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Despite extensive literature regarding pre-exposure prophylaxis (PrEP), less is known about post-exposure interventions for women. Among women, non-occupational post-exposure prophylaxis (PEP) is mainly used in sexual assault centres and rarely otherwise. PEP-in-Pocket (PIP) is a self-initiated PEP option for infrequent high-risk exposures (&lt;4\/year) and could offer women more agency over their sexual health. PIP, an evolution of PEP endorsed by international guidelines, may better address women\u2019s diverse needs, yet remains understudied and underutilized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To develop a clear contextual understanding of PEP and PIP in the context of women based on its current use in the literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Rodgers\u2019 Evolutionary Concept Analysis. Rodger\u2019s methodology is a flexible, non-linear approach suited for evolving health concepts and involves three phases: conceptualizing the concept; identifying key attributes, antecedents, and consequences; and interpreting findings to inform future research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data sources<\/jats:title>\n                    <jats:p>Scholarly peer-reviewed literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic search (January 2012-May 2025) across Medline, Emcare, and Global Health identified 33 relevant studies. Two reviewers screened and extracted texts using Covidence. Rodgers\u2019 evolutionary concept analysis was used to examine PEP and PIP among cis and trans women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>PEP attributes include reactive use after exposure, clinical initiation, and time-sensitive access. Key attributes of PIP include self-initiation, episodic use, autonomy, and accessibility outside healthcare settings. Shared antecedents include barriers to access, and the need for alternative HIV prevention strategies. PIP-specific antecedents include infrequent high-risk exposures and a desire for greater individual control, especially among those who may not interact with healthcare providers. Consequences of both strategies include reduced HIV risk and expanded options. Overall, the literature on PIP was limited, but increased agency, empowerment, and potential to fill HIV prevention gaps were noted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PEP and PIP are promising, women-centered HIV prevention strategies that support autonomy and timely care but remain underutilized. This analysis identifies significant gaps in research and implementation for women, underscoring the need for further investigation to advance equitable HIV prevention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455057261457909","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T18:10:31Z","timestamp":1780423831000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["HIV post-exposure prophylaxis (PEP) and PEP-in-pocket (PIP) for women: A rodgers\u2019 evolutionary concept analysis"],"prefix":"10.1177","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-8001-1235","authenticated-orcid":false,"given":"Tamara","family":"Barnett","sequence":"first","affiliation":[{"name":"York University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafique","family":"Van Uum","sequence":"additional","affiliation":[{"name":"York University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parsa Ebrahimpoor","family":"Mashhadi","sequence":"additional","affiliation":[{"name":"York University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agustina","family":"Crespi","sequence":"additional","affiliation":[{"name":"York University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hadeeka","family":"Tahir","sequence":"additional","affiliation":[{"name":"York University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sajeela","family":"Rana","sequence":"additional","affiliation":[{"name":"York University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlee","family":"Giffen","sequence":"additional","affiliation":[{"name":"York University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catriona J.","family":"Buick","sequence":"additional","affiliation":[{"name":"York University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karla N.","family":"Fisher","sequence":"additional","affiliation":[{"name":"University Health Network"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isaac I.","family":"Bogoch","sequence":"additional","affiliation":[{"name":"University Health Network"},{"name":"University Health Network"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen A.","family":"Campbell","sequence":"additional","affiliation":[{"name":"York University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roya","family":"Haghiri-Vijeh","sequence":"additional","affiliation":[{"name":"York University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mia J.","family":"Biondi","sequence":"additional","affiliation":[{"name":"York University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,2]]},"reference":[{"key":"e_1_3_5_2_2","unstructured":"World Health Organization. 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