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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

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Received: 9 July 2012; in revised form: 31 October 2012 / Accepted: 9 November 2012 / Published: 16 November 2012
(This article belongs to the Special Issue Migrant Health)
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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.

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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.

AMA Style

Lowther SA, 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. International Journal of Environmental Research and Public Health. 2012; 9(11):4197-4209.

Chicago/Turabian Style

Lowther, Sara A.; Johnson, Glenise; Hendel-Paterson, Brett; Nelson, Kailey; Mamo, Blain; Krohn, Kristina; Pessoa-Brandão, Luisa; O'Fallon, Ann; Stauffer, William. 2012. "HIV/AIDS and Associated Conditions among HIV-Infected Refugees in Minnesota, 2000–2007." Int. J. Environ. Res. Public Health 9, no. 11: 4197-4209.



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