Examining nonprescription syringe sales in Massachusetts and Rhode Island community pharmacies.
Examining nonprescription syringe sales in Massachusetts and Rhode Island community pharmacies.
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DOI：
10.1016/j.japh.2021.03.004
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发表时间：
2021-07
期刊：
影响因子：
--
通讯作者：
Bratberg J
中科院分区：
文献类型：
--
作者：
Green TC;Stopka T;Xuan Z;Davis TC;Boggis J;Irwin AN;Gray M;Hartung DM;Bratberg J
药房在解决阿片类药物危机和注射吸毒等与毒品有关的风险方面所发挥的作用正在不断演变。由于吸毒的耻辱感，估计社区一级注射吸毒的流行率具有挑战性。许多社区药店出售非处方无菌注射器;因此，药店一级的注射设备销售可能是与毒品有关的危害和高风险人群未满足需求的一个指标。描述、比较和评估来自马萨诸塞州（MA）和罗得岛（RI）社区药房的工作人员报告的非处方注射器（注射器）销售量和非处方管理销售数据的收敛有效性。本研究采用前瞻性横断面调查数据收集和利用行政药房销售数据。在2017年11月至2018年1月期间，我们进行了一项基于电话的调查，以估计位于社区的191家连锁药店（CVS Health）的平均每周药物类型和数量，这些社区的致命阿片类药物过量超过了该州2015年的年中位数。在同一时期，我们从两个州的受调查药店和所有CVS Health药店获得了销售数据。我们计算了斯皮尔曼相关性，以评估药房工作人员报告和销售数据之间的平均每周交易量的收敛性。所有药房都对调查作出了答复。大多数（98.4%）被调查的药店销售的是避孕药，但42.0%的药店报告每月或更频繁地缺货。药房工作人员倾向于少报注射器销售。工作人员报告的每周注射器销售量为67，922支，而行政药房销售数据为70，962支。报告的和实际的可吸收止血带销量之间的斯皮尔曼相关性为0.40（95% CI 0.27 e0.51）。MA和RI的行政药房注射器销售数据计数表明，社区药房的需求量很大，数量可观，可供使用。未来的研究应该使用销售数据，而不是自我报告的数据，以跟踪新兴的趋势和定制当地的反应。
The role pharmacies play in addressing the opioid crisis and drug-related risks such as injection drug use is evolving. Estimating the prevalence of injection drug use at the community level is challenging because of the stigma of drug use. Many community pharmacies sell nonprescription sterile syringes; thus, pharmacy-level sales of injection equipment may be an indicator of drug-related harms and unmet needs of high-risk populations. To describe, compare, and assess the convergent validity of staff-reported nonprescription syringe (NPS) sales volume and NPS administrative sales data from community pharmacies in Massachusetts (MA) and Rhode Island (RI). This study employed both prospective cross-sectional survey data collection and utilization of administrative pharmacy sales data. Between November 2017 and January 2018, we administered a telephone-based survey to estimate average weekly NPS type and volume for 191 chain pharmacies (CVS Health) located in communities experiencing fatal opioid overdoses above the state’s 2015 annual median rate. For the same time period, we obtained NPS sales data from surveyed pharmacies and all CVS Health pharmacies in the 2 states. We calculated Spearman correlations to assess convergence of average weekly volume between pharmacy staff reports and sales data. All pharmacies responded to the survey. Most (98.4%) pharmacies surveyed sold NPS, but 42.0% reported running out of stock monthly or more frequently. Pharmacy staff tended to under-report syringe sales. Staff-reported weekly NPS sales volume was 67,922 versus 70,962 syringes from administrative pharmacy sales data. Spearman correlation between reported and actual NPS sales was 0.40 (95% CI 0.27e0.51). The counts of administrative pharmacy syringe sales data in MA and RI indicate high need, substantial volume, and notable access at community pharmacies. Future research should use NPS sales data rather than self-report data to track emerging trends and tailor local responses.
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影响因子：
33.9
作者：
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DOI：
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