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. 2020 Oct 5;10(10):e043763. doi: 10.1136/bmjopen-2020-043763

Table 3.

Sensitivity analyses, demonstrating results of the main regression model and alternate models

All visits Mean daily visits per clinic at time of lockdown period Stepwise change in clinic visits/day at start of level 5 lockdown P value
Primary model 90.3 (67.1 to 113.5) −6.7 (−16.4 to 3.0) 0.18
Poisson* mixed effects model 92.0 (59.3 to 124.7) −6.9 (−11.0 to −2.8) 0.001
Linear GEE (exchangeable correlation matrix) 89.2 (67.0 to 111.4) −6.4 (−16.8 to 4.08) 0.23
Poisson GEE* (exchangeable correlation matrix) 89.2 (84.7 to 93.6) −6.6 (−8.7 to −4.5) <0.001
Linear GEE (autoregressive correlation matrix) 90.2 (73.2 to 107.2) −5.4 (−27.4 to 16.6) 0.63
Poisson GEE* (autoregressive correlation matrix) 88.4 (85.0 to 91.9) −5.0 (−9.4 to −0.6) 0.03
Difference-in-differences 96.3 (63.6 to 129.0) 3.4 (−5.5 to 12.4) 0.45
Childcare visits
 Primary model 11.9 (8.6 to 15.1) −7.1 (−8.9 to −5.3) <0.001
 Poisson* mixed effects model 12.3 (7.1 to 17.5) −7.7 (−11.1 to −4.4) <0.001
 Linear GEE (exchangeable correlation matrix) 11.8 (8.6 to 15.0) −7.1 (−9.0 to −5.2) <0.001
 Poisson GEE* (exchangeable correlation matrix) 12.0 (10.5 to 13.5) −7.5 (−8.4 to −6.6) <0.001
 Linear GEE (autoregressive correlation matrix) 11.9 (9.5 to 14.4) −6.4 (−9.9 to −2.9) <0.001
 Poisson GEE* (autoregressive correlation matrix) 11.9 (10.7 to 13.1) −6.7 (−8.1 to −5.4) <0.001
 Difference-in-differences† 11.8 (8.0 to 15.7) −4.0 (−5.5 to −2.5) <0.001
HIV visits
 Primary model 37.5 (24.4 to 50.7) 8.0 (2.3 to 13.7) 0.01
 Poisson* mixed effects model 39.2 (22.7 to 55.8) 9.0 (4.5 to 13.5) <0.001
 Linear GEE (exchangeable correlation matrix) 37.7 (25.3 to 50.1) 8.1 (2.2 to 14.0) 0.007
 Poisson GEE* (exchangeable correlation matrix) 37.7 (34.8 to 40.6) 8.7 (7.2 to 10.3) <0.001
 Linear GEE (autoregressive correlation matrix) 38.9 (29.3 to 48.5) 6.1 (−6.2 to 18.5) 0.33
 Poisson GEE* (autoregressive correlation matrix) 37.9 (35.7 to 40.1) 5.7 (2.6 to 8.8) 0.002
 Difference-in-differences† 43.6 (25.1 to 62.1) 4.8 (−0.5 to 10.1) 0.08

*Poisson GEE results are presented as predictive margins and marginal effects so they represent changes on the same additive scale as the linear models.

†Difference-in-differences estimates are estimated as the mean of the level 5 lockdown period minus the mean of the prelockdown period, comparing 2020 with 2019. Estimates are based on a period-by-year interaction term fit via linear mixed models.

GEE, generalised estimating equations.