title: Access to HIV prophylaxis for survivors of sexual assault: the tip of the iceberg.
abstract: BACKGROUND
  In France non-occupational post-exposure prophylaxis (nPEP) is recommended in case of sexual assault and can be prescribed, after risk evaluation, in emergency or AIDS care units.
  
  
  METHODS
  A survey was carried out on retrospective data of individuals being consulted for nPEP in south-eastern France.
  
  
  RESULTS
  Of the 915 consultations for sexual exposures, 94 were sexual assaults concerning adults. Most were prescribed nPEP (91.5%), but half were lost to follow-up.
  
  
  CONCLUSIONS
  During the study period throughout the same region, 623 survivors reported sexual assault to the police. The comparison of these figures shows that the number of victims who have no access to medical consultation for nPEP may be alarmingly high and strongly suggests the urgency to develop strategies for guaranteeing prompt HIV medical assessment for victims of sexual assault and assure adherence to medical follow-up.
authors.affiliation: INSERM U379, Marseilles France.
authors.forename: Maria Patrizia
authors.initials: MP
authors.lastname: Carrieri
authors.forename: Carrieri Maria
authors.initials: CM
authors.lastname: Patrizia
authors.forename: Marc Karim
authors.initials: MK
authors.lastname: Bendiane
authors.forename: Bendiane Marc
authors.initials: BM
authors.lastname: Karim
authors.forename: Jean Paul
authors.initials: JP
authors.lastname: Moatti
authors.forename: Moatti Jean
authors.initials: MJ
authors.lastname: Paul
authors.forename: Dominique
authors.initials: D
authors.lastname: Rey
authors.forename: Rey
authors.initials: R
authors.lastname: Dominique
mesh_terms: D000293:Adolescent; D000328:Adult; D019380:Anti-HIV Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D018890:Chemoprevention; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D008875:Middle Aged; D012742:Sex Offenses
chemical_list: D019380:Anti-HIV Agents