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Sexual health services in community pharmacy for women on opioid substitution treatment: a qualitative study
European Journal of Public Health ( IF 3.7 ) Pub Date : 2020-05-08 , DOI: 10.1093/eurpub/ckaa073
Laura Medina-Perucha 1, 2 , Jenny Scott 1 , Sarah Chapman 1 , Julie Barnett 3 , Charlotte Dack 3 , Hannah Family 1, 4
Affiliation  

BACKGROUND Women on opioid substitution treatment (WOST) are at heightened risk for the sexual transmission of sexually transmitted infections and blood-borne viruses. This study aimed to explore the opportunities to promote their sexual health in community pharmacies in UK. METHODS Semi-structured interviews were conducted with 20 WOST and 14 community pharmacists (CPs). A focus group was run with three CPs. Participants were recruited in drug services and a service for sex workers (WOST), and in CP. Data collection took place between October 2016 and September 2017. Data were analyzed using Framework Analysis and directed Content Analysis. RESULTS CPs could play a role in promoting sexual health among WOST. Sexual health screening, treatment and condom supply were suggested as potential ways of delivering pharmacy-based sexual health services. These services should be actively offered to WOST, delivered in a private space and free of cost. We identified several challenges to overcome in order to design and implement sexual health services for WOST in community pharmacies. CONCLUSIONS This study highlights the potentially key role CPs can have promoting sexual health and addressing health inequities among WOST. Improvements in pharmacists' training are required in order to address stigma towards WOST, and promote trust and positive rapport. Structural changes are also needed to broaden the services available for this group of women and improve their access to healthcare.

中文翻译:

社区药房为接受阿片类药物替代治疗的妇女提供性健康服务:一项定性研究

背景 接受阿片类药物替代治疗 (WOST) 的女性在性传播感染和血源性病毒的性传播方面面临更高的风险。本研究旨在探索在英国社区药房促进性健康的机会。方法 对 20 名 WOST 和 14 名社区药剂师 (CP) 进行了半结构化访谈。一个焦点小组由三个 CP 组成。参与者是在药物服务和性工作者服务 (WOST) 以及 CP 中招募的。数据收集于 2016 年 10 月至 2017 年 9 月期间进行。使用框架分析和定向内容分析对数据进行分析。结果 CPs 可以在促进 WOST 的性健康方面发挥作用。性健康检查、治疗和安全套供应被建议作为提供基于药房的性健康服务的潜在方式。这些服务应积极提供给 WOST,在私人空间免费提供。我们确定了几个需要克服的挑战,以便在社区药房中为 WOST 设计和实施性健康服务。结论 本研究强调了 CP 可以在促进性健康和解决 WOST 之间的健康不平等方面发挥的潜在关键作用。需要改进药剂师的培训,以消除对 WOST 的污名,促进信任和积极的关系。还需要进行结构性变革,以扩大为这一类女性提供的服务,并改善她们获得医疗保健的机会。我们确定了几个需要克服的挑战,以便在社区药房中为 WOST 设计和实施性健康服务。结论 本研究强调了 CP 可以在促进性健康和解决 WOST 之间的健康不平等方面发挥的潜在关键作用。需要改进药剂师的培训,以消除对 WOST 的污名,促进信任和积极的关系。还需要进行结构性变革,以扩大为这一类女性提供的服务,并改善她们获得医疗保健的机会。我们确定了几个需要克服的挑战,以便在社区药房中为 WOST 设计和实施性健康服务。结论 本研究强调了 CP 可以在促进性健康和解决 WOST 之间的健康不平等方面发挥的潜在关键作用。需要改进药剂师的培训,以消除对 WOST 的污名,促进信任和积极的关系。还需要进行结构性变革,以扩大为这一类女性提供的服务,并改善她们获得医疗保健的机会。
更新日期:2020-05-08
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