HIV/AIDS and Associated conditions among HIV-infected refugees in minnesota, 2000-2007

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

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)4197-4209
Number of pages13
JournalInternational journal of environmental research and public health
Volume9
Issue number11
DOIs
StatePublished - Nov 2012

Bibliographical note

Copyright:
Copyright 2013 Elsevier B.V., All rights reserved.

Keywords

  • Acquired immunodeficiency syndrome
  • Emigration and immigration
  • Epidemiology
  • HIV
  • Refugees

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