Predicting Pharmacist Dispensing Practices and Comfort Related to Pre-exposure Prophylaxis for HIV Prevention (PrEP).

Predicting Pharmacist Dispensing Practices and Comfort Related to Pre-exposure Prophylaxis for HIV Prevention (PrEP).
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DOI:
10.1007/s10461-018-02383-7
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发表时间:
2019-07
期刊:
影响因子:
4.4
通讯作者:
Ryder PT
Ryder PT
中科院分区:
医学2区
文献类型:
--
作者:
Meyerson BE;Dinh PC Jr;Agley JD;Hill BJ;Motley DN;Carter GA;Jayawardene W;Ryder PT

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确定与药剂师配药实践相关的因素,并为患者提供有关艾滋病毒暴露前预防 (PrEP) 的舒适咨询。 2016 年印第安纳州管理药剂师横断面人口普查测量了 PrEP 意识、舒适配药和咨询患者。具有鲁棒误差方差的修正泊松模型估计相对风险和置信区间。 284 名药剂师中,15.8% 的药剂师曾配发过 PrEP,11.6% 的药剂师曾就此进行过咨询。配药和舒适咨询与对 PrEP 药物依从性和 PrEP 药物不良反应知识的信心相关;调查前对 PrEP 的认识、药房全职药剂师的数量,以及 2015 年至 2016 年服务社区新发艾滋病毒病例的增加。有关 PrEP 的舒适咨询与药剂师可以成为 HIV 和 HCV 治疗的重要资源的信念相关。
To identify factors associated with pharmacist dispensing practice and comfort counseling patients about pre-exposure prophylaxis for HIV prevention (PrEP). Cross-sectional 2016 census of Indiana managing pharmacists measured PrEP awareness, comfort dispensing and counseling patients. Modified Poisson models with robust error variance estimated relative risks and confidence intervals. 15.8% of 284 pharmacists had dispensed PrEP and 11.6% had consulted about it. Dispensing and comfort counseling were associated with confidence in knowledge about PrEP medication adherence and adverse effects of PrEP medication; awareness about PrEP before the survey, number of full time pharmacists in their pharmacy, and increases in new HIV cases from 2015 to 2016 in communities served. Comfort counseling about PrEP was associated with the belief that pharmacists can be an important resource for HIV and HCV treatment.
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