评估药剂学专业学生的艾滋病暴露前预防(PrEP)处方知识、PrEP 态度以及与艾滋病相关的耻辱感

IF 1.3 Q4 PHARMACOLOGY & PHARMACY
Celeste Noelle Bustria B.S., Finan Yohannes, Jennifer Cocohoba Pharm.D., MAS, Lee Nguyen Pharm.D., Nimish Patel Pharm.D., Ph.D., Parya Saberi Pharm.D., MAS
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引用次数: 0

摘要

导言 人体免疫缺陷病毒(HIV)暴露前预防(PrEP)可显著降低感染 HIV 的风险。为了增加 PrEP 的处方量,评估未来药剂师的准备情况至关重要,因为他们将在提供 PrEP 教育、咨询和处方方面发挥关键作用。 目标 我们评估了药剂学学生对 PrEP 处方的了解、态度以及与 HIV 相关的耻辱感。 方法 我们对加利福尼亚大学三所药学院最后两年接受教育和培训的学生药剂师进行了横向网络调查。调查问题评估了学生对 PrEP 的认识、对处方指南和参议院第 159 号法案 (SB159) 的熟悉程度、PrEP 知识、与 HIV 相关的耻辱感以及对 PrEP 的态度。使用描述性统计对样本进行特征描述,并使用非参数检验来检验因变量与自变量之间的关联。p 值为 0.05 则具有统计学意义。 结果 共有 110 名学生参与了调查。与其他性别和性别认同的学生相比,男性(77.4%)(p = 0.047)和同性恋认同的学生(100%)(p = 0.039)对指南的熟悉程度最高。非高级药学实践经验(APPE)学生(70.3%)对 SB159 的熟悉程度明显高于 APPE 学生(65.2%)(p = 0.006)。与 APPE 学生相比,非 APPE 学生表现出更高的艾滋病相关耻辱感(13.8 vs. 9.4,p = 0.0015)。在 PrEP 知识(p = 0.0105)、HIV 相关污名(p = 0.0003)和 PrEP 态度(p = 0.0098)方面,不同学校之间存在显著差异。与其他种族类别的学生相比,非裔美国学生的 PrEP 态度平均得分明显更高(平均值 = 51.0,标准差 [SD] = 3.6)(p = 0.0329)。 结论 在 PrEP 知识水平较高的情况下,与艾滋病相关的污名化程度较高,这突出表明有必要重视消除艾滋病预防服务的污名化,并加强反污名化培训,这对于培养学生药剂师开具 PrEP 处方至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessing pharmacy students' HIV pre-exposure prophylaxis (PrEP) prescribing knowledge, PrEP attitudes, and HIV-related stigma

Introduction

Human immunodeficiency virus (HIV) pre-exposure prophylaxis (PrEP) significantly reduces the risk of acquiring HIV. To increase PrEP prescribing, it is crucial to evaluate the preparedness of future pharmacists who will play a pivotal role in providing PrEP education, counseling, and prescribing.

Objective

We assessed PrEP-prescribing knowledge, attitudes, and HIV-related stigma of pharmacy students.

Methods

We conducted a cross-sectional web-based survey of student pharmacists in their final two years of education and training at the three University of California pharmacy schools. Survey questions assessed students' awareness of PrEP, familiarity with prescribing guidelines and Senate Bill 159 (SB159), PrEP knowledge, HIV-related stigma, and attitudes about PrEP. The sample was characterized using descriptive statistics, and non-parametric tests were used to examine associations between dependent variables and independent variables. A p-value <0.05 was deemed statistically significant.

Results

A total of 110 students participated in the survey. The greatest familiarity with guidelines was observed in male (77.4%) (p = 0.047) and gay-identifying (100%) (p = 0.039) students compared with other genders and sexual identities, respectively. Non-advanced pharmacy practice experience (APPE) students (70.3%) displayed significantly more familiarity with SB159 than APPE students (65.2%) (p = 0.006). Non-APPE students displayed higher HIV-related stigma compared with APPE students (13.8 vs. 9.4, p = 0.0015). Significant differences in PrEP knowledge (p = 0.0105), HIV-related stigma (p = 0.0003), and PrEP attitudes (p = 0.0098) were observed between the schools. African American students had a significantly higher mean PrEP attitudes score (mean = 51.0, standard deviation [SD] = 3.6) compared with other racial categories (p = 0.0329).

Conclusion

Elevated HIV-related stigma, in the presence of high levels of PrEP knowledge, highlights the need to focus on destigmatizing HIV prevention services and increasing anti-stigma training, which is imperative in preparing student pharmacists to prescribe PrEP.

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