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Evaluation of longitudinal clinical outcomes and adherence to care among HIV-infected refugees.

Publication ,  Journal Article
Winston, SE; Montague, BT; Lopez, MJ; Delong, A; Lemarchand, C; Bedoya, A; Gillani, FS; Beckwith, CG
Published in: J Int Assoc Provid AIDS Care
2013

BACKGROUND: HIV-infected refugees resettled in the United States face many challenges. Longitudinal data regarding HIV-specific outcomes in this population are limited. METHODS: We reviewed charts of 51 HIV-infected sub-Saharan African refugees matched to 102 nonrefugees. Outcomes analyzed included CD4 counts, viral loads (VLs), antiretroviral treatment (ART) use, appointment adherence, opportunistic infections, and resistance mutations. RESULTS: The ART initiation was similar. Appointment adherence was similar in year 1, but refugees were significantly less adherent beyond year 3. Refugees and nonrefugees spent similar amounts of time in care suppressed (83% vs 80%, P = .93). Refugees had higher odds of viremia following undetectable VL (OR 2.3, P < .05). DISCUSSION: Initially, sub-Saharan African HIV-infected refugees have comparable appointment adherence, ART use, and VL suppression to nonrefugees. Overtime refugees were less adherent to appointments and more likely to have postsuppression viremia. The support services provided to refugees early in care may be important for retention in care and treatment success.

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Published In

J Int Assoc Provid AIDS Care

DOI

ISSN

2325-9574

Publication Date

2013

Volume

12

Issue

3

Start / End Page

202 / 207

Location

United States

Related Subject Headings

  • Young Adult
  • United States
  • Treatment Outcome
  • Socioeconomic Factors
  • Refugees
  • Patient Compliance
  • Middle Aged
  • Male
  • Longitudinal Studies
  • Humans
 

Citation

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Winston, S. E., Montague, B. T., Lopez, M. J., Delong, A., Lemarchand, C., Bedoya, A., … Beckwith, C. G. (2013). Evaluation of longitudinal clinical outcomes and adherence to care among HIV-infected refugees. J Int Assoc Provid AIDS Care, 12(3), 202–207. https://doi.org/10.1177/1545109712459680
Winston, Susanna E., Brian T. Montague, Michael J. Lopez, Allison Delong, Chloe Lemarchand, Armando Bedoya, Fizza S. Gillani, and Curt G. Beckwith. “Evaluation of longitudinal clinical outcomes and adherence to care among HIV-infected refugees.J Int Assoc Provid AIDS Care 12, no. 3 (2013): 202–7. https://doi.org/10.1177/1545109712459680.
Winston SE, Montague BT, Lopez MJ, Delong A, Lemarchand C, Bedoya A, et al. Evaluation of longitudinal clinical outcomes and adherence to care among HIV-infected refugees. J Int Assoc Provid AIDS Care. 2013;12(3):202–7.
Winston, Susanna E., et al. “Evaluation of longitudinal clinical outcomes and adherence to care among HIV-infected refugees.J Int Assoc Provid AIDS Care, vol. 12, no. 3, 2013, pp. 202–07. Pubmed, doi:10.1177/1545109712459680.
Winston SE, Montague BT, Lopez MJ, Delong A, Lemarchand C, Bedoya A, Gillani FS, Beckwith CG. Evaluation of longitudinal clinical outcomes and adherence to care among HIV-infected refugees. J Int Assoc Provid AIDS Care. 2013;12(3):202–207.
Journal cover image

Published In

J Int Assoc Provid AIDS Care

DOI

ISSN

2325-9574

Publication Date

2013

Volume

12

Issue

3

Start / End Page

202 / 207

Location

United States

Related Subject Headings

  • Young Adult
  • United States
  • Treatment Outcome
  • Socioeconomic Factors
  • Refugees
  • Patient Compliance
  • Middle Aged
  • Male
  • Longitudinal Studies
  • Humans