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Pharmacists' Perceptions of Tobacco Sales in an Elevated-Risk Population

机译:药剂师对高风险人群中烟草销售的看法

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Background: Policies by the American Medical Association and the American Pharmacists Association advocate for the discontinuation of tobacco sales in pharmacies, yet tobacco sales remain lucrative for pharmacies in the United States. West Virginia has the highest smoking rate (29%) and the second highest lung cancer incidence in the country. Objective: This study examined pharmacists' perceptions of tobacco sales in pharmacies and awareness of relevant policies. Methods: West Virginia pharmacists (n = 195) were surveyed to understand tobacco sales in West Virginia pharmacy, utilizing Diffusion of Innovations as a theoretical framework. Results: Eighty-one percent were community pharmacists, and 39% practiced at independent pharmacies. Sixty-two percent reported that their pharmacies did not sell tobacco. Pharmacists at independent pharmacies were more likely to be in rural areas/small towns, have decision-making control over tobacco sales, and not currently selling tobacco products. Other community pharmacists (ie, at regional and national chains) were more likely to sell tobacco products, not have decision-making control over tobacco sales, and perceive revenue loss from discontinuing tobacco sales. Other types of pharmacists (eg, hospital) estimated a greater number of patients who were smokers/tobacco users. A logistic regression showed that less perceived revenue loss was associated with greater likelihood of not selling tobacco products (all Ps < .05). Conclusions: Findings indicate a strong movement among community pharmacists to curtail the use of tobacco. Generating support for the elimination of tobacco sales and adoption of tobacco cessation initiatives in community pharmacy could help reduce smoking rates in elevated-risk populations.
机译:背景:美国医学会和美国药剂师协会的政策主张在药房中停止烟草销售,但在美国药房中,烟草销售仍然有利可图。西弗吉尼亚州的吸烟率最高(29%),是该州第二高的肺癌发生率。目的:本研究调查了药剂师在药房中对烟草销售的看法以及相关政策的意识。方法:以创新扩散为理论框架,对西弗吉尼亚州的药剂师(n = 195)进行了调查,以了解西弗吉尼亚州药房的烟草销售。结果:81%是社区药师,39%是独立药房的执业医师。 62%的人报告说他们的药店不出售烟草。独立药房的药剂师更有可能在农村地区/小镇,对烟草销售具有决策控制权,并且目前不销售烟草产品。其他社区药剂师(即,区域和国家连锁店)更有可能销售烟草产品,对烟草销售没有决策控制权,并认为停止烟草销售会造成收入损失。其他类型的药剂师(例如医院)估计有更多的吸烟者/吸烟者患者。 Logistic回归表明,较少的可感觉到的收入损失与不出售烟草产品的可能性更高(所有Ps <.05)。结论:研究结果表明,社区药剂师在减少烟草使用方面有强烈的运动。为消除烟草销售和在社区药房采用戒烟倡议提供支持可以帮助降低高风险人群的吸烟率。

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