Rates and correlates of medicine disposal program implementation at pharmacies in North Carolina: A longitudinal study, 2016-2021.
Rates and correlates of medicine disposal program implementation at pharmacies in North Carolina: A longitudinal study, 2016-2021.
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DOI：
10.1016/j.japh.2022.03.002
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发表时间：
2022-07
影响因子：
2.1
通讯作者：
Lee, Joseph G. L.
中科院分区：
文献类型：
--
作者：
Egan, Kathleen L.;Johnston, Carol A.;Jackson, Jeffrey T.;Foster, Samantha E.;Lee, Joseph G. L.
来自家人和朋友的未使用的处方类阿片仍然是青年人非医疗用途处方类阿片的主要获取渠道。在药店安装药品处置箱是便利从家中清除未使用的处方类阿片以防止转移的一种方法。我们试图检查2016年至2021年北卡罗来纳州（NC）药店的垃圾箱实施率以及基于地点的可用性差异。我们确定了2016年、2018年和2021年在NC的持牌药店中有一次性使用盒的药店（N= 2，587）。我们计算了描述性统计数据，以描述随着时间的推移，处理箱的执行率，并使用地理信息系统，以确定空间趋势。我们在2018年和2021年使用了单独的逻辑回归模型来评估社区特征与药房实施垃圾箱的可能性之间的关系。我们发现，随着时间的推移，废弃箱的数量有所增加，2016年有43家（1.7%）药店，2018年有144家（5.6%）药店，2021年有350家（13.5%）药店实施了废弃箱。在2018年，独立药店比连锁药店更有可能拥有一个垃圾箱。在2021年，医疗附属机构和被定义为“其他”的药房比连锁店更不可能拥有垃圾箱。在2018年和2021年，人口普查区的药店中，低于联邦贫困线的人口比例较高，更有可能有一个垃圾箱。2021年，失业人口比例较高的地区的药店不太可能有垃圾箱。在2018年，位于阿片类药物过量死亡人数较多的县的药店更有可能拥有处置箱。我们的研究结果强调了随着时间的推移，NC中的处置盒的增长以及持续扩张的潜力，以提供防止处方阿片类药物转移的机会。
Unused prescription opioids from family and friends continue to be the primary access point to prescription opioids for nonmedical use among youth. Implementation of medicine disposal boxes at pharmacies is one approach to facilitate removal of unused prescription opioids from the home to prevent diversion. We sought to examine the implementation rates of disposal boxes at pharmacies in North Carolina (NC) from 2016 to 2021 and place-based health disparities in availability. We identified pharmacies with a disposal box in 2016, 2018, and 2021 among licensed pharmacies in NC in 2018 (N=2,587). We computed descriptive statistics to describe disposal box implementation rates over time and used geographical information systems to identify spatial trends. We used separate logistic regression models in 2018 and 2021 to assess the relationship between neighborhood characteristics and the likelihood of a pharmacy implementing a disposal box. We found an increase in disposal boxes over time with 43 (1.7%) pharmacies in 2016, 144 (5.6%) in 2018, and 350 (13.5%) in 2021 implementing a disposal box. In 2018, independent pharmacies were more likely than chains to have a disposal box. In 2021, medical-affiliated and pharmacies defined as ‘other’ were less likely than chains to have a disposal box. In both 2018 & 2021, pharmacies in census tracts with a higher percentage of the population below the federal poverty line were more likely to have a disposal box. In 2021, pharmacies in tracts with a higher percentage of the population unemployed were less likely to have a disposal box. In 2018, pharmacies located in counties with a greater number of opioid overdose deaths were more likely to have a disposal box. Our findings highlight growth of disposal boxes in NC over time and the potential for continued expansion to provide opportunities to prevent prescription opioid diversion.
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影响因子：
2.7
作者：
Gregorian, Razmic;Marrett, Elizabeth;Gudin, Jeffrey
通讯作者：
Gudin, Jeffrey
DOI：
10.1016/j.jamcollsurg.2017.11.023
发表时间：
2018-03-01
影响因子：
5.2
作者：
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通讯作者：
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DOI：
10.1016/j.japh.2019.11.024
发表时间：
2020-05-01
影响因子：
2.1
作者：
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通讯作者：
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影响因子：
1.5
作者：
Allen, Megan L.;Kim, Charles C.;Williams, Daryl L.
通讯作者：
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影响因子：
5.5
作者：
Egan, Kathleen L.;Foster, Samantha E.;Lee, Joseph G. L.
通讯作者：
Lee, Joseph G. L.