TY - JOUR
T1 - Nonoccupational Postexposure HIV Prophylaxis in Sexual Assault Programs
T2 - A Survey of SANE and FNE Program Coordinators
AU - Draughon Moret, Jessica E
AU - Anderson, Jocelyn C.
AU - Hansen, Bryan R.
AU - Sheridan, Daniel J.
PY - 2014
Y1 - 2014
N2 - This cross-sectional study describes sexual assault nurse examiner (SANE)/forensic nurse examiner (FNE) program practices related to HIV testing, nonoccupational postexposure prophylaxis (nPEP), and common barriers to offering HIV testing and nPEP. A convenience sample of 174 SANE/FNE programs in the United States and Canada was drawn from the International Association of ForensicNurses database, and program coordinators completed Web-based surveys. Three fourths of programs had nPEP policies, 31% provided HIV testing, and 63% offered nPEP routinely or upon request. Using χ2 and Fisher's exact tests, a greater proportion of Canadian programs had an nPEP protocol (p=.010), provided HIV testing (p= .004), and offered nPEP (p=.0001) than U.S.-based programs. Program coordinators rated providing pre- and/or posttest counseling and follow-up as the most important barrier to HIV testing, and medication costs as the most important barrier to providing nPEP. Our results indicate HIV-related services are offered inconsistently across SANE/FNE programs.
AB - This cross-sectional study describes sexual assault nurse examiner (SANE)/forensic nurse examiner (FNE) program practices related to HIV testing, nonoccupational postexposure prophylaxis (nPEP), and common barriers to offering HIV testing and nPEP. A convenience sample of 174 SANE/FNE programs in the United States and Canada was drawn from the International Association of ForensicNurses database, and program coordinators completed Web-based surveys. Three fourths of programs had nPEP policies, 31% provided HIV testing, and 63% offered nPEP routinely or upon request. Using χ2 and Fisher's exact tests, a greater proportion of Canadian programs had an nPEP protocol (p=.010), provided HIV testing (p= .004), and offered nPEP (p=.0001) than U.S.-based programs. Program coordinators rated providing pre- and/or posttest counseling and follow-up as the most important barrier to HIV testing, and medication costs as the most important barrier to providing nPEP. Our results indicate HIV-related services are offered inconsistently across SANE/FNE programs.
KW - Forensic nursing
KW - HIV post-exposure prophylaxis
KW - Nonoccupational postexposure
KW - Prophylaxis
KW - Rape
KW - Sexual assault
UR - http://www.scopus.com/inward/record.url?scp=84891372178&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84891372178&partnerID=8YFLogxK
U2 - 10.1016/j.jana.2013.07.001
DO - 10.1016/j.jana.2013.07.001
M3 - Article
C2 - 24103741
AN - SCOPUS:84891372178
VL - 25
JO - Journal of the Association of Nurses in AIDS Care
JF - Journal of the Association of Nurses in AIDS Care
SN - 1055-3290
IS - SUPPL1
ER -