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Factors influencing pharmacy students' intention to sell syringes to suspected injection drug users in community-based pharmacies.

机译:影响药房学生在社区药房向怀疑的注射吸毒者出售注射器的意愿的因素。

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摘要

Providing access to sterile syringes, through pharmacy-based syringe sales, is considered an important part of a comprehensive approach to HIV/AIDS prevention among injection drug users (IDUs). Pharmacists are the gatekeepers for such sales and thus, formal pharmacy education can potentially play a critical role in shaping syringe-selling behavior of pharmacy students.;This dissertation presents results from an electronic survey administered to pharmacy students enrolled at the South Carolina College of Pharmacy. The cross-sectional survey assessed pharmacy students' knowledge of syringe laws, HIV prevention beliefs, perceived negative consequences of selling, beliefs about addiction, beliefs about educational preparation, normative beliefs, facilitators of selling, community-based pharmacy experience with selling, and intention to sell syringes to IDUs. The survey was completed by a total of 119 second, third, and fourth year doctoral pharmacy students. Mann-Whitney U test, Kruskal-Wallis test, multiple linear regression, and multiple logistic regression analysis were conducted.;The majority (64.9%) of students reported selling syringes and 24.1% reported declining to sell syringes to suspected IDUs during their pharmacy experiences. Intention to sell was positively associated with students and preceptors' selling and negatively associated with students' declining to sell. Students' intention to sell was positively associated with knowledge of syringe laws, HIV prevention beliefs, normative beliefs, and facilitators of selling and negatively associated with perceived negative consequences of selling. Student sold was positively associated with HIV prevention beliefs and normative beliefs and was negatively associated with perceived negative consequences of selling.;Students with high intention to sell had significantly higher knowledge of syringe laws, HIV prevention beliefs, normative beliefs, and facilitators of selling and lower perceived negative consequences of selling than students with low intention to sell syringes to suspected IDUs. HIV prevention beliefs, perceived negative consequences of selling, and declining to sell syringes were significant predictors and explained 69% of the variability in intention to sell. Students with higher HIV prevention beliefs were more likely to have high intention to sell syringes to suspected IDUs than students with lower HIV prevention beliefs. Students with higher perceived negative consequences of selling were less likely to have high intention to sell than students with lower perceived negative consequences of selling. Pharmacy student who had declined one or more times to sell syringes were less likely to have high intention to sell than students who had never declined to sell syringes to suspected IDUs.;These findings support the need for pharmacy education programs to incorporate curriculum aimed at addressing factors associated with pharmacy students' intention to sell syringes to suspected IDUs. Such modifications can potentially increase IDU access to sterile syringes from community-based pharmacies and help prevent HIV transmission among this population.
机译:通过以药房为基础的注射器销售来提供使用无菌注射器的途径,被认为是注射毒品使用者(IDU)预防艾滋病毒/艾滋病的综合方法的重要组成部分。药剂师是此类销售的守门员,因此,正规的药房教育可能会在影响药房学生的注射器销售行为中发挥关键作用。;本论文介绍了对在南卡罗来纳州药学院注册的药房学生进行的电子调查结果。横断面调查评估了药房学生对注射器法的了解,预防艾滋病的信念,对销售的负面影响,对成瘾的信念,对教育准备的信念,规范性信念,推销员,基于社区的药房销售经验以及意图向IDU出售注射器。这项调查由119位第二,第三和第四年的博士药学专业学生完成。进行了Mann-Whitney U检验,Kruskal-Wallis检验,多元线性回归和多元Logistic回归分析;;大多数(64.9%)的学生报告说出售注射器,而24.1%的学生表示在药房工作期间拒绝向可疑的IDU出售注射器。 。出售意愿与学生和受训者的销售呈正相关,而与学生拒绝出售的消极相关。学生的销售意愿与注射器法律知识,艾滋病预防信念,规范性信念以及销售促进者有正相关关系,而与销售的负面影响则有负相关关系。卖出的学生与艾滋病预防信念和规范性信念呈正相关,与卖出的负面影响呈负相关。;具有高销售意愿的学生对注射器法,艾滋病毒预防信念,规范性信念以及促进和促进销售的知识具有更高的知识。与不愿意将注射器出售给可疑注射毒品使用者的学生相比,销售的负面影响要小。预防艾滋病毒的信念,感知到的负面销售后果以及注射器销量下降是重要的预测因素,并解释了69%的销售意向变化。艾滋病毒预防信念较高的学生比艾滋病毒预防信念较低的学生更有可能向怀疑的注射毒品使用者出售注射器。那些对销售产生的负面影响较高的学生比那些对销售产生的负面影响较低的学生具有较高的销售意愿。与从未拒绝向可疑注射毒品使用者出售注射器的学生相比,曾经拒绝出售注射器一次或多次的药房学生不太可能具有较高的销售意愿;这​​些发现支持药房教育计划需要纳入旨在解决问题的课程药学专业学生向怀疑的注射毒品使用者出售注射器的意图的相关因素。此类修改可能会增加IDU从社区药房使用无菌注射器的机会,并有助于防止HIV在该人群中传播。

著录项

  • 作者

    Fiegel, Katherine.;

  • 作者单位

    University of South Carolina.;

  • 授予单位 University of South Carolina.;
  • 学科 Health Sciences Public Health.
  • 学位 Ph.D.
  • 年度 2010
  • 页码 197 p.
  • 总页数 197
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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