{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T23:24:25Z","timestamp":1790810665913,"version":"4.1.0"},"reference-count":22,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2023,11,17]],"date-time":"2023-11-17T00:00:00Z","timestamp":1700179200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Sex Transm Infect"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Sexual assault (SA) is a prevalent issue with enduring consequences. Post-SA medical care mainly focuses on injuries, sexually transmitted infection (STI) prevention and detection, as well as preventing unwanted pregnancies. Swift access to post-SA medical care is vital with sexual assault treatment units (SATUs) streamlining this care. The primary aim of our study is to report on post-SA care provided at the national SATU network in Ireland with a secondary aim of analysing factors associated with follow-up attendance for STI testing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a retrospective cohort study of all acute attendances (&lt;7\u2009days from incident) at the national SATU network between 1 January 2017 to 31 December 2022.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 4159 acute cases presented during the study period. Emergency contraception (EC) was administered to 53.8% (n=1899\/3529) of cases, while postexposure prophylaxis (PEP) for chlamydia was given in 75.1% (n=3124\/4159) and for HIV in 11.0% (n=304\/3387). Hepatitis B vaccination was initiated in 53.7% (n=2233\/4159) of cases. 1.4% (n=59\/4159) of the attendees were referred to an emergency department for the treatment of injuries. Follow-up appointments were scheduled for 75.8% (3151\/4159) of acute cases. 71.6% (n=2257\/3151) attended follow-up.<\/jats:p><jats:p>Certain factors were found to correlate with a higher likelihood of attending follow-up appointments: adolescents (p&lt;0.0001), concern about drug-facilitated SA (DFSA) (p=0.01), no consumption of recreational drugs before the incident (p&lt;0.0001), alcohol consumption prior to the incident (p=0.01), and not reporting the crime to the police (p&lt;0.001). However, gender (p=0.06) and the presence of injury at time of primary attendance (p=0.97) were not predictive of likelihood of follow-up attendance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study demonstrates that EC, chlamydia PEP, HIV PEP and hepatitis B vaccination were all administered at SATU. A small proportion of attenders required emergency injury care. Factors influencing attendance at follow-up include age, drug use, alcohol use and police involvement, highlighting the need for tailored patient-centred support.<\/jats:p><\/jats:sec>","DOI":"10.1136\/sextrans-2023-055980","type":"journal-article","created":{"date-parts":[[2023,11,17]],"date-time":"2023-11-17T18:20:25Z","timestamp":1700245225000},"page":"39-44","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":14,"title":["Post-exposure prophylaxis, STI testing and factors associated with follow-up attendance: a review of 4159 cases of acute post-sexual assault medical care"],"prefix":"10.1136","volume":"100","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9523-4840","authenticated-orcid":false,"given":"Daniel","family":"Kane","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Holmes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maeve","family":"Eogan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,11,17]]},"reference":[{"key":"2024021320200933000_100.1.39.1","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1177\/15248380211032213","article-title":"PTSD in the year following sexual assault: a meta-analysis of prospective studies","volume":"24","author":"Dworkin","year":"2023","journal-title":"Trauma Violence Abuse"},{"key":"2024021320200933000_100.1.39.2","doi-asserted-by":"crossref","first-page":"1622","DOI":"10.1377\/hlthaff.2019.00480","article-title":"The effects of violence on health","volume":"38","author":"Rivara","year":"2019","journal-title":"Health Aff (Millwood)"},{"key":"2024021320200933000_100.1.39.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2010.02.001"},{"key":"2024021320200933000_100.1.39.4","unstructured":"Organization WH . Guidelines for medico-legal care of victims of sexual violence; 2003."},{"key":"2024021320200933000_100.1.39.5","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.bpobgyn.2012.08.010","article-title":"The role of the sexual assault centre","volume":"27","author":"Eogan","year":"2013","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"key":"2024021320200933000_100.1.39.6","unstructured":"SART . National guidelines on referral and forensic clinical examination following rape and sexual assault (Ireland), 5th ed; 2023."},{"key":"2024021320200933000_100.1.39.7","doi-asserted-by":"crossref","first-page":"1591","DOI":"10.1007\/s11845-020-02491-1","article-title":"Collection and storage of forensic evidence to enable subsequent reporting of a sexual crime to the police \"option 3\"-An Irish experience","volume":"190","author":"Kane","year":"2021","journal-title":"Ir J Med Sci"},{"key":"2024021320200933000_100.1.39.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(98)70361-8"},{"key":"2024021320200933000_100.1.39.9","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(05)82788-X"},{"key":"2024021320200933000_100.1.39.10","first-page":"1177","article-title":"Sexual assault tracking study: who gets lost to follow-up?","volume":"147","author":"Herbert","year":"1992","journal-title":"CMAJ"},{"key":"2024021320200933000_100.1.39.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2006.03.014"},{"key":"2024021320200933000_100.1.39.12","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(96)70141-2"},{"key":"2024021320200933000_100.1.39.13","doi-asserted-by":"publisher","DOI":"10.1097\/00042560-199604010-00010"},{"key":"2024021320200933000_100.1.39.14","doi-asserted-by":"publisher","DOI":"10.1197\/j.aem.2005.01.015"},{"key":"2024021320200933000_100.1.39.15","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2011-050371"},{"key":"2024021320200933000_100.1.39.16","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.61.6.984"},{"key":"2024021320200933000_100.1.39.17","doi-asserted-by":"crossref","unstructured":"Skj\u00e6laaen K , Nesvold H , Brekke M , et al . Sexually transmitted infections among patients attending a sexual assault centre: a cohort study from Oslo, Norway. BMJ Open 2022;12:e064934. doi:10.1136\/bmjopen-2022-064934","DOI":"10.1136\/bmjopen-2022-064934"},{"key":"2024021320200933000_100.1.39.18","first-page":"180","article-title":"Sexual assault nurse clinician: an emerging area of nursing expertise","volume":"4","author":"Ledray","year":"1993","journal-title":"AWHONNS Clin Issues Perinat Womens Health Nurs"},{"key":"2024021320200933000_100.1.39.19","doi-asserted-by":"crossref","unstructured":"Marshall D , Holmes A . Detection of Sexually Transmitted Infections following Sexual Assault and Rape in Ireland. Dublin: IUSTI World and European Congress, 2018.","DOI":"10.26226\/morressier.5af060631dd164001d5ef1ef"},{"key":"2024021320200933000_100.1.39.20","unstructured":"Kruttschnitt C , Kalsbeek WD , House CC . Estimating the incidence of rape and sexual assault; 2014."},{"key":"2024021320200933000_100.1.39.21","doi-asserted-by":"publisher","DOI":"10.1177\/1077801210387747"},{"key":"2024021320200933000_100.1.39.22","doi-asserted-by":"crossref","unstructured":"Goodyear-Smith F . Who makes false allegations and why? The nature, motives, and mental health status of those who wrongly allege sexual assault. 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