华盛顿州西雅图-金县增加无限制药房销售注射器的渠道：1996年与2003年的结构和个人层面变化
Increased access to unrestricted pharmacy sales of syringes in Seattle-King County, Washington: structural and individual-level changes, 1996 versus 2003.
作者信息
Deibert Ryan J, Goldbaum Gary, Parker Theodore R, Hagan Holly, Marks Robert, Hanrahan Michael, Thiede Hanne
机构信息
Health Services Department, School of Public Health and Community Medicine, University of Washington, Seattle, USA.
出版信息
Am J Public Health. 2006 Aug;96(8):1347-53. doi: 10.2105/AJPH.2003.032698. Epub 2006 Jun 29.
Abstract
We examined pharmacists' attitudes and practices related to syringe sales to injection drug users before and after legal reform and local programming to enhance sterile syringe access. We replicated a 1996 study by conducting pharmacist phone surveys and syringe test-buys in randomly selected pharmacies. Test-buy success increased from 48% in 1996 to 65% in 2003 (P=.04). Pharmacists agreeing that syringes should be available to injection drug users through pharmacy purchase increased from 49% to 71% (P<.01). Pharmacy policies and pharmacist attitudes were strongly associated with syringe access. Structural changes, including policy reform and pharmacy outreach, appear to increase syringe access. Interventions should address pharmacy policies and pharmacist attitudes and policies.
摘要
我们研究了法律改革和地方项目实施前后药剂师在向注射吸毒者销售注射器方面的态度和做法，这些项目旨在增加无菌注射器的可及性。我们通过对药剂师进行电话调查以及在随机选择的药店进行注射器测试购买，复制了1996年的一项研究。测试购买成功率从1996年的48%提高到了2003年的65%（P = .04）。同意应通过药店购买向注射吸毒者提供注射器的药剂师比例从49%增至71%（P < .01）。药店政策和药剂师态度与注射器可及性密切相关。包括政策改革和药店推广在内的结构性变化似乎增加了注射器的可及性。干预措施应针对药店政策、药剂师态度和政策。
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