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P080Telehealth visits for contraception during the covid-19 pandemic: A national survey
OBJECTIVES: To examine demographic, socioeconomic, and regional differences between in-person and telehealth contraception visits and telehealth visit quality in the US during the COVID-19 pandemic. METHODS: In July 2020 and January 2021, we surveyed reproductive-aged women about experiences seeking...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Published by Elsevier Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9671651/ http://dx.doi.org/10.1016/j.contraception.2022.09.104 |
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author | Merz, AA Kerns, J Logan, R Gutierrez, S Marshall, C Diamond-Smith, NG |
author_facet | Merz, AA Kerns, J Logan, R Gutierrez, S Marshall, C Diamond-Smith, NG |
author_sort | Merz, AA |
collection | PubMed |
description | OBJECTIVES: To examine demographic, socioeconomic, and regional differences between in-person and telehealth contraception visits and telehealth visit quality in the US during the COVID-19 pandemic. METHODS: In July 2020 and January 2021, we surveyed reproductive-aged women about experiences seeking contraception. We created a COVID-19 hardship score assessing pandemic-related job, income, and housing loss and a telehealth quality score assessing telehealth visit convenience, communication, and privacy. We used chi-square tests and multivariable logistic regression to examine relationships between baseline variables and in-person vs. telehealth visits and telehealth quality scores. RESULTS: Among 2,028 respondents who answered questions about contraception visits, 1,490 (73.4%) reported any visit, of which 530 (35.6%) were telehealth. In adjusted analyses, respondents identifying as Hispanic/Latina and mixed race/other (adjusted OR (aOR), 0.59 and 0.36, respectively), from the South, Midwest, or Northeast (aOR, 0.63, 0.64, 0.52, respectively), without insurance (aOR 0.63), and with greater COVID-19 hardship (aOR 0.52) had significantly lower odds of attending any visit (all p<0.05). Among respondents with any visit for contraception, respondents from the Midwest and South had significantly lower odds of having a telehealth versus in-person visit (aOR 0.63 and 0.54 respectively, p<0.01). Hispanic/Latina respondents and those in the Northeast had significantly lower odds of reporting high telehealth quality (≥75th percentile) (aOR 0.53 and 0.65, respectively, p<0.05). CONCLUSIONS: Disparities in telehealth usage for contraception among people identifying as Hispanic/Latina and people in the South and Midwest, and in telehealth quality among Hispanic/Latina people. Further research should focus on patients’ desires around telehealth and increasing access to telehealthcare. |
format | Online Article Text |
id | pubmed-9671651 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Published by Elsevier Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-96716512022-11-18 P080Telehealth visits for contraception during the covid-19 pandemic: A national survey Merz, AA Kerns, J Logan, R Gutierrez, S Marshall, C Diamond-Smith, NG Contraception Article OBJECTIVES: To examine demographic, socioeconomic, and regional differences between in-person and telehealth contraception visits and telehealth visit quality in the US during the COVID-19 pandemic. METHODS: In July 2020 and January 2021, we surveyed reproductive-aged women about experiences seeking contraception. We created a COVID-19 hardship score assessing pandemic-related job, income, and housing loss and a telehealth quality score assessing telehealth visit convenience, communication, and privacy. We used chi-square tests and multivariable logistic regression to examine relationships between baseline variables and in-person vs. telehealth visits and telehealth quality scores. RESULTS: Among 2,028 respondents who answered questions about contraception visits, 1,490 (73.4%) reported any visit, of which 530 (35.6%) were telehealth. In adjusted analyses, respondents identifying as Hispanic/Latina and mixed race/other (adjusted OR (aOR), 0.59 and 0.36, respectively), from the South, Midwest, or Northeast (aOR, 0.63, 0.64, 0.52, respectively), without insurance (aOR 0.63), and with greater COVID-19 hardship (aOR 0.52) had significantly lower odds of attending any visit (all p<0.05). Among respondents with any visit for contraception, respondents from the Midwest and South had significantly lower odds of having a telehealth versus in-person visit (aOR 0.63 and 0.54 respectively, p<0.01). Hispanic/Latina respondents and those in the Northeast had significantly lower odds of reporting high telehealth quality (≥75th percentile) (aOR 0.53 and 0.65, respectively, p<0.05). CONCLUSIONS: Disparities in telehealth usage for contraception among people identifying as Hispanic/Latina and people in the South and Midwest, and in telehealth quality among Hispanic/Latina people. Further research should focus on patients’ desires around telehealth and increasing access to telehealthcare. Published by Elsevier Inc. 2022-12 2022-11-18 /pmc/articles/PMC9671651/ http://dx.doi.org/10.1016/j.contraception.2022.09.104 Text en Copyright © 2022 Published by Elsevier Inc. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Article Merz, AA Kerns, J Logan, R Gutierrez, S Marshall, C Diamond-Smith, NG P080Telehealth visits for contraception during the covid-19 pandemic: A national survey |
title | P080Telehealth visits for contraception during the covid-19 pandemic: A national survey |
title_full | P080Telehealth visits for contraception during the covid-19 pandemic: A national survey |
title_fullStr | P080Telehealth visits for contraception during the covid-19 pandemic: A national survey |
title_full_unstemmed | P080Telehealth visits for contraception during the covid-19 pandemic: A national survey |
title_short | P080Telehealth visits for contraception during the covid-19 pandemic: A national survey |
title_sort | p080telehealth visits for contraception during the covid-19 pandemic: a national survey |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9671651/ http://dx.doi.org/10.1016/j.contraception.2022.09.104 |
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