Availability, Accessibility, and Price of Rapid HIV Self-Tests, New York City Pharmacies, Summer 2013

作者：Myers Julie E; Davis Olivia Y El Sadr; Weinstein Elliott R; Remch Molly; Edelstein Amy; Khawja Amina; Schillinger Julia A

来源：AIDS and Behavior, 2017, 21(2): 515-524.

DOI：10.1007/s10461-016-1594-4

• Diagnosis
• Self-testing
• HIV
• Screening
• Pharmacy

We conducted an in-person survey of New York City (NYC) pharmacies to assess the availability, accessibility, and price of the over-the-counter, rapid HIV self-test kit. NYC pharmacies were stratified into high, moderate and low morbidity neighborhoods by the HIV diagnosis rate of the neighborhood in which the pharmacy was located. A random sample of 500 pharmacies was taken [250 from high morbidity neighborhoods (HighMN) and 250 from low morbidity neighborhoods (LowMN)]. Pharmacies were excluded if: closed during survey, non-retail, or > 10 min walk from subway. Project staff visited pharmacies to determine kit availability (in pharmacy on day of survey), accessibility (not locked/behind counter), and price (marked on shelf/product). Of 361 pharmacies (161 LowMN; 200 HighMN), kits were available in 27 % and accessible in 10 %; there was no difference by neighborhood. Kits were most often kept behind the pharmacy counter; this was more common in HighMN than in LowMN. Kits were kept solely behind the pharmacy counter in 52 %. Median price was US $42.99 without variability across neighborhoods. The rapid HIV self-test had limited availability and access in retail pharmacies. The high median price measured suggests that cost remained a barrier.

• 出版日期2017-2