title: Nonoccupational Postexposure Human Immunodeficiency Virus Prophylaxis: Acceptance Following Sexual Assault.
abstract: BACKGROUND
  Nonoccupational postexposure prophylaxis (nPEP) for HIV following sexual assault may decrease the likelihood of HIV transmission.
  
  
  OBJECTIVE
  The purpose of this exploratory chart review study was to examine factors associated with patients accepting post-sexual assault nPEP at three forensic nurse examiner programs in urban settings.
  
  
  METHODS
  Forensic nursing charts of patients presenting for acute sexual assault care were reviewed as part of a mixed-methods study.
  
  
  RESULTS
  Patients assaulted by more than one or an unknown number of assailants were over 12 times more likely to accept the offer of nPEP (adjusted odds ratio [aOR] = 12.66, 95% CI [2.77, 57.82]). In cases where no condom was used (aOR = 8.57, 95% CI [1.59, 46.10]) or when any injury to the anus or genitalia was noted (aOR = 4.10, 95% CI [1.57, 10.75]), patients were more likely to accept nPEP. Patients with any injury to the face or head were less likely to initiate nPEP (aOR = 0.32, 95% CI [0.11, 0.97]).
  
  
  CONCLUSIONS
  This study is an important first step in understanding factors associated with nPEP acceptance after sexual assault.
authors.affiliation: Jessica E. Draughon Moret, PhD, RN, SANE-A, is Assistant Professor of Clinical Nursing, Betty Irene Moore School of Nursing, University of California Davis. William E. Hauda II, MD, is Medical Director, Forensic Assessment and Consultation Team, Inova Fairfax Hospital, Falls Church, Virginia. Bonnie Price, RN, SANE-A, SANE-P, AFN-BC, is Director, Forensic Nurse Examiner Program, Bon Secours St. Mary's Hospital, Richmond, Virginia. Daniel J. Sheridan, PhD, RN, FAAN, is Professor, Goldfarb School of Nursing, Barnes-Jewish College, St. Louis, Missouri.
authors.forename: Jessica E
authors.initials: JE
authors.lastname: Draughon Moret
authors.forename: William E
authors.initials: WE
authors.lastname: Hauda
authors.forename: Bonnie
authors.initials: B
authors.lastname: Price
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Sheridan
mesh_terms: D000293:Adolescent; D000328:Adult; D001003:Anal Canal / Q000293:injuries; D017280:Condoms / Q000706:statistics & numerical data; D005151:Facial Injuries / Q000453:epidemiology; D005260:Female; D053604:Forensic Nursing; D005835:Genitalia / Q000293:injuries; D015658:HIV Infections / Q000517:prevention & control*; D006801:Humans; D008297:Male; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D011446:Prospective Studies; D012189:Retrospective Studies; D012742:Sex Offenses / Q000706:statistics & numerical data*; D014481:United States / Q000453:epidemiology; D014505:Urban Population; D055815:Young Adult