Preparing for pre-exposure prophylaxis: perceptions and readiness of Canadian pharmacists for the implementation of HIV pre-exposure prophylaxis

被引:14
作者
Yoong, Deborah [1 ]
Naccarato, Mark [1 ]
Sharma, Malika [2 ]
Wilton, James [3 ]
Senn, Heather [4 ]
Tan, Darrell H. S. [5 ,6 ,7 ]
机构
[1] St Michaels Hosp, Dept Pharm, 30 Bond St,4CC-N Rm 4-177, Toronto, ON M5B 1W8, Canada
[2] Univ Toronto, Univ Hlth Network, Wilson Ctr Res Educ, Toronto, ON, Canada
[3] Canadian AIDS Treatment Informat Exchange, Toronto, ON, Canada
[4] Univ Toronto, Dept Family & Community Med, Toronto, ON M5S 1A1, Canada
[5] St Michaels Hosp, Div Infect Dis, 30 Bond St, Toronto, ON M5B 1W8, Canada
[6] Univ Toronto, Toronto, ON, Canada
[7] Hassle Free Clin, Toronto, ON, Canada
关键词
HIV; AIDS; prevention; pre-exposure prophylaxis; PrEP; pharmacists; Canadian; ANTIRETROVIRAL PROPHYLAXIS; INFECTION; KNOWLEDGE; PROVIDERS; PREP; PRESCRIPTION; PREVENTION; RESISTANCE; ADHERENCE; COST;
D O I
10.1177/0956462415589896
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Pre-exposure prophylaxis (PrEP) has been shown to reduce the risk of HIV transmission but has the potential to cause harm if not used properly. Pharmacists are well-positioned to foster PrEP's efficacy but little is known whether they would endorse it as an HIV prevention tool. The objective of the study was to determine Canadian HIV pharmacists' support for PrEP and to identify current barriers to promoting PrEP. Canadian pharmacists with experience in HIV care were invited to complete an online survey about their experiences, opinions, and learning needs regarding PrEP from December 2012 to January 2013. Among the 59 surveys received, 48 met criteria for final analysis. Overall, 33 (69%) respondents would provide education positively supporting the use of PrEP and 26 (54%) believed Health Canada should approve PrEP for use in Canada. Familiarity with the concept of PrEP and practice characteristics examined did not appear to be significantly associated with support for PrEP in univariable analyses. The principal barriers to promoting PrEP included inadequate drug coverage and insufficient knowledge to educate others. Many Canadian HIV pharmacists would endorse PrEP for high-risk patients; however, wider dissemination of information and lower drug costs may be needed to make PrEP more widely promoted.
引用
收藏
页码:608 / 616
页数:9
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