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

International Journal of Environmental Research and Public Health

Sara A. Lowther¹  Glenise Johnson²  Brett Hendel-Paterson³  Kailey Nelson²  Blain Mamo²  Kristina Krohn³  Luisa Pessoa-Brandão²  Ann O�llon² 

[1] Centers for Disease Control and Prevention, 1600 Clifton Road, MS A-04, Atlanta, GA 30333, USAMinnesota Department of Health (MDH), Saint Paul, MN 55164, USA;Department of Medicine—Global Health, University of Minnesota, Minneapolis, MN 55455, USA;

关键词: HIV;    acquired immunodeficiency syndrome;    refugees;    emigration and immigration;    epidemiology;   

DOI  :  10.3390/ijerph9114197

来源: mdpi

【 摘 要 】

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.

【 授权许可】

CC BY   
© 2012 by the authors; licensee MDPI, Basel, Switzerland.