“Reclaiming Control” Patient Acceptance and Adherence to HIV Post-Exposure Prophylaxis Following Sexual Assault Article Swipe

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Jessica E. Draughon , Daniel J. Sheridan , Jennifer Wenzel ·

YOU? · · 2021 · Open Access · · DOI: https://doi.org/10.1177/23333936211046581

Sexual assault is an irrefutable trauma; an insult to the autonomy of the person forced into sexual acts. Sexual assault sequelae range from physical injury and acute traumatic stress, to pregnancy and sexually transmitted infections, including human immunodeficiency virus (HIV). HIV post-exposure prophylaxis (HIV PEP) following sexual assault may decrease the likelihood of HIV transmission. Many patients seeking healthcare post-sexual assault either do not initiate HIV PEP or do not complete the 28-day medication regimen. In this qualitative interpretive description, we interviewed sexual assault patients ( N=11) about HIV PEP discussions/reactions, attitudes and understanding related to HIV and PEP, and barriers and facilitators of HIV PEP acceptance and adherence. Participants described a process of losing and reclaiming control throughout post-assault care and follow-up; and how this affected HIV PEP-related decision-making. Most HIV PEP decisions were described as a process of reclaiming control over one outcome while simultaneously losing control of another.

Related Topics

Hiv

Sexual Assault

Pre-Exposure Prophylaxis

Medicine

Family Medicine

Men Who Have Sex With Men

Syphilis

Concepts

Post-exposure prophylaxis Human immunodeficiency virus (HIV) Sexual assault Pre-exposure prophylaxis Medicine Psychology Medical emergency Family medicine Suicide prevention Poison control Men who have sex with men Syphilis

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Type: article
Language: en
Landing Page: https://doi.org/10.1177/23333936211046581
PDF: https://journals.sagepub.com/doi/pdf/10.1177/23333936211046581
OA Status: gold
Cited By: 9
References: 75
Related Works: 10
OpenAlex ID: https://openalex.org/W3209876441

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OpenAlex ID: https://openalex.org/W3209876441

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DOI: https://doi.org/10.1177/23333936211046581

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Title: “Reclaiming Control” Patient Acceptance and Adherence to HIV Post-Exposure Prophylaxis Following Sexual Assault

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Type: article

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Language: en

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Publication year: 2021

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Publication date: 2021-01-01

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Authors: Jessica E. Draughon, Daniel J. Sheridan, Jennifer Wenzel

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Landing page: https://doi.org/10.1177/23333936211046581

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PDF URL: https://journals.sagepub.com/doi/pdf/10.1177/23333936211046581

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OA status: gold

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OA URL: https://journals.sagepub.com/doi/pdf/10.1177/23333936211046581

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Concepts: Post-exposure prophylaxis, Human immunodeficiency virus (HIV), Sexual assault, Pre-exposure prophylaxis, Medicine, Psychology, Medical emergency, Family medicine, Suicide prevention, Poison control, Men who have sex with men, Syphilis

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Cited by: 9

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References (count): 75

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