Evidence map›Paper›PMID 28915888›Full record

ArticleHarm reduction journal2017

Stigmatization of people who inject drugs (PWID) by pharmacists in Tajikistan: sociocultural context and implications for a pharmacy-based prevention approach.

Umedjon Ibragimov, Hannah L Cooper, Regine Haardörfer, Kristin L Dunkle, William A Zule, Frank Y Wong

Open access · goldAbstract read
In one paragraph

Article in Harm reduction journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 31 citations in OpenAlex.

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  16. Readiness of community pharmacies to implement an opioid safety intervention.Journal of the American Pharmacists Association : JAPhA
    Article
  17. Overcoming stigma in pharmacy practice.Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 4 countries.

Umedjon IbragimovHIV/AIDS and Harm Reduction Association of Tajikistan, 73/3 I. Somoni Str., office 59, 734064, Dushanbe, Tajikistan. mail.umed@yahoo.com.ORCID 0000-0001-7111-2139
Hannah L CooperDepartment of Behavioral Sciences & Health Education, Emory University Rollins School of Public Health, 1518 Clifton Rd NE, Atlanta, GA, 30032, USA.
Regine HaardörferDepartment of Behavioral Sciences & Health Education, Emory University Rollins School of Public Health, 1518 Clifton Rd NE, Atlanta, GA, 30032, USA.
Kristin L DunkleGender and Health Division, South African Medical Research Council, Francie van Zijl Drive, Parowvallei, PO Box 19070, Cape, Tygerberg, 7505, South Africa.
William A ZuleRTI International, 3040 East Cornwallis Road, P.O. Box 12194, Research Triangle Park, NC, 27709, USA.
Frank Y WongDepartment of Tropical Medicine, John A. Burns School of Medicine, University of Hawai'i at Mānoa, 651 Ilalo St, Honolulu, HI, 96813, USA.
Emory University · USRTI International · USSouth African Medical Research Council · ZAUniversity of Hawaiʻi at Mānoa · US

Funding

Pilot Test of an Intervention to Change Syringes Used by Injecting Drug UsersR34DA035094 · NIDA · RESEARCH TRIANGLE INSTITUTE · PI ZULE, WILLIAM A · 2013 to 2015
$665k
NIDA NIH HHS R34 DA035094
6 · The paper itself

Abstract

backgroundPharmacies are an important source of sterile syringes for people who inject drugs (PWID) in Tajikistan who are under high risk of HIV and hepatitis C virus. Accessibility of sterile syringes at pharmacies without prescription may depend on pharmacists' attitudes towards PWID. This qualitative inquiry examines meanings and processes of stigmatization of PWID among pharmacists and pharmacy students in Tajikistan.

methodsWe conducted semi-structured interviews with 19 pharmacists and 9 students (N = 28) in the cities of Dushanbe and Kulob, Tajikistan. The interview topics included personal attitudes towards drug use and PWID, encounters with PWID, awareness and beliefs related to drug dependence and HIV, and attitudes and practices related to providing syringes to PWID. Interview transcripts were analysed using thematic analysis methods.

resultsThe main themes included the significance of religion in defining attitudes towards drug use, labelling of PWID, negative stereotypes (PWID are prone to crime, violence, and irrational aggression; inflict harm to families and society; are able to control drug use), emotions triggered by PWID (fear, sympathy) and discrimination against PWID (rejection, isolation, ostracism, limiting resources to PWID). The religious ban on drug use and pharmacists' moral and legal responsibility for the consequences of drug use were frequently mentioned as reasons for rejecting syringe sales. Still, many participants acknowledged the need for distributing syringes to PWID to prevent HIV.

conclusionsStigma against PWID in Tajikistan plays an important role in shaping pharmacists' attitudes towards provision of services to this population. Local sociocultural context, in particular religious beliefs and social conservatism, may facilitate stigmatizing beliefs.

Indexed as

Attitude of Health PersonnelSocial StigmaAdultCultureDrug UsersFemaleHIV InfectionsHumansInterviews as TopicMaleMiddle AgedNeedle-Exchange ProgramsPharmaceutical ServicesPharmacistsSubstance Abuse, IntravenousTajikistanHarm reductionInjecting drug usePharmacistsStigmaTajikistan

Identifiers

PMID28915888
PMCPMC5602909
OpenAlexW2755059904

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.