Assessing the Impact of COVID-19 on Retention in HIV Primary Care: A Longitudinal Multisite Analysis

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 f...

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Published inAIDS and behavior Vol. 27; no. 5; pp. 1514 - 1522
Main Authors Sohail, Maira, Mugavero, Michael, Long, Dustin, Levitan, Emily B., Batey, D. Scott, Reed-Pickens, Harriette, Rana, Aadia, Carodine, Alyssa, Nevin, Christa R., Eady, Seqouya, Parmar, Jitesh, Turner, Kelly, Orakwue, Ifeanyi, Miller, Theresa, Wynne, Tracy, Kay, Emma Sophia
Format Journal Article
LanguageEnglish
Published New York Springer US 01.05.2023
Springer Nature B.V
Subjects
Acquired immune deficiency syndrome
AIDS
Alabama - epidemiology
Alliances
Black or African American
Cisgender
COVID-19
COVID-19 - epidemiology
Female
Health care
Health Psychology
HIV
HIV Infections - epidemiology
Human immunodeficiency virus
Humans
Infectious Diseases
Medicine
Medicine & Public Health
Original Paper
Pandemics
Patient Compliance
Patients
Primary care
Primary Health Care
Public Health
Regression analysis
Regression models
Retention
Sexual and Gender Minorities
Sociodemographics
Statistical analysis
Telemedicine
Transgender persons
Alabama
COVID-19
retention in care
pre-COVID-19
HIV
no show
visit constancy
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Summary: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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ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-022-03886-0