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及其应用方面的培训，以了解吸毒人群中预防艾滋病毒的结构性障碍。在获得博士学位之前。在流行病学方面，该候选人完成了国际政治方面的培训，并在卫生政策职位上工作了几年。在国际关系、卫生政策、传染病和药物滥用流行病学方面的独特背景，加上该奖项提议的定性培训，将为候选人就艾滋病毒预防的复杂结构性障碍进行独立的、政策相关的研究做好准备。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）建立设计和实施定性研究的专门知识，2）深入了解艾滋病毒预防的结构性障碍，重点关注中低收入国家的吸毒人群，3）熟练应用混合方法研究，以了解艾滋病毒预防的结构性障碍，4）获得关于吸毒人群研究和干预的伦理考虑的进一步培训，5）培养学术生涯的一般技能。培训的一个关键方面将是对墨西哥蒂华纳注射吸毒者购买无菌注射器的障碍进行研究，在蒂华纳，购买注射器是法律的，但药剂师不愿意向注射吸毒者出售注射器。因此，共用注射器很普遍，艾滋病毒感染呈上升趋势。本研究的目标是使用混合方法来：1）描述目前在天津药店向注射吸毒者销售无菌注射器的做法，2）确定拒绝向注射吸毒者销售注射器的原因，并确定药剂师愿意扩大注射器销售的具体情况，3）评估知识，药剂师对艾滋病毒/艾滋病的态度和信念，并确定向注射器购买者提供预防信息的可接受性，和4）阐明IDUs 1过去的药房经验-基于注射器购买和情况下，他们最有可能利用自己的药房注射器销售。候选人将在R 01申请的开发中应用这些发现，提出结构层面的干预措施，以扩大天津注射吸毒者的注射器使用。