Rural women and pharmacologic therapy: needs and issues in rural Canada.
BACKGROUND
The needs and issues of rural women regarding pharmacologic information and therapy are rarely explored. We sought to explore the needs and issues of rural women in Canada regarding drug-related information and prescription and nonprescription pharmaceuticals.


METHODS
We used the qualitative methodology of interpretive description. In-depth semistructured face-to-face interviews were conducted with 20 women aged 17-88 years who lived in rural southwestern Ontario.


RESULTS
Although rural women accessed prescription medications, complementary and alternative medicine (CAM) was highly favoured, and alcohol and illicit drugs such as marijuana, crystal meth and cocaine were prevalent in rural communities. Factors that affected rural women's decisions about which medications to use included access to health care practitioners, costs of medications, experiences of family members and friends with prescribed and alternative medications, attitudes and approaches of health care providers and health store employees, and the women's own expectations and desires. Factors that affected the use of illicit drugs included availability, boredom, peer pressure and cultural norms. Rural factors that influenced access to drug information and use included presence or lack of confidential care, distance to resources, and presence, accessibility and acceptability of rural resources.


CONCLUSIONS
Rural women use a variety of drug therapies and sources of information, and experience unique socioeconomic and environmental issues that affect access to appropriate drug-related information and therapies. Further research is needed to clarify and articulate pharmacologic needs, issues and solutions for women in diverse rural settings.
Leipert
Beverly D
BD
Rural Women's Health Research, Faculty of Health Sciences and Faculty of Medicine and Dentistry, University of Western Ontario, London, Ont. bleipert@uwo.ca
Matsui
Doreen
D
Wagner
Jessica
J
Rieder
Michael J
MJ
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003157:Community Pharmacy Services; D000529:Complementary Therapies; D004358:Drug Therapy; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008875:Middle Aged; D009864:Ontario; D010353:Patient Education as Topic; D055553:Prescription Drugs; D019035:Rural Health Services; D019966:Substance-Related Disorders / Q000517:prevention & control / Q000534:rehabilitation; D016387:Women's Health
D055553:Prescription Drugs