Nonoccupational postexposure prophylaxis following sexual assault in industrialized low-HIV-prevalence countries: A review

Although available for over a decade, use of nonoccupational postexposure prophylaxis (nPEP) remains controversial in the United States. There are concerns over sexual assault survivors' adherence, or lack thereof, leading to increased costs without an appreciable decrease in human immunodefici...

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Bibliographic Details
Published in:Psychology, health & medicine health & medicine, 2012-03, Vol.17 (2), p.235-254
Main Authors: Draughon, Jessica E., Sheridan, Daniel J.
Format: Article
Language:English
Subjects:
Adherence
AIDS
Antibiotics. Antiinfectious agents. Antiparasitic agents
Antiviral agents
Australia - epidemiology
Biological and medical sciences
Canada - epidemiology
Developed Countries
Disease Transmission, Infectious - prevention & control
Europe - epidemiology
forensic nursing
Forensic Nursing - standards
Fundamental and applied biological sciences. Psychology
HIV
HIV Infections - epidemiology
HIV Infections - prevention & control
HIV Infections - transmission
Human viral diseases
Humans
Infectious diseases
Medical sciences
Mental health
nPEP
nPEP compliance
Patient Acceptance of Health Care - statistics & numerical data
Pharmacology. Drug treatments
Post-Exposure Prophylaxis - standards
Post-Exposure Prophylaxis - trends
Post-Exposure Prophylaxis - utilization
Postexposure
Practice Guidelines as Topic
Prevalence
Prevention. Health policy. Planification
Psychology and medicine
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Psychopathology. Psychiatry
Rape
SANE
Sexual assault
Social psychiatry. Ethnopsychiatry
Survivors
United States - epidemiology
Violence
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
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Summary:Although available for over a decade, use of nonoccupational postexposure prophylaxis (nPEP) remains controversial in the United States. There are concerns over sexual assault survivors' adherence, or lack thereof, leading to increased costs without an appreciable decrease in human immunodeficiency virus (HIV) transmission. This review examines and synthesizes the available literature from the past 10 years to determine the true rates of provision and adherence to nPEP regimens in sexual assault survivors in low HIV prevalence, industrialized nations. Findings suggest that further prospective research is necessary to better understand the process of post-assault nPEP evaluation and subsequent follow-up and adherence.
ISSN:1354-8506
1465-3966
DOI:10.1080/13548506.2011.579984