HIV/AIDS and Associated Conditions among HIV-Infected Refugees in Minnesota, 2000–2007

Details

• Alternative Title:
  Int J Environ Res Public Health
• Personal Author:
  Lowther, Sara A. ; Johnson, Glenise ; Hendel-Paterson, Brett ; Nelson, Kailey ; Mamo, Blain ; Krohn, Kristina ; Pessoa-Brandão, Luisa ; O’Fallon, Ann ; Stauffer, William
• Description:
  In 2010, the requirement for human immunodeficiency virus (HIV) testing of adult refugees prior to US resettlement was removed, thus leading to a potential for missed diagnosis. We reviewed refugee health assessment data and medical charts to evaluate the health status of HIV-infected refugees who arrived in Minnesota during 2000-2007, prior to this 2010 policy change. Among 19,292 resettled adults, 174 were HIV-infected; 169 (97%) were African (median age 26.4 (range: 17-76) years). Charts were abstracted for 157 (124 (79%) with ≥ 1 year of follow-up). At initial presentation, two of 74 (3%) women were pregnant; 27% became pregnant during follow-up. HIV clinical stage varied (59%, asymptomatic; 11%, mild symptoms; 10%, advanced symptoms; 3%, severe symptoms; 17%, unknown); coinfections were common (51 tuberculosis, 13 hepatitis B, 13 parasites, four syphilis). Prior to arrival 4% had received antiretrovirals. Opportunistic infections were diagnosed among 13%; 2% died from AIDS-related causes. Arrival screening may be needed to identify these HIV-infected refugees and prevent HIV-related morbidity and mortality.
• Subjects:
  Adolescent Adult Aged Female HIV Infections Humans Male Middle Aged Pregnancy Refugees Young Adult

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• Source:
  Int J Environ Res Public Health. 2012; 9(11):4197-4209.
• Pubmed ID:
  23202841
• Pubmed Central ID:
  PMC3524622
• Document Type:
  Journal Article
• Funding:
  5U38HM000414-04/HM/NCHM CDC HHS/United States
• Place as Subject:
  Minnesota
• Volume:
  9
• Issue:
  11
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:1cff3d16163d11e4d2d58718c671dbcf260b62e22827eeb62d6d1cc5769b34b0
• Download URL:
  https://stacks.cdc.gov/view/cdc/22638/cdc_22638_DS1.pdf
• File Type:
  [PDF - 281.06 KB ]