Predicting Pharmacist Dispensing Practices and Comfort Related to Pre-exposure Prophylaxis for HIV Prevention (PrEP).
Beth E MeyersonP C DinhJ D AgleyB J HillD N MotleyG A CarterW JayawardeneP T RyderPublished in: AIDS and behavior (2019)
To identify factors associated with pharmacist dispensing practice and comfort counseling patients about pre-exposure prophylaxis for HIV prevention (PrEP). Cross-sectional 2016 census of Indiana managing pharmacists measured PrEP awareness, comfort dispensing and counseling patients. Modified Poisson models with robust error variance estimated relative risks and confidence intervals. 15.8% of 284 pharmacists had dispensed PrEP and 11.6% had consulted about it. Dispensing and comfort counseling were associated with confidence in knowledge about PrEP medication adherence and adverse effects of PrEP medication; awareness about PrEP before the survey, number of full time pharmacists in their pharmacy, and increases in new HIV cases from 2015 to 2016 in communities served. Comfort counseling about PrEP was associated with the belief that pharmacists can be an important resource for HIV and HCV treatment.
Keyphrases
- men who have sex with men
- hiv testing
- hiv positive
- end stage renal disease
- cross sectional
- healthcare
- ejection fraction
- newly diagnosed
- hepatitis c virus
- chronic kidney disease
- primary care
- peritoneal dialysis
- hiv infected
- antiretroviral therapy
- human immunodeficiency virus
- emergency department
- smoking cessation
- hiv aids
- climate change
- patient reported outcomes
- general practice
- quality improvement
- electronic health record
- adverse drug