The Role of the Pharmacist in Pre-Exposure Prophylaxis

Matyanga, Celia Moffat Joel

doi:10.4236/pp.2014.53029

Cited by 5 publications

(5 citation statements)

References 9 publications

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“…[13][14][15][16][17][18][19] One of the reported reasons for the limited prescription of PrEP is inadequate healthcare provider awareness and knowledge. [20][21][22][23] Previous research has focused on the knowledge, awareness, and attitudes towards prescribing PrEP among practicing physicians, 20,[22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40] pharmacists, [41][42][43][44][45][46][47][48][49] physician assistants (PAs), 20,31,[35][36][37][38][39] and nurses. 34,36,…”

Section: Introductionmentioning

confidence: 99%

“…Scaling up of PrEP prescription, which is essential to end the HIV epidemic, requires interprofessional collaboration. 42,45,49,[64][65][66][67][68][69][70][71] We investigated the comprehensiveness of health professions students' education regarding PrEP, and whether education about HIV-risk and PrEP were matched with regional disparities in PrEP prescription and HIV incidence. The methodology and results are reported following published guidelines.…”

Section: Introductionmentioning

confidence: 99%

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Student Education About Pre-exposure Prophylaxis (PrEP) Varies Between Regions of the United States

et al. 2020

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BACKGROUND: Daily, oral pre-exposure prophylaxis (PrEP) is an effective and safe prevention strategy for people at risk for HIV. However, prescription of PrEP has been limited for patients at the highest risk. Disparities in PrEP prescription are pronounced among racial and gender minority patients. A significant body of literature indicates that practicing healthcare providers have little awareness and knowledge of PrEP. Very little work has investigated the education about PrEP among health professionals in training. OBJECTIVE: The objective of this study was to compare health professions students' awareness of PrEP and education about PrEP between regions of the US, and to determine if correlations between regional HIV incidence and PrEP use were present. DESIGN: Survey study. PARTICIPANTS: A cross-sectional sample of health professions students (N = 1859) representing future prescribers (MD, DO, PA), pharmacists, and nurses in the US. KEY RESULTS: Overall, 83.4% of students were aware of PrEP, but only 62.2% of fourth-year students indicated they had been taught about PrEP at any time during their training. Education about PrEP was most comprehensive in the Northeastern US, the area with the highest PrEP to need ratio (4.7). In all regions, transgender patients and heterosexual men and women were least likely to be presented in education as PrEP candidates, and men who have sex with men were the most frequently presented. CONCLUSIONS: There are marked differences in education regarding PrEP both between academic programs and regions of the USA.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Student Education About Pre-exposure Prophylaxis (PrEP) Varies Between Regions of the United States

et al. 2020

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“…The strong intent, acceptability and perceived benefit of counselling patients on prophylaxis are noteworthy given the stigma associated with HIV and populations at-risk for infection (CDC, 2020). Students may also recognise the important role of pharmacists in PrEP and PEP adherence and counselling and HIV prevention at large (Matyanga, 2014;Unni et al, 2016;Broekhius et al, 2018).…”

Section: Intent Value and Acceptabilitymentioning

confidence: 99%

“…Furthermore, pharmacists are highly accessible to the public as they work in community pharmacies and clinics, as well as in institutional settings. Pharmacists have played important roles in the management of HIV infection by counselling patients on appropriate medication use and the importance of medication adherence, ensuring access to medication through insurance coverage or patient assistance programmes, and monitoring patients on HIV medications for efficacy and safety, including drug interactions (Scott et al, 2010;Tseng et al, 2012;Matyanga, 2014). They also provide important drug information for healthcare providers, patients, and the public.…”

Section: Introductionmentioning

confidence: 99%

Awareness, knowledge and comfort of pharmacy students on pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP) for HIV prevention

et al. 2021

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Introduction: Pharmacists are uniquely qualified to promote Pre-Exposure Prophylaxis (PrEP) and Post Exposure Prophylaxis (PEP). The objective of this study was to measure pharmacy students’ awareness, knowledge, and comfort regarding PrEP and PEP in an urban setting. Methods: A 23-point questionnaire was distributed to pharmacy students between 2 May 2019 and 31 May 2019. Results: Eighty six pharmacy students responded to the survey. Most of them correctly identified FDA-approved regimens for PrEP and PEP. Most students thought that a pharmacist or intern counselling patients on PrEP or PEP was beneficial; however, a minority felt confident counselling patients on PrEP or PEP. Students who met criteria for composite knowledge were significantly more likely to report confidence in counselling. Conclusion: Pharmacy students have strong awareness, but limited knowledge and comfort regarding PrEP and PEP. Results from the survey will be used to assess the learning needs of pharmacy students and inform future curricular changes.

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“…These pharmacies are especially important for rural populations and those who do not have access to the health system because they are found in almost any community [4–7]. Community pharmacies also contribute to the prevention of viral hepatitis and HIV because their services can include hepatitis A (HAV) and hepatitis B (HBV) vaccination [8], sterile syringe dispensing [9, 10], consultation about PrEP (pre-exposure prophylaxis for HIV prevention) [11, 12], the sale of HIV tests, and (in some cases) provision of HIV testing and consultation [13, 14].…”

Section: Introductionmentioning

confidence: 99%

I could take the judgment if you could just provide the service: non-prescription syringe purchase experience at Arizona pharmacies, 2018

et al. 2019

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Background Community pharmacies are important for health access by rural populations and those who do not have optimum access to the health system, because they provide myriad health services and are found in most communities. This includes the sale of non-prescription syringes, a practice that is legal in the USA in all but two states. However, people who inject drugs (PWID) face significant barriers accessing sterile syringes, particularly in states without laws allowing syringe services programming. To our knowledge, no recent studies of pharmacy-based syringe purchase experience have been conducted in communities that are both rural and urban, and none in the Southwestern US. This study seeks to understand the experience of retail pharmacy syringe purchase in Arizona by PWID. Methods An interview study was conducted between August and December 2018 with 37 people living in 3 rural and 2 urban Arizona counties who identified as current or former users of injection drugs. Coding was both a priori and emergent, focusing on syringe access through pharmacies, pharmacy experiences generally, experiences of stigma, and recommendations for harm reduction services delivered by pharmacies. Results All participants reported being refused syringe purchase at pharmacies. Six themes emerged about syringe purchase: (1) experience of stigma and judgment by pharmacy staff, (2) feelings of internalized stigma, (3) inconsistent sales outcomes at the same pharmacy or pharmacy chain, (4) pharmacies as last resort for syringes, (5) fear of arrest for syringe possession, and (6) health risks resulting from syringe refusal. Conclusions Non-prescription syringe sales in community pharmacies are a missed opportunity to improve the health of PWID by reducing syringe sharing and reuse. Yet, current pharmacy syringe sales refusal and stigmatization by staff suggest that pharmacy-level interventions will be necessary to impact pharmacy practice. Lack of access to sterile syringes reinforces health risk behaviors among PWID. Retail syringe sales at pharmacies remain an important, yet barrier-laden, element of a comprehensive public health response to reduce HIV and hepatitis C among PWID. Future studies should test multilevel evidence-based interventions to decrease staff discrimination and stigma and increase syringe sales.

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The Role of the Pharmacist in Pre-Exposure Prophylaxis

Cited by 5 publications

References 9 publications

Student Education About Pre-exposure Prophylaxis (PrEP) Varies Between Regions of the United States

Student Education About Pre-exposure Prophylaxis (PrEP) Varies Between Regions of the United States

Awareness, knowledge and comfort of pharmacy students on pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP) for HIV prevention

I could take the judgment if you could just provide the service: non-prescription syringe purchase experience at Arizona pharmacies, 2018

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