Pharmacist ambivalence about sale of syringes to injection drug users.
OBJECTIVE
To examine pharmacists' attitudes and practices surrounding human immunodeficiency virus (HIV) prevention among injection drug users.


METHODS
Focus groups.


METHODS
Urban and rural sites in Colorado, Connecticut, Kentucky, and Missouri.


METHODS
Eight focus groups, with 4 to 11 pharmacists participating in each group.


METHODS
Transcripts of focus group discussions were evaluated for common themes by the authors and through the use of NUD*IST.


METHODS
Willingness to sell syringes to all customers, views on syringe exchange programs (SEPs), knowledge of laws governing syringe sales and racial, ethnic, or gender biases in syringe selling practices.


RESULTS
Two pharmacists established their own policies of selling syringes to everyone, and three expressed a willingness to have their pharmacies serve as SEPs. A total of 20% of the pharmacists expressed an interest in learning more about the efficacy of SEPs and distribution of syringes by pharmacists, and were willing to change their views based on this information. Many also indicated a general willingness to work with SEPs or to participate in the effort to curb the spread of HIV. However, a majority of pharmacists opposed having SEPs in their pharmacies and reported selling syringes only within specific limits: to known diabetics, to individuals who looked reasonable, or to individuals who presented a logical explanation. No racial, ethnic, or gender bias was observed.


CONCLUSIONS
Opinions among pharmacists varied across and within sites. While a majority of pharmacists would not establish SEPs in their own pharmacies, nearly all would participate in other HIV-prevention programs. Educational programs for pharmacists may be valuable in HIV-prevention efforts.
Reich
Wendy
W
Washington University, St. Louis, MO, USA. wendyr@twins.wustl.edu
Compton
Wilson M
WM
Horton
Joe C
JC
Cottler
Linda B
LB
Cunningham-Williams
Renee M
RM
Booth
Robert
R
Singer
Merrill
M
Leukefeld
Carl
C
Fink
Joseph
J
Stopka
Tom
T
Corsi
Karen Fortuin
KF
Tindall
Michelle Staton
MS
D001291:Attitude of Health Personnel; D017144:Focus Groups; D006801:Humans; D007883:Legislation, Medical; D010595:Pharmacists; D012424:Rural Population; D015819:Substance Abuse, Intravenous; D013594:Syringes / Q000600:supply & distribution*; D014505:Urban Population