Chicago Center for HIV Elimination, Chicago, IL, USA.
Department of Medicine, University of Chicago, Chicago, IL, USA.
AIDS Behav. 2022 Aug;26(8):2686-2691. doi: 10.1007/s10461-022-03607-7. Epub 2022 Feb 8.
The COVID-19 pandemic resulted in widespread telehealth expansion. To determine telehealth uptake and potential sociodemographic differences in utilization among people with HIV (PwH), we examined HIV care appointments at the University of Chicago Medicine, an urban tertiary hospital. Visits between March 15th and September 9th for 2019 and 2020 were categorized as in-person, telehealth, and within telehealth, video, and phone. Differences in visit types were modeled using logistic regression to examine associations with demographics, insurance type, and HIV risk transmission category. Telehealth appointments were more likely for those aged 46-60 versus those 31-45 [46-60; AOR 1.89 95% CI (1.14, 3.15)]. Black race and participants of other races were less likely to use telehealth compared to whites [Black: AOR 0.33 95% CI (0.16, 0.64), other: AOR 0.10 95% CI (0.02, 0.34)]. Future studies should continue to examine potential disparities in telehealth use among PwH, including age and racial differences.
中文译文：
COVID-19 大流行导致远程医疗广泛扩展。为了确定 HIV 感染者（PwH）中远程医疗的采用情况以及利用方面的潜在社会人口学差异，我们检查了芝加哥大学医学中心（一所城市三级医院）的 HIV 护理预约情况。将 2019 年和 2020 年 3 月 15 日至 9 月 9 日之间的就诊分为面对面、远程医疗以及远程医疗内的视频和电话。使用逻辑回归模型分析就诊类型的差异，以检查与人口统计学、保险类型和 HIV 风险传播类别相关的关联。与 31-45 岁的人相比，46-60 岁的人更有可能进行远程医疗预约[46-60；AOR 1.89，95%CI（1.14，3.15）]。与白人相比，黑人种族和其他种族的参与者使用远程医疗的可能性较小[黑人：AOR 0.33，95%CI（0.16，0.64），其他：AOR 0.10，95%CI（0.02，0.34）]。未来的研究应继续检查 PwH 中远程医疗使用方面的潜在差异，包括年龄和种族差异。
