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

Lowther, Sara A.; Johnson, Glenise; Hendel-Paterson, Brett; Nelson, Kailey; Mamo, Blain; Krohn, Kristina; Pessoa-Brandão, Luisa; O’Fallon, Ann; Stauffer, William

doi:10.3390/ijerph9114197

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

Published Date:

Nov 16 2012

Publisher's site:

http://dx.doi.org/10.3390/ijerph9114197 New Site Icon

Source:

Int J Environ Res Public Health. 2012; 9(11):4197-4209.

[PDF-281.06 KB]

Details:

Alternative Title:

Int J Environ Res Public Health

Personal Author:

Lowther, Sara A. ; Johnson, Glenise ; Hendel-Paterson, Brett ; Nelson, Kailey ; Mamo, Blain ; ... More ▼

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.

Subject:

[+]

Pubmed ID:

23202841

Pubmed Central ID:

PMC3524622

Document Type:

Journal Article

Funding:

5U38HM000414-04/HM/NCHM CDC HHS/United States

Collection(s):

CDC Public Access

Main Document Checksum:

[+]

Supporting Files:

	ijerph-09-04197-g001.gif	image/gif
	ijerph-09-04197-g001.jpg	image/jpeg
	ijerph-09-04197-g002.gif	image/gif
	ijerph-09-04197-g002.jpg	image/jpeg
	ijerph-09-04197.nxml	text/plain
	license.txt	text/plain

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