Sexual assault patients may encounter barriers when accessing, accepting, and completing nonoccupational postexposure prophylaxis (nPEP), such as lacking insurance or an understanding of nPEP. However, less is known about how sexual assault forensic examiner (SAFE) programs' protocols, approaches to discussing nPEP, and community resources may influence nPEP completion. Utilizing a qualitative case study framework, we conducted semistructured interviews with 10 SAFEs from an urban SAFE program in which emergency department physicians write prescriptions for nPEP before sending patients to the SAFE program. The participants identified barriers encountered by their patients, ranging from emergency department providers inconsistently offering prescriptions for the correct medication, to difficulty locating a local pharmacy stocking nPEP. The SAFEs also expressed concern that uninsured patients had to complete additional steps to access nPEP, while feeling overwhelmed by the immediacy of their assaults. Several participants raised concern that patients' emotional distress and fear of acquiring HIV may impede their ability to comprehend information and access nPEP. Participants also noted that the 28-day nPEP regimen might be a daily reminder for patients of the sexual assault. The SAFEs identified multiple strategies for discussing HIV and nPEP with these patients. Implications of the SAFE's role in reducing barriers are discussed.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/JFN.0000000000000153 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
The rape and murder of a trainee doctor in RG Kar Medical College in Kolkata on August 9, 2024, was a brutal crime but had nothing to do with patients or violence by patients or their attendants against health workers. The accused is a civic volunteer who is said to have frequented the hospital as a tout, fleecing patients by promising to get them a bed or help them get tests done for free or at discounted rates [1]. However, following the incident, the protests by doctors, mostly resident doctors' associations across the country, zeroed in on protection for doctors and health workers from violence and attacks by patients through a central law as one of their main demands [2].
View Article and Find Full Text PDFThe impact of sexual abuse on body experience in adults with mild intellectual disability or borderline intellectual functioning.
J Intellect Dev Disabil
September 2023
Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, the Netherlands.
Background: Research is lacking on body-related consequences of sexual abuse in adults with mild intellectual disability or borderline intellectual functioning (MID-BIF), although the prevalence of abuse is high and body- and movement-oriented diagnostics and therapeutics seem warranted for this group.
Method: Body experience in adults with MID-BIF who were sexually abused (SA) and were not sexually abused (NSA) was compared using a self-report instrument, the Body Experience Questionnaire-mb, and an instrument to observe non-verbal psychomotor behaviour, the PsyMot-mb.
Results: The SA group showed significantly higher self-reported body awareness and more observed problems with body acceptance than the NSA group.
Adolescence Does Not Divert Sex Offending Adolescents of Color from Criminal Legal System Involvement.
Child Maltreat
January 2025
Evansville, IN, USA.
After the United States Civil War, during Reconstruction, Southern states targeted Black youth and men for incarceration and forced labor, often charging them with rape, spawning the Black male rapist myth. This study explores evidence of a Reconstruction-era ethos in present-day treatment of youth of color accused of sexual assault. Specifically, we examined effects of perpetrator age and race on legal outcomes in 382 alleged child sexual abuse cases.
View Article and Find Full Text PDFAcquired Vulvar Lymphangioma Following CO Laser Treatment for Sebaceous Gland Nevus in a 10-Year-Old Girl: A Case Report.
Clin Cosmet Investig Dermatol
January 2025
Guangzhou Dermatology Hospital, Guangzhou, Guangdong, 510095, People's Republic of China.
Acquired vulvar lymphangioma (AVL) is a rare condition characterized by abnormal lymphatic vessels in the vulva. We describe a 10-year-old female patient who presented with vulvar swelling for 23 days. She has no history of sexual assault and irradiation.
View Article and Find Full Text PDFConsidering Sex/Gender-Based Violence as a Form of Hate: The Invisibility of Sex and Gender.
Trauma Violence Abuse
January 2025
University of Guelph, Guelph, ON, Canada.
Globally, there is no shortage of examples demonstrating lethal and non-lethal violence motivated, at least in part, by a hatred of women and girls because of their sex or gender. Such violence is not a new phenomenon. Despite this, there remains little consideration of sex/gender-based violence (S/GBV) motivated by hatred in the hate/bias crime literature, including a recent comprehensive review published in this journal.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!