Concentration Area: Women's Reproductive Health
- Authors: Carleyna M. Nunes, BA, Donna Lafontaine, MD, Christina Raker, ScD, Lori A. Boardman, MD, ScM
- Abstract: To determine the percentage of sexually assaulted female patients offered prophylaxis for sexually transmitted infections (STIs), HIV infection and pregnancy and to identify factors associated with the provision of prophylaxis.
Methods: This is a cross-sectional study of 190 women presenting to a large, urban women’s hospital for evaluation following sexual assault between April 1, 2006 and April 20, 2008. Data extracted included demographic characteristics and selected quality of care measures, including prophylaxis for STIs as well as pregnancy prevention.
Results: Of the 190 women evaluated, 153 (81%) were offered prophylaxis for chlamydia, gonorrhea, and trichomonas. Of the 126 women at risk for unplanned pregnancy, 119 (94%) were offered emergency contraception. Appropriate prophylaxis for both sexually transmitted infections as well as pregnancy prevention was provided to 78% (148/190) of the population seen. Women aged 40 and older, compared to their younger counterparts, tended to be less likely to receive appropriate prophylaxis (OR 0.4, 95% CI (0.2-1.1). Non-Hispanic white women tended to be more likely to receive prophylaxis compared to women of other racial/ethnic groups (OR 2.0, 95% CI (0.9-4.1). Victims of mandatory reporting groups, defined as patients under the age of 16, over the age of 60, mentally or physically disabled or was the victim of an assault involving a weapon (defined as gun, knife or any blunt object used for the purpose of causing physical harm) were significantly less likely to receive appropriate prophylaxis. (OR 0.4, 95% CI (0.2-0.9))
Conclusion: The majority of patients were offered appropriate prophylactic care, however victims of mandatory reporting groups were less likely to receive appropriate medical prophylaxis compared to other patients.
- Journal: Annual Clinical Meeting of the American College of Obstetricians and Gynecologists
- Month: May
- Year: 2009