Uptake to HIV post-exposure prophylaxis in Haiti: opportunities to align sexual violence, HIV PEP and mental health.
Uptake to HIV post-exposure prophylaxis in Haiti: opportunities to align sexual violence, HIV PEP and mental health.
复制标题
海地对艾滋病毒暴露后预防的采用：协调性暴力、艾滋病毒接触后预防和心理健康的机会。
DOI：
10.1111/aji.12053
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Cornely,Jean-Ronald
中科院分区：
文献类型：
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作者：
Marc,Linda;Honoré,Jean-Guy;Néjuste,Patrick;Setaruddin,Monica;Lamothe,Nika-Nola;Thimothé,Gabriel;Cornely,Jean-Ronald
Sexual violence is a public health problem in Haiti, potentially augmenting HIV transmission. Reports from L'Hôpital de l'Université d'État d'Haiti (HUEH) suggest severe underutilization of antiretroviral post‐exposure prophylaxis (ARV‐PEP) among rape survivors. Cross‐sectional design using mixed methods. Informational interviews were conducted with HUEH personnel to learn about post‐rape service offerings. HUEH surveillance data were used to estimate the sexual assault reporting rate/100,000 and to examine the proportion of survivors receiving ARV‐PEP within 72 hr, stratified by age (<18 years, ≥18 years). Informational interviews revealed that survivors were navigated through two hospital algorithms to receive post‐rape care; however, <5% of victims sought mental health services. Surveillance data show that 2193 sexual assault survivors (adult and pediatric) reported a rape to HUEH personnel between 2004 through first quarter of 2010. Annual estimates suggest a twofold increase comparing cases in 2004 versus 2009. Between 2008 and 2009, uptake to ARV‐PEP within 72 hr was lower for pediatric (38.4%;N= 131/341) compared with adult survivors (60.1%;N= 83/138) (χ2= 18.8,P< 0.001). The prioritization of funding and comprehensive interventions that align sexual violence, HIV, and mental health is crucial to support the timely uptake to ARV‐PEP.
