about how sexual assault forensic examiner (SAFE) programs' protocols, approaches to discussing nPEP, and community resources may influence nPEP completion. Utilizing a qualitative case study framework, we conducted semistructured interviews with 10 SAFEs from an urban SAFE program in which emergency department physicians write prescriptions for nPEP before sending patients to the SAFE program. The participants identified barriers encountered by their patients, ranging from emergency department providers inconsistently offering prescriptions for the correct medication, to difficulty locating a local pharmacy stocking nPEP. The SAFEs also expressed concern that uninsured patients had to complete additional steps to access nPEP, while feeling overwhelmed by the immediacy of their assaults. Several participants raised concern that patients' emotional distress and fear of acquiring HIV may impede their ability to comprehend information and access nPEP. Participants also noted that the 28-day nPEP regimen might be a daily reminder for patients of the sexual assault. The SAFEs identified multiple strategies for discussing HIV and nPEP with these patients. Implications of the SAFE's role in reducing barriers are discussed. SN - 1939-3938 UR - https://www.unboundmedicine.com/medline/citation/28525428/A_Qualitative_Exploration_of_Sexual_Assault_Patients'_Barriers_to_Accessing_and_Completing_HIV_Prophylaxis_ L2 - http://Insights.ovid.com/pubmed?pmid=28525428 DB - PRIME DP - Unbound Medicine ER -