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2 results on '"Winston, Susanna"'

1. The Impact of Removing the Immigration Ban on HIV-Infected Persons.

Author

Winston, Susanna E. and Beckwith, Curt G.

Subjects
*HISTORY of emigration & immigration, *IMMIGRATION law, *HIV prevention, *HIV infection risk factors, *HISTORY of travel, *TRAVEL regulations, *SERODIAGNOSIS, *DIAGNOSIS of HIV infections, *HIV-positive persons, *IMMIGRANTS, *PRACTICAL politics, *PUBLIC health, *LEGAL status of HIV-positive persons, *GOVERNMENT policy, *AIDS laws, *LAW
Abstract

A letter to the editor is presented in which the impact of the federal rule in effect from January 4, 2010, which lifted the 22-year restriction on immigration and travel to the U.S. for non-U.S. citizens with HIV/AIDS.

Published
2011
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2. Evaluation of longitudinal clinical outcomes and adherence to care among HIV-infected refugees.

Author

Winston SE, Montague BT, Lopez MJ, Delong A, Lemarchand C, Bedoya A, Gillani FS, and Beckwith CG

Subjects
Adolescent, Adult, Africa South of the Sahara ethnology, Aged, Anti-HIV Agents therapeutic use, Appointments and Schedules, Female, HIV Infections psychology, Health Knowledge, Attitudes, Practice, Humans, Longitudinal Studies, Male, Middle Aged, Socioeconomic Factors, Treatment Outcome, United States epidemiology, Young Adult, HIV Infections ethnology, HIV Infections therapy, Patient Compliance, Refugees
Abstract

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.

Published
2013
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