Predictors of Adherence to HIV Post-Exposure Prophylaxis and Retention in Care After an Episode of Sexual Violence in Brazil
| Autor: | Isabelle V.V. Nisida, Vivian Iida Avelino-Silva, Lia Maria Britto da Silva, Philippe Mayaud, Aluísio Augusto Cotrim Segurado, Maria-Ivete Castro Boulos |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Emergency Medical Services medicine.medical_specialty Adolescent Anti-HIV Agents HIV post exposure prophylaxis Sexually Transmitted Diseases HIV Infections Medication Adherence Cohort Studies Young Adult 03 medical and health sciences 0302 clinical medicine Retention in Care Humans Medicine 030212 general & internal medicine Referral and Consultation Retrospective Studies 030505 public health Sexual violence business.industry Sex Offenses Public Health Environmental and Occupational Health Middle Aged Retention in care Infectious Diseases Rape Family medicine Female Emergency Service Hospital Post-Exposure Prophylaxis 0305 other medical science business Brazil |
| Zdroj: | AIDS Patient Care and STDs. 33:399-405 |
| ISSN: | 1557-7449 1087-2914 |
| DOI: | 10.1089/apc.2019.0080 |
| Popis: | Adherence to nonoccupational post-exposure prophylaxis (nPEP) among sexual violence (SV) victims and their retention in care after SV represent significant challenges. This study aimed at identifying predictors of adherence to nPEP and retention in clinical-laboratory follow-up among SV victims in São Paulo, Brazil. We conducted a retrospective cohort study of SV victims admitted to care and follow-up at the SV unit of the main reference hospital in São Paulo within 72 h following the SV episode. Eligible patients were submitted to a standardized protocol that included nPEP, screening, and management for other sexually transmitted infection as well as emergency contraception. Predictors of adherence to nPEP for 28 days and retention in care until discharge at 180 days after admission were analyzed. A total of 199 SV episodes in 197 victims were recorded from January 2001 to December 2013 (156 months). Of those episodes, 167 were eligible to receive nPEP and 160 (96%) actually received a prescription. Overall 104/160 [65%, 95% confidence interval (CI) 57-72] SV victims, who received nPEP, were fully adherent to nPEP up to 28 days, whereas 89/199 (45%, 95% CI 38-52) were retained in care for 180 days following admission. In multi-variate analysis, patients undergoing at least one psychological consultation ( |
| Databáze: | OpenAIRE |
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