University of Minnesota, College of Pharmacy, 308 Harvard Street SE, Minneapolis, MN, 55455, USA.
Allina Health Uptown Clinic, Park Nicollet, and North Memorial Infectious Disease, Allina Health, 1221 West Lake St., Suite 201, Minneapolis, MN, 55408, USA.
Res Social Adm Pharm. 2020 Apr;16(4):529-534. doi: 10.1016/j.sapharm.2019.07.009. Epub 2019 Jul 15.
African-born persons constitute 1% of the total Minnesota population, yet 24% of new HIV infections occurred in this population in 2016. Furthermore, 32% of the African born persons living with HIV [PLWH] did not check their CD4 counts or viral load in 2018. Little is known of the role of pharmacists in antiretroviral (ARV) management in the PLWH of African origin.
This study aimed to describe the experiences of African-born PLWH in their interactions with pharmacists and perceptions of pharmacists' roles in fostering adherence to ARV therapy.
A qualitative approach was used for this study. Recruitment via fliers for in-person interviews with African-born PLWH in Minnesota continued until saturation was achieved. Narrative Interviews with 14 participants lasting up to 2 h were conducted over five months. All interviews were audio recorded and transcribed verbatim by a professional transcription service. Conventional Content Analysis was used to analyze the data.
Three themes emerged from analyzed data "Interaction with the pharmacists," "Revealing the diagnosis to a pharmacist," and "Lack of disclosure of HIV status to a pharmacist."
The participants referred to the interaction with pharmacists as a "business" or "transactional interaction." To better understand the interaction between pharmacists and PLWH of African-born, future studies could benefit from interviewing pharmacists from different practice settings.
在明尼苏达州，非洲裔人口仅占总人口的 1%，但 2016 年，该人群中却有 24%的新感染艾滋病毒。此外，2018 年，32%的感染艾滋病毒的非洲裔人群[PLWH]没有检查他们的 CD4 计数或病毒载量。在非洲裔 PLWH 中，药剂师在抗逆转录病毒（ARV）管理中的作用鲜为人知。
本研究旨在描述非洲裔 PLWH 在与药剂师互动中的体验，以及他们对药剂师在促进 ARV 治疗依从性方面的作用的看法。
本研究采用定性方法。通过传单招募明尼苏达州的非洲裔 PLWH 进行面对面访谈，直到达到饱和。对 14 名参与者进行了长达 2 小时的叙事访谈，访谈时间持续了五个月。所有访谈均通过专业转录服务进行录音，并逐字转录。采用常规内容分析法对数据进行分析。
从分析的数据中出现了三个主题：“与药剂师的互动”、“向药剂师透露诊断结果”和“向药剂师隐瞒 HIV 状况”。
参与者将与药剂师的互动称为“生意”或“交易性互动”。为了更好地理解药剂师和非洲裔 PLWH 之间的互动，未来的研究可以从不同的实践环境中采访药剂师中受益。
