Evidence map›Paper›PMID 29072110›Full record

ArticleGlobal health action2017

Using pharmacists and drugstore workers as sexual healthcare givers: a qualitative study of men who have sex with men in Dar es Salaam, Tanzania.

Charlotte Agardh, Felicia Weije, Anette Agardh, Joyce Nyoni, Michael W Ross, John Kashiha, Markus Larsson

Open access · goldAbstract read
In one paragraph

Article in Global health action, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 31% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
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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

7 authors at 3 institutions in 3 countries.

Charlotte Agardha School of Medicine, Faculty of Medicine , Lund University , Malmö , Sweden.
Felicia Weijea School of Medicine, Faculty of Medicine , Lund University , Malmö , Sweden.
Anette Agardhb Division for Social Medicine and Global Health, Department of Clinical Sciences, Malmö , Lund University , Malmö , Sweden.
Joyce Nyonic Department of Sociology and Anthropology , University of Dar es Salaam , Dar es Salaam , Tanzania.
Michael W Rossd Programme in Human Sexuality, Department of Family Medicine and Community Health , University of Minnesota , Minneapolis , MN , USA.
John Kashihae Community Health Education Services & Advocacy (CHESA) , Dar es Salaam , Tanzania.
Markus Larssonb Division for Social Medicine and Global Health, Department of Clinical Sciences, Malmö , Lund University , Malmö , Sweden.
Lund University · SEUniversity of Dar es Salaam · TZUniversity of Minnesota · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious research has shown that men who have sex with men (MSM) avoid formal healthcare services because of the fear of discrimination as homosexuality is illegal and stigmatized in Tanzania. Instead, self-treatment by medications obtained directly from pharmacies or drugstores may be common when MSM experience symptoms of suspected sexually transmitted infections (STIs) related to sexual activity with men.

objectiveTo explore MSM's perceptions and experiences of seeking treatment and advice from pharmacists and drugstore workers in Dar es Salaam, Tanzania, with regards to their sexual health and STI-related problems. MATERIALS AND

methods15 in-depth interviews were conducted with MSM with experience of seeking assistance relating to their sexual health at pharmacies and drugstores in Dar es Salaam in 2016. A qualitative manifest and latent content analysis was applied to the collected data.

resultsFour themes related to different aspects of MSM's perceptions and experiences of pharmacy care emerged from the analysis: (1) Balancing threats against need for treatment reflected informants' struggles concerning risks and benefits of seeking assistance at pharmacies and drugstores; (2) Identifying strategies to access required services described ways of approaching a pharmacist when experiencing a sexual health problem; (3) Seeing pharmacists as a first choice of care focused on informants' reasons for preferring contact with pharmacies/drugstores rather than formal healthcare services; and (4) Lacking reliable services at pharmacies indicated what challenges existed related to pharmacy care.

conclusionsMSM perceived the barriers for accessing assistance for STI and sexual health problems at pharmacies and drugstores as low, thereby facilitating their access to potential treatment. However, the results further revealed that MSM at times received inadequate drugs and consequently inadequate treatment. Multi-facetted approaches are needed, both among MSM and drugstore, pharmacy, and healthcare workers, to improve knowledge of MSM sexual health, STI treatment, and risks of antibiotic resistance.

Indexed as

Homosexuality, MalePharmacistsAdultFemaleHIV InfectionsHumansMaleMiddle AgedPatient Education as TopicQualitative ResearchSex EducationSexual and Gender MinoritiesSexually Transmitted DiseasesTanzaniaMSMpharmacistsself treatmentSTITanzania

Identifiers

PMID29072110
PMCPMC5678459
OpenAlexW2765207942

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.