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Sohail M, Long D, Kay E, Levitan EB, Batey DS, Reed-Pickens H, Rana A, Carodine A, Nevin C, Eady S, Parmar J, Turner K, Orakwue I, Miller T, Wynne T, Mugavero M. Role of Visit Modality in the HIV-Related No-Shows During the COVID-19 Pandemic: A Multisite Retrospective Cohort Study. AIDS Behav 2023:10.1007/s10461-022-03973-2. [PMID: 36633763 PMCID: PMC9838273 DOI: 10.1007/s10461-022-03973-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/22/2022] [Indexed: 01/13/2023]
Abstract
The emergence of the COVID-19 pandemic necessitated rapid expansion of telehealth as part of healthcare delivery. This study compared HIV-related no-shows by visit type (in-person; video; telephone) during the COVID-19 pandemic (April 2020-September 2021) from the Data for Care Alabama project. Using all primary care provider visits, each visit's outcome was categorized as no-show or arrived. A logistic regression model using generalized estimating equations accounting for repeat measures in individuals and within sites calculated odds ratios (OR) and their accompanying 95% confidence interval (CI) for no-shows by visit modality. The multivariable models adjusted for sociodemographic factors. In-person versus telephone visits [OR (95% CI) 1.64 (1.48-1.82)] and in-person versus video visits [OR (95% CI) 1.53 (1.25-1.85)] had higher odds of being a no-show. In-person versus telephone and video no-shows were significantly higher. This may suggest success of telehealth visits as a method for HIV care delivery even beyond COVID-19.
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Affiliation(s)
- Maira Sohail
- Center for AIDS Research (CFAR), University of Alabama at Birmingham, Birmingham, AL USA
| | - Dustin Long
- Center for AIDS Research (CFAR), University of Alabama at Birmingham, Birmingham, AL USA
| | - Emma Kay
- Center for AIDS Research (CFAR), University of Alabama at Birmingham, Birmingham, AL USA
| | - Emily B. Levitan
- Center for AIDS Research (CFAR), University of Alabama at Birmingham, Birmingham, AL USA
| | - D. Scott Batey
- Center for AIDS Research (CFAR), University of Alabama at Birmingham, Birmingham, AL USA ,School of Social Work, Tulane University, New Orleans, LA USA
| | - Harriette Reed-Pickens
- Center for AIDS Research (CFAR), University of Alabama at Birmingham, Birmingham, AL USA
| | - Aadia Rana
- Center for AIDS Research (CFAR), University of Alabama at Birmingham, Birmingham, AL USA ,UAB, University of Alabama at Birmingham, 1917 Clinic, Birmingham, AL USA
| | - Alyssa Carodine
- Center for AIDS Research (CFAR), University of Alabama at Birmingham, Birmingham, AL USA
| | - Christa Nevin
- UAB, University of Alabama at Birmingham, 1917 Clinic, Birmingham, AL USA
| | - Seqouya Eady
- UAB Family Clinic, University of Alabama at Birmingham, Birmingham, AL USA
| | | | | | | | | | | | - Michael Mugavero
- Center for AIDS Research (CFAR), University of Alabama at Birmingham, Birmingham, AL USA ,UAB, University of Alabama at Birmingham, 1917 Clinic, Birmingham, AL USA ,1808 7TH AVE SOUTH BDB 834, Birmingham, AL 35233 USA
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Sohail M, Mugavero M, Long D, Levitan EB, Batey DS, Reed-Pickens H, Rana A, Carodine A, Nevin CR, Eady S, Parmar J, Turner K, Orakwue I, Miller T, Wynne T, Kay ES. Assessing the Impact of COVID-19 on Retention in HIV Primary Care: A Longitudinal Multisite Analysis. AIDS Behav 2022; 27:1514-1522. [PMID: 36322220 PMCID: PMC9629198 DOI: 10.1007/s10461-022-03886-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/30/2022] [Indexed: 11/28/2022]
Abstract
We compared retention in care outcomes between a pre-COVID-19 (Apr19-Mar20) and an early-COVID-19 (Apr20-Mar21) period to determine whether the pandemic had a significant impact on these outcomes and assessed the role of patient sociodemographics in both periods in individuals enrolled in the Data for Care Alabama project (n = 6461). Using scheduled HIV primary care provider visits, we calculated a kept-visit measure and a missed-visit measure and compared them among the pre-COVID-19 and early-COVID-19 periods. We used logistic regression models to calculated odds ratios (OR) and accompanying 95% confidence intervals (CI). Overall, individuals had lowers odds of high visit constancy [OR (95% CI): 0.85 (0.79, 0.92)] and higher odds of no-shows [OR (95% CI): 1.27 (1.19, 1.35)] during the early-COVID-19 period. Compared to white patients, Black patients were more likely to miss an appointment and transgender people versus cisgender women had lower visit constancy in the early-COVID-19 period.
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Affiliation(s)
- Maira Sohail
- Center for AIDS Research (CFAR), University of Alabama at Birmingham, 10th Ave S, 35294, Birmingham, AL, United States
| | - Michael Mugavero
- Center for AIDS Research (CFAR), University of Alabama at Birmingham, 10th Ave S, 35294, Birmingham, AL, United States
- UAB 1917 Clinic, University of Alabama at Birmingham, Birmingham, AL, United States
| | - Dustin Long
- Center for AIDS Research (CFAR), University of Alabama at Birmingham, 10th Ave S, 35294, Birmingham, AL, United States
| | - Emily B Levitan
- Center for AIDS Research (CFAR), University of Alabama at Birmingham, 10th Ave S, 35294, Birmingham, AL, United States
| | - D Scott Batey
- Center for AIDS Research (CFAR), University of Alabama at Birmingham, 10th Ave S, 35294, Birmingham, AL, United States
| | - Harriette Reed-Pickens
- Center for AIDS Research (CFAR), University of Alabama at Birmingham, 10th Ave S, 35294, Birmingham, AL, United States
| | - Aadia Rana
- Center for AIDS Research (CFAR), University of Alabama at Birmingham, 10th Ave S, 35294, Birmingham, AL, United States
- UAB 1917 Clinic, University of Alabama at Birmingham, Birmingham, AL, United States
| | - Alyssa Carodine
- Center for AIDS Research (CFAR), University of Alabama at Birmingham, 10th Ave S, 35294, Birmingham, AL, United States
| | - Christa R Nevin
- UAB 1917 Clinic, University of Alabama at Birmingham, Birmingham, AL, United States
| | - Seqouya Eady
- UAB Family Clinic, University of Alabama at Birmingham, Birmingham, AL, United States
| | | | | | | | | | | | - Emma Sophia Kay
- Center for AIDS Research (CFAR), University of Alabama at Birmingham, 10th Ave S, 35294, Birmingham, AL, United States.
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