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

被引:38
|
作者
Zhao, Alice [1 ]
Dangerfield, Derek T., II [2 ,3 ]
Nunn, Amy [4 ]
Patel, Rupa [5 ]
Farley, Jason E. [6 ]
Ugoji, Chinenye C. [7 ]
Dean, Lorraine T. [7 ]
机构
[1] Yale Sch Publ Hlth, Dept Epidemiol Microbial Dis, 60 Coll St, New Haven, CT 06510 USA
[2] Johns Hopkins Sch Nursing, 525 N Wolfe St, Baltimore, MD 21205 USA
[3] People Living Inc, Us Helping Us, 3636 Georgia Ave NW, Washington, DC 20010 USA
[4] Brown Univ, Behav & Social Sci, Sch Publ Hlth, 121 South Main St,Suite 810, Providence, RI 02912 USA
[5] Washington Univ, Div Infect Dis, John T Milliken Dept Internal Med, Sch Med St Louis, 4523 Clayton Ave,CB 8051, St Louis, MO 63110 USA
[6] Johns Hopkins Univ, REACH Initiat, Sch Nursing, 525 N Wolfe St, Baltimore, MD 21205 USA
[7] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, 615 N Wolfe St,Room E6650, Baltimore, MD 21205 USA
关键词
Pharmacist*; Sexual health; Initiation; Adherence; Compliance*; INTEGRATED PHARMACY; CLINICAL PHARMACIST; PREP UPTAKE; MEN; SEX; PREVENTION; IMPLEMENTATION; KNOWLEDGE; PROGRAM; RISK;
D O I
10.1007/s10461-021-03494-4
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
HIV pre-exposure prophylaxis (PrEP) remains underutilized in the U.S. Since greater than 85% of PrEP prescriptions are filled at commercial pharmacies, pharmacists are uniquely positioned to increase PrEP use. This scoping review explores pharmacy-based initiatives to increase PrEP use. We searched PubMed, PsycINFO, CINAHL, and Scopus for peer-reviewed studies on pharmacist-led interventions to increase PrEP use or pharmacy-based PrEP initiatives. Forty-nine articles were included in this review. Overall, studies demonstrated that patients expressed strong support for pharmacist prescription of PrEP. Three intervention designs compared changes in PrEP initiation or knowledge pre- and post-intervention. Commentary/review studies recommended PrEP training for pharmacists, policy changes to support pharmacist screening for HIV and PrEP prescription, and telemedicine to increase prescriptions. Pharmacists could play key roles in improving PrEP use in the U.S. Studies that assess improvements in PrEP use after interventions such as PrEP prescription, PrEP-specific training, and adherence monitoring by pharmacists are needed.
引用
收藏
页码:1377 / 1392
页数:16
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