Nonoccupational Postexposure HIV Prophylaxis in Sexual Assault Programs: A Survey of SANE and FNE Program Coordinators

Jessica E. Draughon, Jocelyn C. Anderson, Bryan R. Hansen, Daniel J. Sheridan

Research output: Contribution to journalArticlepeer-review


This cross-sectional study describes sexual assault nurse examiner (SANE)/forensic nurse examiner (FNE) program practices related to HIV testing, nonoccupational postexposure prophylaxis (nPEP), and common barriers to offering HIV testing and nPEP. A convenience sample of 174 SANE/FNE programs in the United States and Canada was drawn from the International Association of ForensicNurses database, and program coordinators completed Web-based surveys. Three fourths of programs had nPEP policies, 31% provided HIV testing, and 63% offered nPEP routinely or upon request. Using χ2 and Fisher's exact tests, a greater proportion of Canadian programs had an nPEP protocol (p=.010), provided HIV testing (p= .004), and offered nPEP (p=.0001) than U.S.-based programs. Program coordinators rated providing pre- and/or posttest counseling and follow-up as the most important barrier to HIV testing, and medication costs as the most important barrier to providing nPEP. Our results indicate HIV-related services are offered inconsistently across SANE/FNE programs.

Original languageEnglish (US)
Pages (from-to)S90-S100
JournalJournal of the Association of Nurses in AIDS Care
Issue numberSUPPL1
StatePublished - 2014


  • Forensic nursing
  • HIV post-exposure prophylaxis
  • Nonoccupational postexposure
  • Prophylaxis
  • Rape
  • Sexual assault

ASJC Scopus subject areas

  • Advanced and Specialized Nursing


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