Next Article in Journal
Premenstrual Symptoms in Dysmenorrheic College Students: Prevalence and Relation to Vitamin D and Parathyroid Hormone Levels
Next Article in Special Issue
Comparing Sociodemographic Factors Associated with Disability Between Immigrants and the Chilean-Born: Are There Different Stories to Tell?
Previous Article in Journal
Characteristics and Trends of Hospitalized Pediatric Abuse Head Trauma in Wuhan, China: 2002–2011
Previous Article in Special Issue
Experiences of French Speaking Immigrants and Non-immigrants Accessing Health Care Services in a Large Canadian City
Int. J. Environ. Res. Public Health 2012, 9(11), 4197-4209; doi:10.3390/ijerph9114197
Article

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

1,2,* , 2
, 3,4
, 2,5
, 2
, 3
, 2
, 2
 and 3,5
1 Centers for Disease Control and Prevention, 1600 Clifton Road, MS A-04, Atlanta, GA 30333, USA 2 Minnesota Department of Health (MDH), Saint Paul, MN 55164, USA 3 Department of Medicine—Global Health, University of Minnesota, Minneapolis, MN 55455, USA 4 HealthPartners Regions Hospital, Saint Paul, MN 55104, USA 5 Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA
* Author to whom correspondence should be addressed.
Received: 9 July 2012 / Revised: 31 October 2012 / Accepted: 9 November 2012 / Published: 16 November 2012
(This article belongs to the Special Issue Migrant Health 2012)
View Full-Text   |   Download PDF [281 KB, uploaded 19 June 2014]   |   Browse Figures

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.
Keywords: HIV; acquired immunodeficiency syndrome; refugees; emigration and immigration; epidemiology HIV; acquired immunodeficiency syndrome; refugees; emigration and immigration; epidemiology
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Share & Cite This Article

Export to BibTeX |
EndNote


MDPI and ACS Style

Lowther, S.A.; Johnson, G.; Hendel-Paterson, B.; Nelson, K.; Mamo, B.; Krohn, K.; Pessoa-Brandão, L.; O'Fallon, A.; Stauffer, W. HIV/AIDS and Associated Conditions among HIV-Infected Refugees in Minnesota, 2000–2007. Int. J. Environ. Res. Public Health 2012, 9, 4197-4209.

View more citation formats

Related Articles

Article Metrics

Comments

Citing Articles

[Return to top]
Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert