Patient and Provider Decision Making About HIV Postexposure Prophylaxis Following Sexual Violence: A Qualitative Analysis.
Jocelyn C AndersonMichelle D S BoakyeJessica Draughon MoretPublished in: The Journal of the Association of Nurses in AIDS Care : JANAC (2023)
To explore patient and health care provider HIV postexposure prophylaxis (PEP) decision making following sexual assault, semistructured interviews regarding HIV PEP provision with 15 patients and 10 health care providers were conducted. A qualitative, descriptive, thematic analysis approach was used. Four themes were derived: (a) medical concerns; (b) emotional, trauma, and support factors; (c) daily medication management; and (d) ensuring access to HIV PEP. How participants described these themes and the importance placed on factors within each theme varied between the two groups. Altering provider communication so that HIV PEP discussions better align with patient decision-making factors (e.g., trauma and ability to take in information, how to manage side effects) could facilitate improvement in HIV PEP decision making following sexual assault for patients. High-level policy changes would improve HIV PEP access for sexual assault patients without necessitating the extraordinary efforts individual providers currently undertake.
Keyphrases
- antiretroviral therapy
- hiv positive
- hiv infected
- hiv testing
- healthcare
- decision making
- human immunodeficiency virus
- hepatitis c virus
- hiv aids
- end stage renal disease
- men who have sex with men
- mental health
- ejection fraction
- chronic kidney disease
- newly diagnosed
- primary care
- public health
- emergency department
- south africa
- physical activity
- cross sectional
- patient reported