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首页> 外文期刊>Journal of Urban Health >Individual- and Neighborhood-Level Characteristics Associated with Support of In-Pharmacy Vaccination among ESAP-Registered Pharmacies: Pharmacists’ Role in Reducing Racial/Ethnic Disparities in Influenza Vaccinations in New York City
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Individual- and Neighborhood-Level Characteristics Associated with Support of In-Pharmacy Vaccination among ESAP-Registered Pharmacies: Pharmacists’ Role in Reducing Racial/Ethnic Disparities in Influenza Vaccinations in New York City

机译：在ESAP注册药房中支持药房接种的个人和邻里水平特征：药剂师在减少纽约市流感疫苗接种中的种族/种族差异方面的作用

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摘要

New York State (NYS) passed legislation authorizing pharmacists to administer immunizations in 2008. Racial/socioeconomic disparities persist in vaccination rates and vaccine-preventable diseases such as influenza. Many NYS pharmacies participate in the Expanded Syringe Access Program (ESAP), which allows provision of non-prescription syringes to help prevent transmission of HIV, and are uniquely positioned to offer vaccination services to low-income communities. To understand individual and neighborhood characteristics of pharmacy staff support for in-pharmacy vaccination, we combined census tract data with baseline pharmacy data from the Pharmacies as Resources Making Links to Community Services (PHARM-Link) study among ESAP-registered pharmacies. The sample consists of 437 pharmacists, non-pharmacist owners, and technicians enrolled from 103 eligible New York City pharmacies. Using multilevel analysis, pharmacy staff who expressed support of in-pharmacy vaccination services were 69% more likely to support in-pharmacy HIV testing services (OR, 1.69; 95% CI 1.39–2.04). While pharmacy staff who worked in neighborhoods with a high percent of minority residents were less likely to express support of in-pharmacy vaccination, those in neighborhoods with a high percent of foreign-born residents were marginally more likely to express support of in-pharmacy vaccination. While educational campaigns around the importance of vaccination access may be needed among some pharmacy staff and minority community residents, we have provided evidence supporting scale-up of vaccination efforts in pharmacies located in foreign-born/immigrant communities which has potential to reduce disparities in vaccination rates and preventable influenza-related mortality.
机译：纽约州（NYS）通过了立法，授权药剂师在2008年进行免疫接种。种族/社会经济差异仍然存在于疫苗接种率和疫苗可预防的疾病（例如流感）中。纽约州的许多药店都参与了扩展注射器普及计划（ESAP），该计划允许提供非处方注射器以帮助防止HIV传播，并且处于向低收入社区提供疫苗接种服务的独特位置。为了了解药房工作人员支持药房接种疫苗的个人和社区特征，我们将普查区数据与药房的基线药房数据结合起来，作为在ESAP注册的药房中进行社区服务的资源制作链接（PHARM-Link）的研究。该样本由来自103家合格的纽约市药房的437名药剂师，非药剂师所有者和技术人员组成。使用多级分析，表示对药房疫苗接种服务表示支持的药房职员支持药房艾滋病毒检测服务的可能性要高69％（OR为1.69； 95％CI为1.39-2.04）。虽然在少数族裔居民比例较高的社区工作的药房工作人员不太可能表示支持药房接种疫苗，但在外国出生居民比例较高的社区的药房工作人员表示支持药房接种疫苗的几率更高。虽然某些药房工作人员和少数族裔居民可能需要围绕获得疫苗的重要性开展教育运动，但我们提供了证据支持在外国出生/移民社区的药房扩大疫苗接种工作，这有可能减少疫苗接种的差异率和可预防的流感相关死亡率。

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