Predicting pharmacy syringe sales to people who inject drugs: Policy, practice and perceptions.
Predicting pharmacy syringe sales to people who inject drugs: Policy, practice and perceptions.
复制标题
DOI：
10.1016/j.drugpo.2018.02.024
复制
发表时间：
2018-06
期刊：
影响因子：
--
通讯作者：
Gassman R
中科院分区：
文献类型：
--
作者：
Meyerson BE;Davis A;Agley JD;Shannon DJ;Lawrence CA;Ryder PT;Ritchie K;Gassman R
药房可以为注射吸毒者 (PWID) 的健康以及通过注射器预防艾滋病毒和丙型肝炎 (HCV) 的社区努力做出很大贡献。然而，对于如何预测无处方药房注射器的销售情况，人们知之甚少。确定预测向注射吸毒者销售药房注射器的因素。 2016 年 7 月至 9 月期间，对 298 名印第安纳州社区药剂师进行了一项混合交错在线调查，旨在衡量药房政策、实践以及药剂师对向注射吸毒者销售注射器的看法。单独的双变量逻辑回归之后是多变量逻辑回归，以预测药房注射器销售和药剂师向注射吸毒者舒适配药注射器。印第安纳州一半（50.5%）的药店向注射吸毒者出售没有处方的注射器。药房注射器销售与药剂师对注射吸毒者使用注射器的支持信念以及向注射吸毒者销售注射器的舒适程度密切相关。值得注意的是，位于阿片类药物过量死亡率高的社区的药店在没有处方的情况下销售注射器的可能性比死亡率较低的社区低 56%。药剂师舒适配药注射器与男性有关，他在一家向注射吸毒者出售注射器的药房和一家库存纳洛酮的药房工作，医疗服务提供者询问了注射器的使用情况，并同意注射吸毒者应该能够在没有处方的情况下购买注射器。由于阿片类药物过量死亡率较高的社区不太可能拥有向注射吸毒者分发注射器的药房，因此应与这些社区及其药房共同努力，了解增加注射器使用机会的机会。未来的研究应该探讨注射吸毒者在没有处方的情况下使用注射器的理论支持与实际配药行为之间的细微差别。解决潜在的政策冲突并为药剂师提供有关非处方注射器分发的继续教育可能会提高向注射吸毒者分发注射器的舒适度，从而增加药房注射器的销量。
Pharmacies have much to contribute to the health of people who inject drugs (PWID) and to community efforts in HIV and hepatitis C (HCV) prevention through syringe access. However, little is known about what predicts pharmacy syringe sales without a prescription. To identify factors predicting pharmacy syringes sales to PWID. A hybrid staggered online survey of 298 Indiana community pharmacists occurred from July-September 2016 measuring pharmacy policy, practice, and pharmacist perceptions about syringe sales to PWID. Separate bivariate logistical regressions were followed by multivariable logistic regression to predict pharmacy syringe sales and pharmacist comfort dispensing syringes to PWID. Half (50.5%) of Indiana pharmacies sold syringes without a prescription to PWID. Pharmacy syringe sales was strongly associated with pharmacist supportive beliefs about syringe access by PWID and their comfort level selling syringes to PWID. Notably, pharmacies located in communities with high rates of opioid overdose mortality were 56% less likely to sell syringes without a prescription than those in communities with lower rates. Pharmacist comfort dispensing syringes was associated with being male, working at a pharmacy that sold syringes to PWID and one that stocked naloxone, having been asked about syringe access by medical providers, and agreement that PWID should be able to buy syringes without a prescription. As communities with high rates of opioid overdose mortality were less likely to have pharmacies that dispensed syringes to PWID, a concerted effort with these communities and their pharmacies should be made to understand opportunities to increase syringe access. Future studies should explore nuances between theoretical support for syringe access by PWID without a prescription and actual dispensing behaviors. Addressing potential policy conflicts and offering continuing education on non-prescription syringe distribution for pharmacists may improve comfort distributing syringes to PWID, and therefore increase pharmacy syringe sales.
登录
查看更多内容
影响因子：
6.3
作者：
Edwards, P;Cooper, R;Frost, C
通讯作者：
Frost, C
影响因子：
--
作者：
Hirsch, Jan D.;Rosenquist, Ashley;Gilmer, Todd P.
通讯作者：
Gilmer, Todd P.
影响因子：
4.9
作者：
Meyerson, Beth E.;Carter, Gregory;Ohmit, Anita
通讯作者：
Ohmit, Anita
影响因子：
12.7
作者：
Kerr, Thomas;Small, Will;Wood, Evan
通讯作者：
Wood, Evan
DOI：
10.1331/japha.2012.10194
发表时间：
2012-07
期刊：
Journal of the American Pharmacists Association : JAPhA
影响因子：
--
作者：
Amesty S;Blaney S;Crawford ND;Rivera AV;Fuller C
通讯作者：
Fuller C