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Objective: Elevated blood pressure (BP), even at prehypertensive levels, increases cardiovascular disease risk among people with HIV (PWH); yet international guidelines in low-income countries recommend treatment initiation at BP at least 140/90 mmHg. We determined the efficacy, feasibility, and acceptability of treating prehypertension in PWH in Haiti.
Design: An unblinded randomized clinical trial (enrolled April 2021-March 2022) with 12-month follow-up.
Interventions for HIV prevention and treatment among people of Haitian descent: a scoping review.
BMJ Open
December 2024
University of Miami, Coral Gables, Florida, USA.
Article Synopsis
- - People of Haitian descent have faced stigma and disproportionately high rates of HIV, leading to a need for targeted research and intervention.
- - This scoping review evaluated studies on HIV prevention and treatment interventions specifically for Haitian populations, with a broad eligibility criteria and comprehensive search of eight major databases.
- - The review revealed a shortage of studies focused on Haitian populations, primarily involving women in Haiti, highlighting the necessity for community-based strategies to better address HIV-related health disparities.
Integration of a social network strategy into index testing to increase HIV case finding among Haitian migrants and their descendants in the Dominican Republic.
BMC Infect Dis
November 2024
Enhanced Services for Epidemic Control, FHI 360, Santo Domingo, Dominican Republic.
Introduction: Increasing effectiveness, efficiency, and reach of HIV case-finding strategies among priority populations is essential for epidemic control. Index testing is effective but presents potential risks, including stigma, violence, abandonment, and challenges such as fear of disclosure and reluctance to list contacts. We integrated the enhanced peer outreach approach (EPOA) social network strategy into index testing to increase case finding among Haitian migrants and individuals of Haitian descent in Dominican Republic.
View Article and Find Full Text PDFRecommendations for Integrating Traditional Birth Attendants to Improve Maternal Health Outcomes in Low- and Middle-Income Countries.
Int J MCH AIDS
September 2024
Department of Social and Behavioral Sciences, Yale University School of Public Health, New Haven, CT, USA.
Adverse maternal health outcomes and high rates of maternal mortality continue to disproportionately affect low- and middle-income countries (LMICs). With limited access to health facility care, many women in LMICs rely on traditional birth attendants (TBAs) to meet their maternal health needs. While some studies consider the use of TBAs to be problematic, others suggest the integration of TBAs into maternal healthcare to improve health outcomes.
View Article and Find Full Text PDFImmune Reconstitution Inflammatory Syndrome in a Patient With Cutaneous Leishmaniasis and HIV: A Diagnostic Challenge for Clinicians Caring for a Migrant Population in the United States.
Open Forum Infect Dis
October 2024
Department of Medicine, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts, USA.
Migration routes determine exposure to endemic infections. We present a case of complex cutaneous leishmaniasis in a man with HIV infection who migrated to the United States from Haiti, where is uncommon, acquiring leishmaniasis while on his journey via South America and Central America. His presentation included hyperpigmented, nonulcerated plaques and nodules on his extremities, chest, back, face, palms, and soles; initially he had no mucosal lesions.
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