Defining the Role of Mexican Pharmacies in HIV Prevention-A Mixed Method Approach

定义墨西哥药房在艾滋病毒预防中的作用——混合方法

• 批准号: 8283008
• 负责人: Robin A Pollini
• 金额: $ 2.97万
• 依托单位: PACIFIC INSTITUTE FOR RES AND EVALUATION
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-15 至 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8283008
• 关键词: Defining; Role; Mexican; Pharmacies; HIV

DESCRIPTION (provided by applicant): This research career development award will provide the candidate with training in qualitative and mixed research methods and their application for understanding structural level barriers to HIV prevention in drug using populations. Prior to earning her Ph.D. in epidemiology, the candidate completed training in international politics and spent several years working in health policy positions. A unique background in international relations, health policy, and infectious disease and substance abuse epidemiology, coupled with the qualitative training proposed under this award, will prepare the candidate for independent, policy-relevant research on complex structural level barriers to HIV prevention. The career and training goals proposed under this award are to employ didactic and mentored learning to: 1) Establish expertise in the design and implementation of qualitative research studies, 2) Develop a thorough understanding of structural level barriers to HIV prevention, with a focus on drug using populations in low- and middle-income countries, 3) Gain proficiency in applying mixed methods research to understanding structural level barriers to HIV prevention, 4) Obtain further training in ethical considerations regarding research and interventions in drug using populations, and 5) Build general skills for an academic career. A key facet of the training will be to undertake a study of barriers to sterile syringe purchase among injection drug users (IDUs) in Tijuana, Mexico, where syringe purchase is legal but pharmacists are reluctant to sell syringes to IDUs. Hence, syringe sharing is common and HIV infection is on the rise. The goals of this research are to use a mixed methods approach to: 1) Characterize current practices regarding sales of sterile syringes to IDUs at pharmacies in Tijuana, 2) Identify reasons underlying refusal to sell syringes to IDUs and identify specific circumstances under which pharmacists would be willing to expand syringes sales, 3) Assess the knowledge, attitudes and beliefs of pharmacists regarding HIV/AIDS and ascertain the acceptability of providing prevention information to purchasers of syringes, and 4) Elucidate IDUs1 past experiences with pharmacy-based syringe purchase and the circumstances under which they would most likely avail themselves of pharmacy syringe sales. The candidate will apply these findings in the development of a R01 application proposing a structural level intervention to expand syringe access to IDUs in Tijuana.

描述（由申请人提供）：该研究职业发展奖将为候选人提供定性和混合研究方法的培训及其在了解使用人群中预防艾滋病毒预防艾滋病毒的结构性水平障碍的应用。在获得博士学位之前在流行病学上，候选人完成了国际政治的培训，并在卫生政策职位上工作了几年。国际关系，卫生政策以及传染病和药物滥用流行病学的独特背景，再加上根据该奖项提出的定性培训，将为候选人做好针对独立的，政策与预防HIV的复杂结构障碍研究的候选人。根据该奖项提出的职业和培训目标是采用教学和指导学习：1）在定性研究的设计和实施方面建立专业知识，2）对预防HIV预防的结构性层次障碍有深入的了解，重点是使用人群使用人群使用低和中等国家中的人群，3）在研究方面的培训和中等程度的研究培训，以理解结构级别的研究，并在研究方面进行培训，以了解HERDISS INTERCONT，并在研究中进行良好的研究，并在研究方面进行了良好的培训。使用人群的药物，以及5）在学术生涯中建立一般技能。培训的一个关键方面将是对墨西哥蒂华纳注射药物使用者（IDU）购买无菌注射器购买的障碍的研究，那里的注射器是合法的，但药剂师不愿将注射器出售给IDUS。因此，注射器共享是常见的，艾滋病毒感染正在增加。这项研究的目标是使用一种混合方法来：1）表征有关蒂华纳药房对IDU的销售给IDU的最新做法，2）确定拒绝向IDU出售注射器的理由，并确定药剂师愿意在哪些情况下愿意扩大注射剂的知识，3）评估有关HIV的信息，3）注射器的购买者以及4）阐明了基于药房的注射器购买以及他们最有可能利用药房注射器销售的情况。候选人将把这些发现应用于R01申请的开发，该申请提出了结构性级别的干预措施，以扩大蒂华纳（Tijuana）的注射器访问权限。