Literature DB >> 12489616

Pharmacist ambivalence about sale of syringes to injection drug users.

Wendy Reich1, Wilson M Compton, Joe C Horton, Linda B Cottler, Renee M Cunningham-Williams, Robert Booth, Merrill Singer, Carl Leukefeld, Joseph Fink, Tom Stopka, Karen Fortuin Corsi, Michelle Staton Tindall.   

Abstract

OBJECTIVE: To examine pharmacists' attitudes and practices surrounding human immunodeficiency virus (HIV) prevention among injection drug users.
DESIGN: Focus groups.
SETTING: Urban and rural sites in Colorado, Connecticut, Kentucky, and Missouri. PATIENTS OR OTHER PARTICIPANTS: Eight focus groups, with 4 to 11 pharmacists participating in each group.
INTERVENTIONS: Transcripts of focus group discussions were evaluated for common themes by the authors and through the use of NUD*IST. MAIN OUTCOME MEASURES: Willingness to sell syringes to all customers, views on syringe exchange programs (SEPs), knowledge of laws governing syringe sales and racial, ethnic, or gender biases in syringe selling practices.
RESULTS: Two pharmacists established their own policies of selling syringes to everyone, and three expressed a willingness to have their pharmacies serve as SEPs. A total of 20% of the pharmacists expressed an interest in learning more about the efficacy of SEPs and distribution of syringes by pharmacists, and were willing to change their views based on this information. Many also indicated a general willingness to work with SEPs or to participate in the effort to curb the spread of HIV. However, a majority of pharmacists opposed having SEPs in their pharmacies and reported selling syringes only within specific limits: to known diabetics, to individuals who looked reasonable, or to individuals who presented a logical explanation. No racial, ethnic, or gender bias was observed.
CONCLUSION: Opinions among pharmacists varied across and within sites. While a majority of pharmacists would not establish SEPs in their own pharmacies, nearly all would participate in other HIV-prevention programs. Educational programs for pharmacists may be valuable in HIV-prevention efforts.

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Mesh:

Year:  2002        PMID: 12489616     DOI: 10.1331/1086-5802.42.0.s52.reich

Source DB:  PubMed          Journal:  J Am Pharm Assoc (Wash)        ISSN: 1086-5802


  11 in total

1.  "Vivo para consumirla y la consumo para vivir" ["I live to inject and inject to live"]: high-risk injection behaviors in Tijuana, Mexico.

Authors:  Steffanie A Strathdee; Wendy Davila Fraga; Patricia Case; Michelle Firestone; Kimberly C Brouwer; Saida Gracia Perez; Carlos Magis; Miguel Angel Fraga
Journal:  J Urban Health       Date:  2005-09       Impact factor: 3.671

2.  Increased access to unrestricted pharmacy sales of syringes in Seattle-King County, Washington: structural and individual-level changes, 1996 versus 2003.

Authors:  Ryan J Deibert; Gary Goldbaum; Theodore R Parker; Holly Hagan; Robert Marks; Michael Hanrahan; Hanne Thiede
Journal:  Am J Public Health       Date:  2006-06-29       Impact factor: 9.308

3.  Nonprescription naloxone and syringe sales in the midst of opioid overdose and hepatitis C virus epidemics: Massachusetts, 2015.

Authors:  Thomas J Stopka; Ashley Donahue; Marguerite Hutcheson; Traci C Green
Journal:  J Am Pharm Assoc (2003)       Date:  2017-02-08

4.  Increasing syringe access and HIV prevention in California: findings from a survey of local health jurisdiction key personnel.

Authors:  Thomas J Stopka; Richard S Garfein; Alessandra Ross; Steven R Truax
Journal:  J Urban Health       Date:  2007-01       Impact factor: 3.671

5.  Negotiating access: social barriers to purchasing syringes at pharmacies in Tijuana, Mexico.

Authors:  Peter J Davidson; Remedios Lozada; Perth C Rosen; Armando Macias; Manuel Gallardo; Robin A Pollini
Journal:  Int J Drug Policy       Date:  2012-06-05

6.  Racial differences in acquisition of syringes from pharmacies under conditions of legal but restricted sales.

Authors:  Elizabeth C Costenbader; William A Zule; Curtis C Coomes
Journal:  Int J Drug Policy       Date:  2010-01-22

7.  A multistate trial of pharmacy syringe purchase.

Authors:  Wilson M Compton; Joe C Horton; Linda B Cottler; Robert Booth; Carl G Leukefeld; Merrill Singer; Renee Cunningham-Williams; Wendy Reich; Karen Fortuin Corsi; Michele Staton; Joseph L Fink; Thomas J Stopka; Edward L Spitznagel
Journal:  J Urban Health       Date:  2004-12       Impact factor: 3.671

8.  Estimated effect of US state syringe sale policy on source of last-used injection equipment.

Authors:  Patrick Janulis; Barrett W Montgomery; James C Anthony
Journal:  Int J Drug Policy       Date:  2019-12-13

9.  High dead-space syringes and the risk of HIV and HCV infection among injecting drug users.

Authors:  William A Zule; Georgiy Bobashev
Journal:  Drug Alcohol Depend       Date:  2008-11-11       Impact factor: 4.492

10.  Pharmacist attitudes and provision of harm reduction services in North Carolina: an exploratory study.

Authors:  Rachel A Parry; William A Zule; Christopher B Hurt; Donna M Evon; Sarah K Rhea; Delesha M Carpenter
Journal:  Harm Reduct J       Date:  2021-07-08
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