ArticleBMC health services research2016
Prevalence and predictive factors for renouncing medical care in poor populations of Cayenne, French Guiana.
Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05814068 (Active Screening of Arterial Hypertension by Community Outreach Workers in the Cayenne Metropolitan Area to Reduce the Incidence of Cardiovascular Disease), which is not on this map. Cited by 17 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Active Screening of Arterial Hypertension by Community Outreach Workers in the Cayenne Metropolitan Area to Reduce the Incidence of Cardiovascular Disease
Who cites it
17 citing papers in PubMed.
- Community-Based Hypertension Screening to Prevent Stroke in Underserved Urban Neighborhoods in French Guiana: Protocol for a Quasi-Experimental Study.JMIR research protocols · 2026Article
- Adult T-cell leukemia/lymphoma in French Guiana (1990-2019): Epidemiology, clinical features, and HTLV-1 genetic diversity in the two main ethnic populations.International journal of cancer · 2026Article
- Association of Asthma with Acute Vaso-Occlusive Crisis Among French Guianese Children with Sickle Cell Disease.Indian journal of pediatrics · 2026Article
- The Epidemiological Particularities of Malignant Hemopathies in French Guiana: 2005-2014.Cancers · 2024Article
- Incidence of Pediatric Cancers in French Guiana: How Does It Compare to Global Estimates?Cancers · 2024Article
- Complex Sex Differences in Life Expectancy in French Guiana.International journal of environmental research and public health · 2023Article
- Access to health care for migrants in French Guiana in 2022: a qualitative study of health care system actors.Frontiers in public health · 2023Article
- Contrasted life trajectories: reconstituting the main population exposomes in French Guiana.Frontiers in public health · 2023Review
- Sexual vulnerability of migrant women in the multicultural context of French Guiana: A societal issue.Frontiers in public health · 2022Article
- A Prospective Comparative Study of Health Inequalities and the Epidemiology of Stroke in French Guiana and Dijon, France.Frontiers in public health · 2022Article
- Article
- Diabetes in French Guiana, adapting national standards of therapeutic education and care to the amazonian challenge.World journal of diabetes · 2021Review
- Diabetes Care in French Guiana: The Gap Between National Guidelines and Reality.Frontiers in endocrinology · 2021Article
- Disseminated Histoplasmosis in HIV-Infected Patients: A Description of 34 Years of Clinical and Therapeutic Practice.Journal of fungi (Basel, Switzerland) · 2020Article
- ZIKA Virus infection in pregnant women in French Guiana: More precarious-more at risk.PLoS neglected tropical diseases · 2020Article
- Renouncing care in French Guiana: the national health barometer survey.BMC health services research · 2019Article
- Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAccess to health care is a global public problem. In French Guiana, there exists social inequalities which are specially marked amongst immigrants who make up a third of the population. Health care inequalities are prevalent. The objective of this study was to determine factors associated with why health care amongst the poor population of Cayenne was renounced. The study was cross sectional. It focused on knowledge, attitudes, practices and beliefs of the population living in poor neighborhoods of the Cayenne area.
methodsPopulations coming at the Red Cross mobile screening unit in poor urban areas of Cayenne were surveyed from July 2013 to June 2014. Structured questionnaires consisted of 93 questions. Written informed consent was requested at the beginning of the questionnaire. The predictors for renouncing medical care were determined using logistic regression models and tree analysis.
resultsTwenty percent of persons had renounced care. Logistic regression showed that renouncement of health care was negatively associated with having no regular physician Adjusted Odds Ratio (AOR) = 0.43 (95 % CI = 0.24-0.79) and positively associated with being embarrassed to ask certain questions AOR = 6.81 (95 % CI = 3.98-11.65) and having been previously refused health care by a doctor AOR = 3.08 (95 % CI = 1.43-6.65). Tree analysis also showed that three of these variables were linked to renouncement, with feeling shy to ask certain questions as the first branching.
conclusionAlthough most people felt it was easy to see a doctor, one in five had renounced health care. The variables identified by the models suggest vulnerable persons generally had previous negative encounters with the health system and felt unwanted or non eligible for healthcare. Health care mediation and welcoming staff may be simple solutions to the above problems which were underscored in our observations.
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