{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T10:52:43Z","timestamp":1761562363912,"version":"3.37.3"},"reference-count":38,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,4,6]],"date-time":"2018-04-06T00:00:00Z","timestamp":1522972800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000085","name":"Ontario HIV Treatment Network","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000085","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Nursing"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>HIV PEP is an intervention to prevent HIV seroconversion among HIV\u2010negative persons after they have come into contact with the virus. The literature suggests PEP is greater than 80% effective at reducing HIV seroconversion. To expand access to this prevention strategy, we established a nurse\u2010led PEP program in two STI clinics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>We sought to explore why people seek PEP, and their experiences using it.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials &amp; Methods<\/jats:title><jats:p>We invited participants who used our PEP program to engage in semi\u2010structured qualitative interviews. These were audio\u2010recorded, transcribed verbatim, and analyzed using the techniques of thematic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twelve men who initiated PEP through our program participated in an interview. Thematic analysis of the data identified three themes: (1) assessing risk, (2) euphoria and distress, and (3) reducing distress.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Based on our findings, it appears as though instances of condomless sex were atypical and unplanned, they occurred due to contextual factors (e.g., consent, desire to explore, sexual chemistry\/intensity), and they resulted in a state of temporary euphoria, which, afterward, transformed into distress (i.e., \u201cfeel[ing] stupid\u201d). The participants used PEP not only for HIV prevention, but also (and perhaps more so) to address their emotional state. PEP used seemed to primarily occur to address situations of atypical sexual contact with partners they did not \u201cknow\u201d or \u201ctrust\u201d.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We feel these results help contextualize how potential PEP users view HIV risk assessments, and how they determine their need for this intervention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/phn.12404","type":"journal-article","created":{"date-parts":[[2018,4,10]],"date-time":"2018-04-10T06:25:54Z","timestamp":1523341554000},"page":"386-395","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["The patient rationale for seeking <scp>HIV PEP<\/scp>: Qualitative results from a nurse\u2010led program"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0587-1409","authenticated-orcid":false,"given":"Patrick","family":"O'Byrne","sequence":"first","affiliation":[{"name":"School of Nursing University of Ottawa  Ottawa ON Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren","family":"Orser","sequence":"additional","affiliation":[{"name":"School of Nursing University of Ottawa  Ottawa ON Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"MacPherson","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Ottawa  Ottawa ON Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nick","family":"Valela","sequence":"additional","affiliation":[{"name":"Faculty of Law University of Ottawa  Ottawa ON Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,4,6]]},"reference":[{"key":"e_1_2_5_2_1","first-page":"35","article-title":"Proposed recommendations for the management of HIV post\u2010exposure prophylaxis after sexual, injecting drug or other exposures in Europe","volume":"9","author":"Almeda J.","year":"2004","journal-title":"Eurosurveillance Weekly"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199711203372101"},{"key":"e_1_2_5_4_1","unstructured":"Centers for Disease Control and Prevention. (2016a).Diagnosis of HIV infection in the United States and Dependent Areas 2016. HIV Surveillance Report 28. Retrieved fromhttps:\/\/www.cdc.gov\/hiv\/pdf\/library\/reports\/surveillance\/cdc-hiv-surveillance-report-2016-vol-28.pdf"},{"key":"e_1_2_5_5_1","unstructured":"Centers for Disease Control and Prevention. (2016b).Updated Guidelines for Antiretroviral Postexposure Prophylaxis After Sexual Injection Drug Use or Other Nonoccupational Exposure to HIV \u2013 United States 2016. Retrieved fromhttps:\/\/www.cdc.gov\/hiv\/pdf\/programresources\/cdc-hiv-npep-guidelines.pdf"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000000120"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.antiviral.2009.10.012"},{"volume-title":"Sexual conduct: The social sources of human sexuality","year":"2005","author":"Gagnon J. H.","key":"e_1_2_5_8_1"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.119.3.390"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781483384436"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwr389"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781446268247.n36"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.91.11.1882"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781446268247.n17"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-016-2859-6"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1300\/J013v38n02_04"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.2307\/2136209"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/236240"},{"volume-title":"The Imperative of Health","year":"1997","author":"Lupton D.","key":"e_1_2_5_19_1"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511520778"},{"volume-title":"Risk","year":"1999","author":"Lupton D.","key":"e_1_2_5_21_1"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)60164-1"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03404803"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e31823bbecf"},{"key":"e_1_2_5_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-0-387-48740-3_1"},{"key":"e_1_2_5_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jana.2018.02.004"},{"key":"e_1_2_5_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/phn.12123"},{"key":"e_1_2_5_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/0956462416658412"},{"key":"e_1_2_5_29_1","doi-asserted-by":"publisher","DOI":"10.1128\/JVI.74.20.9771-9775.2000"},{"key":"e_1_2_5_30_1","doi-asserted-by":"publisher","DOI":"10.1363\/3219206"},{"key":"e_1_2_5_31_1","unstructured":"Public Health Agency of Canada. (2013).Canadian Guidelines on Sexually Transmitted Infections Section 2.3: Performing a Brief Patient History and STI Risk Assessment. Retrieved fromhttp:\/\/www.phac-aspc.gc.ca\/std-mts\/sti-its\/cgsti-ldcits\/section-2-eng.php."},{"key":"e_1_2_5_32_1","unstructured":"Public Health Agency of Canada. (2014).HIV\/AIDS Epi Updates October 2015. Retrieved fromhttps:\/\/www.canada.ca\/en\/public-health\/services\/hiv-aids\/publications\/epi-updates\/chapter-1-national-hiv-prevalence-incidence-estimates-2011.html"},{"key":"e_1_2_5_33_1","doi-asserted-by":"publisher","DOI":"10.1086\/497268"},{"key":"e_1_2_5_34_1","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2008.033662"},{"key":"e_1_2_5_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/00126334-200404150-00010"},{"key":"e_1_2_5_36_1","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2016.0299"},{"key":"e_1_2_5_37_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e318256b2f6"},{"key":"e_1_2_5_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-0-387-48740-3_2"},{"key":"e_1_2_5_39_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.170494"}],"container-title":["Public Health Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fphn.12404","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/phn.12404","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,18]],"date-time":"2023-09-18T02:54:40Z","timestamp":1695005680000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/phn.12404"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,6]]},"references-count":38,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2018,9]]}},"alternative-id":["10.1111\/phn.12404"],"URL":"https:\/\/doi.org\/10.1111\/phn.12404","archive":["Portico"],"relation":{},"ISSN":["0737-1209","1525-1446"],"issn-type":[{"type":"print","value":"0737-1209"},{"type":"electronic","value":"1525-1446"}],"subject":[],"published":{"date-parts":[[2018,4,6]]},"assertion":[{"value":"2017-10-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-02-14","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-04-06","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}