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About the need to address pediatric health inequalities in French Guiana : a scoping review - 27/05/22

Doi : 10.1016/j.arcped.2022.03.009 
L. Osei a, b, , C. Basurko b, M. Nacher b, c, N. Vignier b, d, e, N. Elenga a, b, c
a Service de pédiatrie, Centre Hospitalier de Cayenne, Cayenne, French Guiana 
b Centre d'Investigation Clinique Antilles-Guyane, CIC INSERM 1424, DRISP, Centre hospitalier de Cayenne, Cayenne, French Guiana 
c Université de Guyane, DFR Santé, Cayenne, French Guiana 
d Institut Pierre Louis d’Épidémiologie et de Santé Publique, IPLESP, Sorbonne Université, Inserm UMR 1136, Department of Social Epidemiology, Paris, France 
e Université Sorbonne Paris Nord, UFR SMBH, Faculté de médecine, Bobigny, France 

Corresponding author.
En prensa. Pruebas corregidas por el autor. Disponible en línea desde el Friday 27 May 2022
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Abstract

Introduction

French Guiana is a French overseas territory in South America, marked by poverty and inequalities. Access to different services, including healthcare, is unequal depending on where people live. Several studies showed that among adults, the most precarious individuals had greater incidences of chronic and infectious diseases. Although the median age of the population living in this territory is 25, there is no specific focus on the pediatric population although it is documented that socioeconomic inequalities have an impact on child health. The objective of this scoping review is to shed light on health challenges concerning children living in French Guiana.

Methods

A literature search was performed on PubMed to identify relevant articles, and additional references were added if within the scope of this review.

Results

A total of 106 publications were reviewed. Perinatal health issues were linked to a high rate of teenage pregnancies with poor medical follow-up leading to complications such as preterm deliveries and congenital malformations and abnormalities. Infectious diseases were a significant burden with worrisome vaccination coverage figures for some bacterial infections, partly explaining a high mortality rate attributable to infectious diseases. Herbicide poisoning with paraquat was reported in children, and environment-related concerns such as wild animal attacks as well as lead and mercury exposure were reported. Some children living in remote Amerindian communities had a higher suicide rate than in mainland France, and chronic diseases such as sickle cell disease were reported to have more transfusion-related complications.

Conclusion

Children living in French Guiana have worse pediatric health indicators in comparison with children from mainland France.

El texto completo de este artículo está disponible en PDF.

Keywords : French guiana, Health inequalities, Economic crisis, Public health, Infectious diseases


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