Comprehensive medical care for victims of sexual assault: a survey of Illinois hospital emergency departments

Patel, Ashlesha; Panchal, Hemang B.; Piotrowski, Z; Patel, Daksha

doi:10.1016/j.contraception.2008.01.018

Cited by 25 publications

(17 citation statements)

References 6 publications

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“…Many prior studies and essays have advanced the notion that access to EC will decrease unintended pregnancies [27, 10, 17, 25, 26]. Indeed, this argument was at the center of the decision to make EC available over-the-counter.…”

Section: Discussionmentioning

confidence: 99%

Obstetrician–gynecologist physicians' beliefs about emergency contraception: a national survey

et al. 2010

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Background-Although emergency contraception (EC) is available without a prescription, women still rely on doctors' advice about its safety and effectiveness. Yet little is known about doctors' beliefs and practices in this area.Study Design-We surveyed 1800 US obstetrician-gynecologists. Criterion variables were doctors' beliefs about EC's effects on pregnancy rates, and patients' sexual practices. We also asked which women are offered EC. Predictors were demographic, clinical, and religious characteristics.Results-Response rate 66% (1154/1760). Most (89%) believe EC access lowers unintended pregnancy rates. Some believe women use other contraceptives less (27%), initiate sex at younger ages (12%), and have more sexual partners (15%). Half of physicians offer EC to all women (51%), while others offer it never (6%) or only after sexual assault (6%). Physicians critical of EC, males, and religious physicians were more likely to offer it never or only after sexual assault (odds ratios 2.1-12).Conclusion-Gender, religion, and divergent beliefs about EC's effects shape physicians' beliefs and practices.

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Section: Discussionmentioning

confidence: 99%

Obstetrician–gynecologist physicians' beliefs about emergency contraception: a national survey

et al. 2010

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“…Sexual assault (SA) is a profound public health concern in South Korea, as it is around the world [1]. Based on the official statistics from the Supreme Prosecutors' Office of the Republic of Korea, between 1997 and 2006, the reported incidence of sexual assault increased from 15.1 per 100,000 to 27.7 per 100,000 of all women in South Korea, marking an increase of 83% in SA.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of emergency contraception in women after sexual assault

Choi

Kim

Hwang

et al. 2013

Clin Exp Reprod Med

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ObjectiveTo assess the effectiveness of emergency single-dose levonorgestrel contraception in preventing unintended pregnancies among woman who visited the emergency department (ED) due to sexual assault (SA).MethodsWe conducted a retrospective chart review in a university hospital in South Korea. Cases from November 10, 2006 to November 9, 2009 were enrolled. Information from the initial visit to the ED and subsequent follow-up visits to the gynecology outpatient clinic was collected.ResultsIn total, 1,179 women visited the ED due to SA. Among them, 416 patients had a gynecological examination and 302 patients who received emergency contraception (EC) (1.5 mg single-dose levonorgestrel) at the ED due to SA were enrolled. Ten patients did not return for follow-up examinations. In follow-up visits at the outpatient clinic, two pregnancies were confirmed, which showed the failure rate of the EC to be 0.68%.ConclusionSingle-dose levonorgestrel EC is extremely effective at preventing pregnancy among victims of SA.

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“…Health care provider surveys including frequency of offering post-sexual assault services found similar rates (38%) of reported baseline HIV testing among SANEs (Campbell et al, 2006) and EDs (Patel, Panchal, Piotrowski, & Patel, 2008), with higher rates (58-88%) for pediatric practitioners (Babl et al, 2001). In contrast, a greater proportion (41%) of a nationally representative SANE program sample (Campbell et al, 2006) reported offering nPEP than Illinois (28%; Patel et al, 2008) and Massachusetts EDs (28%; Kunches, Meehan, Boutwell, & McGuire, 2001).…”

Section: Results and Critiquementioning

confidence: 42%

“…In contrast, a greater proportion (41%) of a nationally representative SANE program sample (Campbell et al, 2006) reported offering nPEP than Illinois (28%; Patel et al, 2008) and Massachusetts EDs (28%; Kunches, Meehan, Boutwell, & McGuire, 2001). While more pediatric ED physicians and infectious disease specialists reported HIV baseline testing, a smaller proportion reported having ever offered nPEP (14-27%) (Babl et al, 2001).…”

Section: Results and Critiquementioning

confidence: 73%

Nonoccupational postexposure prophylaxis following sexual assault in industrialized low-HIV-prevalence countries: A review

Draughon

Sheridan

2012

Psychology, Health & Medicine

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Although available for over a decade, use of nonoccupational postexposure prophylaxis (nPEP) remains controversial in the United States. There are concerns over sexual assault survivors' adherence, or lack thereof, leading to increased costs without an appreciable decrease in human immunodeficiency virus (HIV) transmission. This review examines and synthesizes the available literature from the past 10 years to determine the true rates of provision and adherence to nPEP regimens in sexual assault survivors in low HIV prevalence, industrialized nations. Findings suggest that further prospective research is necessary to better understand the process of post-assault nPEP evaluation and subsequent follow-up and adherence.

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Comprehensive medical care for victims of sexual assault: a survey of Illinois hospital emergency departments

Cited by 25 publications

References 6 publications

Obstetrician–gynecologist physicians' beliefs about emergency contraception: a national survey

Obstetrician–gynecologist physicians' beliefs about emergency contraception: a national survey

Effectiveness of emergency contraception in women after sexual assault

Nonoccupational postexposure prophylaxis following sexual assault in industrialized low-HIV-prevalence countries: A review

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