title: Medications for sexual health available from non-medical sources: a need for increased access to healthcare and education among immigrant Latinos in the rural southeastern USA.
abstract: This study documented the types and quality of sexual health medications obtained by immigrant Latinos from non-medical sources. Samples of the medications were purchased from non-medical sources in the rural Southeast by trained native Spanish-speaking "buyers". Medications were screened the presence of active pharmaceutical ingredients using mass spectrometry. Eleven medications were purchased from tiendas and community members. Six were suggested to treat sexually transmitted diseases, one was to treat sexual dysfunction, one was to prevent pregnancy, and two were to assist in male-to-female transgender transition or maintenance. All medications contained the stated active ingredients. Findings suggest that medications are available from non-medical sources and may not be used as indicated. Interventions that target immigrant Latinos within their communities and rely on existing structures may be effective in reducing barriers to medical and healthcare services and increasing the proper use of medications to reduce potential harm.
authors.affiliation: Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC 27157-1063, USA. srhodes@wfubmc.edu
authors.forename: Scott D
authors.initials: SD
authors.lastname: Rhodes
authors.forename: Facundo M
authors.initials: FM
authors.lastname: Fernández
authors.forename: Jami S
authors.initials: JS
authors.lastname: Leichliter
authors.forename: Aaron T
authors.initials: AT
authors.lastname: Vissman
authors.forename: Stacy
authors.initials: S
authors.lastname: Duck
authors.forename: Mary Claire
authors.initials: MC
authors.lastname: O'Brien
authors.forename: Cindy
authors.initials: C
authors.lastname: Miller
authors.forename: Aimee M
authors.initials: AM
authors.lastname: Wilkin
authors.forename: Glenn A
authors.initials: GA
authors.lastname: Harris
authors.forename: Dana M
authors.initials: DM
authors.lastname: Hostetler
authors.forename: Fred R
authors.initials: FR
authors.lastname: Bloom
mesh_terms: D003132:Commerce; D054626:Consumer Health Information; D054242:Emigrants and Immigrants / Q000193:education*; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D004364:Pharmaceutical Preparations / Q000600:supply & distribution*; D060728:Reproductive Health; D012424:Rural Population; D015144:Southeastern United States
chemical_list: D004364:Pharmaceutical Preparations