Literature DB >> 2511969

Role of community pharmacies in prevention of AIDS among injecting drug misusers: findings of a survey in England and Wales.

A Glanz1, C Byrne, P Jackson.   

Abstract

OBJECTIVE: To determine the current and potential roles of community pharmacists in the prevention of AIDS among misusers of injected drugs.
DESIGN: Cross sectional postal survey of a one in four random sample of registered pharmacies in England and Wales.
SETTING: Project conducted in the addiction research unit of the Institute of Psychiatry, London.
SUBJECTS: 2469 Community pharmacies in the 15 regional health authorities in England and Wales. MAIN OUTCOME MEASURES: Willingness of pharmacists to sell injecting equipment to known or suspected misusers of drugs; pharmacists' attitudes to syringe exchange schemes, keeping a "sharps" box for use by misusers of drugs, and offering face to face advice and leaflets; and opinions of community pharmacists on their role in AIDS prevention and drug misuse.
RESULTS: 1946 Questionnaires were returned, representing a response rate of 79%. This fell short of the target of one in four pharmacies in each family practitioner committee area in England and Wales, and total numbers of respondents were therefore weighted in inverse proportion to the response rate in each area. The findings disclosed a substantial demand for injecting equipment by drug misusers. After weighting of numbers of respondents an estimated 676 of 2434 pharmacies were currently selling injecting equipment and 65 of 2415 (3%) were participating in local syringe exchange schemes; only 94 of 2410 pharmacies (4%) had a sharps box for used equipment. There was a high degree of concern among pharmacists about particular consequences of drug misusers visiting their premises, along with a widespread acceptance that the community pharmacist had an important part to play.
CONCLUSIONS: Promoting the participation of community pharmacists in the prevention of AIDS among misusers of injected drugs is a viable policy, but several problems would need to be overcome before it was implemented.

Entities:  

Mesh:

Year:  1989        PMID: 2511969      PMCID: PMC1837978          DOI: 10.1136/bmj.299.6707.1076

Source DB:  PubMed          Journal:  BMJ        ISSN: 0959-8138


  4 in total

Review 1.  Special problems of injecting drug-misusers.

Authors:  R P Brettle; B Nelles
Journal:  Br Med Bull       Date:  1988-01       Impact factor: 4.291

2.  Changes in HIV risk behaviour in clients of syringe-exchange schemes in England and Scotland.

Authors:  M C Donoghoe; G V Stimson; K Dolan; L Alldritt
Journal:  AIDS       Date:  1989-05       Impact factor: 4.177

3.  HIV transmission risk behaviour of clients attending syringe-exchange schemes in England and Scotland.

Authors:  G V Stimson; M Donoghoe; L Alldritt; K Dolan
Journal:  Br J Addict       Date:  1988-12

4.  Syringe exchange schemes for drug users in England and Scotland.

Authors:  G V Stimson; L Alldritt; K Dolan; M Donoghoe
Journal:  Br Med J (Clin Res Ed)       Date:  1988-06-18
  4 in total
  11 in total

1.  Telephone survey of Alaskan pharmacists' nonprescription needle-selling practices.

Authors:  C R Harbke; D G Fisher; H H Cagle; B N Trubatch; A M Fenaughty; M E Johnson
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2.  Harm minimisation for drug misusers.

Authors:  J Strang; M Farrell
Journal:  BMJ       Date:  1992-05-02

3.  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

4.  Role of community pharmacies in relation to HIV prevention and drug misuse: findings from the 1995 national survey in England and Wales.

Authors:  J Sheridan; J Strang; N Barber; A Glanz
Journal:  BMJ       Date:  1996-08-03

5.  Reality and feasibility for pharmacy-delivered services for people who inject drugs in Xichang, China: Comparisons between pharmacy staff and people who inject drugs.

Authors:  Yi Yang; Carl Latkin; Rongsheng Luan; Cui Yang
Journal:  Int J Drug Policy       Date:  2015-06-09

6.  Pharmacy access to syringes among injecting drug users: follow-up findings from Hartford, Connecticut.

Authors:  M Singer; H A Baer; G Scott; S Horowitz; B Weinstein
Journal:  Public Health Rep       Date:  1998-06       Impact factor: 2.792

7.  Barriers to pharmacy-based syringe purchase among injection drug users in Tijuana, Mexico: a mixed methods study.

Authors:  Robin A Pollini; Remedios Lozada; Manuel Gallardo; Perth Rosen; Alicia Vera; Armando Macias; Lawrence A Palinkas; Steffanie A Strathdee
Journal:  AIDS Behav       Date:  2010-06

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Authors:  Sigrid Vorobjov; Anneli Uusküla; Katri Abel-Ollo; Ave Talu; Don Des Jarlais
Journal:  J Urban Health       Date:  2009-11-18       Impact factor: 3.671

9.  Provision of opioid substitution therapy services in Australian pharmacies.

Authors:  B B Chaar; J R Hanrahan; C Day
Journal:  Australas Med J       Date:  2011-04-30

10.  Not sold here: limited access to legally available syringes at pharmacies in Tijuana, Mexico.

Authors:  Robin A Pollini; Perth C Rosen; Manuel Gallardo; Brenda Robles; Kimberly C Brouwer; Grace E Macalino; Remedios Lozada
Journal:  Harm Reduct J       Date:  2011-05-24
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