Literature DB >> 29789257

HIV pre-exposure prophylaxis: Exploring the potential for expanding the role of pharmacists in public health.

Olihe Okoro, Lisa Hillman.   

Abstract

OBJECTIVES: The study objectives were to a) assess knowledge and experience; b) describe perceptions and attitudes; and c) identify training needs of community-based pharmacists regarding HIV pre-exposure prophylaxis (PrEP).
DESIGN: This was a cross-sectional survey study. SETTING AND PARTICIPANTS: The survey was administered online to pharmacists practicing in a community setting in the state of Minnesota. OUTCOME MEASURES: Measures included knowledge of and experience with HIV PrEP, perceptions and attitudes towards pharmacists' involvement, and HIV PrEP-specific training needs for pharmacists.
RESULTS: With a survey response rate of approximately 13% (n = 347), most respondents (76.4%) agreed that HIV PrEP can be beneficial in high-risk populations. Forty-six percent of respondents were not aware of U.S. Food and Drug Administration approval of emtricitabine and tenofovir disoproxil fumarate for PrEP. Most respondents (71.1%) were "not at all familiar" with Centers for Disease Control and Prevention guidelines for PrEP. Twenty-one percent of respondents had sufficient knowledge to counsel patients on PrEP. Experience with counseling on PrEP (21.8%), having dispensed PrEP in the last 2 years (33.1%), fewer years in practice (≤10 years), location of practice site (urban or suburban), and having received HIV continuing education in the last 2 years (33.0%) were associated with more knowledge of HIV PrEP. Top concerns with counseling were knowledge about the medication and behavior modification. The most frequently indicated primary concerns with implementing PrEP initiatives were identifying appropriate candidates and patient adherence.
CONCLUSION: As pharmacists' roles continue to expand, relevant content in pharmacy education and requisite training (including continuing education) are critical to addressing knowledge gaps and competencies that will enable pharmacists engage more effectively in public health efforts such as HIV prevention. Published by Elsevier Inc.

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Year:  2018        PMID: 29789257     DOI: 10.1016/j.japh.2018.04.007

Source DB:  PubMed          Journal:  J Am Pharm Assoc (2003)        ISSN: 1086-5802


  9 in total

Review 1.  Review of Real-World Implementation Data on Emtricitabine-Tenofovir Disoproxil Fumarate as HIV Pre-exposure Prophylaxis in the United States.

Authors:  Jessica L Adams; Karishma Shelley; Melanie R Nicol
Journal:  Pharmacotherapy       Date:  2019-04-01       Impact factor: 4.705

2.  Student Education About Pre-exposure Prophylaxis (PrEP) Varies Between Regions of the United States.

Authors:  Samuel R Bunting; Sarah S Garber; Robert H Goldstein; Timothy D Ritchie; Tamzin J Batteson; Timothy J Keyes
Journal:  J Gen Intern Med       Date:  2020-02-20       Impact factor: 5.128

3.  Missed Visits Associated With Future Preexposure Prophylaxis (PrEP) Discontinuation Among PrEP Users in a Municipal Primary Care Health Network.

Authors:  Matthew A Spinelli; Hyman M Scott; Eric Vittinghoff; Albert Y Liu; Rafael Gonzalez; Alicia Morehead-Gee; Monica Gandhi; Susan P Buchbinder
Journal:  Open Forum Infect Dis       Date:  2019-02-26       Impact factor: 3.835

4.  Expanding Knowledge About Implementation of Pre-exposure Prophylaxis (PrEP): A Methodological Review.

Authors:  Rogério M Pinto; Ashley Lacombe-Duncan; Emma Sophia Kay; Kathryn R Berringer
Journal:  AIDS Behav       Date:  2019-10

5.  Disparities in the PrEP continuum for trans women compared to MSM in San Francisco, California: results from population-based cross-sectional behavioural surveillance studies.

Authors:  Erin C Wilson; Caitlin M Turner; Sean Arayasirikul; Marguerita Lightfoot; Susan Scheer; Henry F Raymond; Albert Liu
Journal:  J Int AIDS Soc       Date:  2020-06       Impact factor: 5.396

6.  Knowledge of HIV and HIV pre-exposure prophylaxis among medical and pharmacy students: A national, multi-site, cross-sectional study.

Authors:  Samuel R Bunting; Brian A Feinstein; Aniruddha Hazra; Neeral K Sheth; Sarah S Garber
Journal:  Prev Med Rep       Date:  2021-10-07

Review 7.  Pharmacy-Based Interventions to Increase Use of HIV Pre-exposure Prophylaxis in the United States: A Scoping Review.

Authors:  Alice Zhao; Derek T Dangerfield; Amy Nunn; Rupa Patel; Jason E Farley; Chinenye C Ugoji; Lorraine T Dean
Journal:  AIDS Behav       Date:  2021-10-20

8.  Acceptability and Feasibility of Pharmacy-Based Delivery of Pre-Exposure Prophylaxis in Kenya: A Qualitative Study of Client and Provider Perspectives.

Authors:  Stephanie D Roche; Njeri Wairimu; Peter Mogere; Kevin Kamolloh; Josephine Odoyo; Zachary A Kwena; Elizabeth A Bukusi; Kenneth Ngure; Jared M Baeten; Katrina F Ortblad
Journal:  AIDS Behav       Date:  2021-04-07

9.  PrEP University: A Multi-Disciplinary University-Based HIV Prevention Education Program.

Authors:  Sophie M Cannon; Sara Graber; Helen L King; Marvin Hanashiro; Sarah Averbach; David J Moore; Jill Blumenthal
Journal:  J Community Health       Date:  2021-06-09
  9 in total

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