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药店为男男性行为者提供暴露前预防支持。

Pharmacy-based pre-exposure prophylaxis support among pharmacists and men who have sex with men.

出版信息

J Am Pharm Assoc (2003). 2020 Jul-Aug;60(4):602-608. doi: 10.1016/j.japh.2019.12.003. Epub 2020 Jan 30.

Abstract

OBJECTIVE

To understand the perceptions and support for pharmacy-based pre-exposure prophylaxis (PrEP) delivery among pharmacists and men who have sex with men (MSM).

DESIGN

A qualitative study from April 2017 to December 2018.

SETTING AND PARTICIPANTS

The researchers used purposive sampling to identify MSM participants and AIDSVu to identify pharmacists in high-human immunodeficiency virus (HIV) zip codes in the metropolitan Atlanta area. Eight MSM and 6 pharmacists consented to participate in the study.

OUTCOME MEASURES

Perceptions and support for PrEP delivery in pharmacies.

RESULTS

Both MSM and pharmacists expressed strong support for in-pharmacy PrEP screening and dissemination. MSM reported that pharmacies were more convenient and accessible compared with physician's offices. However, they also noted that privacy and training of pharmacy staff were important for them to consider being screened for PrEP in a pharmacy. Pharmacists also believed training was important and felt comfortable counseling on HIV prevention for their current patients.

CONCLUSION

These data support early evidence that pharmacies are a promising venue to improve PrEP access for MSM. To implement PrEP screening in pharmacies, proper training of pharmacy staff and a designated space to ensure privacy are critical. Future studies should test the feasibility of screening for PrEP in pharmacies for black MSM.

摘要

目的

了解药剂师和男男性行为者(MSM)对基于药房的暴露前预防(PrEP)服务的看法和支持。

设计

这是一项从 2017 年 4 月到 2018 年 12 月的定性研究。

地点和参与者

研究人员使用目的抽样法来确定 MSM 参与者,同时使用 AIDSVu 来确定在亚特兰大市区高 HIV 邮政编码地区的药剂师。有 8 名 MSM 和 6 名药剂师同意参与研究。

结局指标

对药房提供 PrEP 服务的看法和支持。

结果

MSM 和药剂师均强烈支持在药房进行 PrEP 筛查和推广。MSM 报告称,与医生办公室相比,药房更方便和容易到达。然而,他们也指出,隐私和药剂师的培训对他们考虑在药房接受 PrEP 筛查很重要。药剂师也认为培训很重要,并对为当前患者提供 HIV 预防咨询感到舒适。

结论

这些数据支持早期证据,即药房是提高 MSM 获得 PrEP 的有前途的场所。要在药房实施 PrEP 筛查,对药剂师进行适当的培训和指定确保隐私的空间是至关重要的。未来的研究应测试在黑人 MSM 中在药房进行 PrEP 筛查的可行性。

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Pharmacy-based pre-exposure prophylaxis support among pharmacists and men who have sex with men.药店为男男性行为者提供暴露前预防支持。
J Am Pharm Assoc (2003). 2020 Jul-Aug;60(4):602-608. doi: 10.1016/j.japh.2019.12.003. Epub 2020 Jan 30.

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