Abstract
In the absence of an effective vaccine or a cure for human immunodeficiency virus (HIV), the only option is prevention through education. Pharmacists, the most respected and accessible health-care professionals, can educate the public on prevention and treatment of HIV infection. Information about pharmacists' knowledge and attitudes regarding safer sex, condom use, and acquired immunodeficiency syndrome (AIDS) as well as information on the educational needs of community pharmacists in rural regions is not known. A survey of pharmacies in Iowa was conducted to assess pharmacists' knowledge base, attitudes, and their involvement in the prevention of AIDS. Approximately 50% of the pharmacies (3851770) responded. Twenty-one percent reported having sewed HIV-infected patrons. Most pharmacists (8 1 %) were personally involved in the sale of condoms but only 39% counseled patients on proper condom use. Less than 40% reported the had any formal training in counseling patients in general. Only &I % d less than 70% of pharmacists were aware of the risks of natural membrane condoms and the protection offered by the spermicicle mnoxywl-9, respectively. Lack of privacy. time, and customer interest were reported as significant barriers to counseling. Chain pharmacists were more likely to repon lacking time and privacy as barriers Ihan pharmacists in other settings. The survey results provide a framework for the design of a continuing education program to address specific issues raised in the survey.