title: Factors Associated With Forensic Nurses Offering HIV nPEP Status Post Sexual Assault.
abstract: Nonoccupational, postexposure prophylaxis (nPEP) for human immunodeficiency virus (HIV) is offered inconsistently to patients who have been sexually assaulted. This may be due to Forensic Nurse Examiner (FNE) programs utilizing diverse nPEP protocols and HIV risk assessment algorithms. This study examines factors associated with FNEs offering nPEP to patients following sexual assault at two FNE programs in urban settings. Offering nPEP is mostly driven by site-specific protocol. At Site 1, in addition to open anal or open genital wounds, the presence of injury to the head or face was associated with FNEs offering nPEP (adjusted odds ratio [AOR] 64.15, 95% confidence interval [CI] = [2.12, 1942.37]). At Site 2, patients assaulted by someone of Other race/ethnicity (non-White, non-African American) were 86% less likely to be offered nPEP (AOR 0.14, 95% CI = [.03, .72]) than patients assaulted by Whites. In addition to following site-specific protocols, future research should further explore the mechanisms influencing clinician decision making.
authors.affiliation: Johns Hopkins University School of Nursing, Baltimore, MD, USA jessica.draughon@nursing.ucsf.edu.
authors.forename: Jessica E
authors.initials: JE
authors.lastname: Draughon
authors.affiliation: Virginia Commonwealth University, Richmond, USA.
authors.forename: William E
authors.initials: WE
authors.lastname: Hauda
authors.affiliation: Bon Secours St. Mary's Hospital, Richmond, VA, USA.
authors.forename: Bonnie
authors.initials: B
authors.lastname: Price
authors.affiliation: Dr. Rotolo Forensic Consulting, Leesburg, VA, USA.
authors.forename: Sue
authors.initials: S
authors.lastname: Rotolo
authors.affiliation: Virginia Commonwealth University, Richmond, USA.
authors.forename: Kim Wieczorek
authors.initials: KW
authors.lastname: Austin
authors.affiliation: Johns Hopkins University School of Nursing, Baltimore, MD, USA.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Sheridan
mesh_terms: D000293:Adolescent; D000328:Adult; D019380:Anti-HIV Agents / Q000008:administration & dosage*; D005260:Female; D053604:Forensic Nursing; D015658:HIV Infections / Q000517:prevention & control*; D006801:Humans; D008297:Male; D056990:Post-Exposure Prophylaxis; D012189:Retrospective Studies; D012742:Sex Offenses; D055815:Young Adult
chemical_list: D019380:Anti-HIV Agents
keywords: acute care; descriptive quantitative; nurses; obstetric-gynecology; violence
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