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Disparities in Telehealth Use in HIV Care During the COVID-19 Pandemic: Study Findings from South Carolina. | LitMetric

AI Article Synopsis

  • Telehealth was used during the COVID-19 pandemic to continue HIV care, but its adoption varied significantly among different groups.
  • A study analyzed data from 2,375 individuals living with HIV in South Carolina, finding that only 4.8% utilized telehealth services, with older individuals and non-Hispanic Black patients having notably lower usage rates.
  • The research concluded that telehealth use did not correlate with improved viral suppression or testing, highlighting the need for targeted approaches to increase telehealth accessibility for underrepresented groups.

Article Abstract

Telehealth was adopted to maintain HIV care continuity during the COVID-19 pandemic; however, its use was unequally distributed. This study examined variation in HIV care visit patterns and whether telehealth use was associated with viral suppression. Electronic health record (EHR) data from a large HIV clinic in South Carolina was analyzed using multivariable logistic regression to characterize variation in telehealth use, having a viral load (VL) test, and viral suppression in 2022. EHR data from 2,375 people living with HIV (PWH) between March 2021 and March 2023 showed telehealth use among 4.8% of PWH. PWH who are 50+ years and non-Hispanic Black had lower odds of telehealth use (odds ratio [OR] 0.59, 95% confidence interval [CI 0.40-0.86]; OR 0.58, 95% CI [0.37-0.92] respectively). Telehealth use was not associated with viral suppression and VL testing. Telehealth disparities in HIV care affected older and non-Hispanic Black PWH, requiring tailored strategies to promote telehealth among them.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11296154PMC
http://dx.doi.org/10.1089/tmj.2023.0383DOI Listing

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