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Sexual assault and HIV are coexisting public health problems. Sexual assault may increase HIV transmission risk through diverse mechanisms, such as infliction of anal, oral, and genital injuries by penile, digital, or object penetration, extragenital trauma, concurrent sexually transmitted infections, condom use, and whether the perpetrator was circumcised. Key words: human immunodeficiency virus, nonoccupational postexposure prophylaxis, postexposure prophylaxis, rape, sexual assault EXUAL assault was the sixth leading exposure (Fisher et al., 2006). Sexual trans- cause of nonfatal injury in the United mission per any consensual sexual contact S States in 2007 (U.S. Department of Jus- has been estimated between 0.1% and 3%, tice, 2008). There were approximately a quar- with higher transmission corresponding to re- ter of a million sexual assault victims in 2007 ceptive anal intercourse (DeGruttola, Seage, (U.S. Department of Justice, 2008). This pub- Mayer, & Horsburgh, 1989; Gray et al., 2001). lic health concern coexists and, in fact, may This article explores the unique ways in feed another epidemic, that of human im- which sexual assault may increase the like- munodeficiency virus (HIV) and Acquired im- lihood of HIV transmission. mune deficiency syndrome (AIDS). The same group of young men and women (age 18– 25 years)
Advanced Emergency Nursing Journal – Wolters Kluwer Health
Published: Jan 1, 2012
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