Evidence map›Paper›PMID 38103896›Full record

ArticleBMJ global health2023

Social determinants of health among people working on informal gold mines in French Guiana: a multicentre cross-sectional survey.

Maylis Douine, Yann Lambert, Lorraine Plessis, Irène Jimeno, Muriel Galindo, Teddy Bardon, François-Michel Le Tourneau, Perrine Molinié, Alexandre Vié, Antoine Adenis and 5 more

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in BMJ global health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05540470 (Radical CUREfor MAlaria Among Highly Mobile and Hard-to-reach Populations in the Guyanese Shield), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT05540470 nacompletednot on this map

Radical CUREfor MAlaria Among Highly Mobile and Hard-to-reach Populations in the Guyanese Shield

TypeinterventionalSponsorCentre Hospitalier de CayenneRan2022 to 2025Enrolled1,991ConditionsMalaria, VivaxArmsPART, Malakit, CROSS-SECTIONAL PRE- AND POST-INTERVENTION SURVEYS, QUALITATIVE STUDY
3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
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  4. Review
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  8. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Maylis DouineCentre d'Investigation Clinique Antilles-Guyane, CIC Inserm 1424, Centre Hospitalier de Cayenne, Cayenne, French Guiana mdouine@yahoo.fr.ORCID 0000-0003-4616-6690
Yann LambertCentre d'Investigation Clinique Antilles-Guyane, CIC Inserm 1424, Centre Hospitalier de Cayenne, Cayenne, French Guiana.
Lorraine PlessisCentre d'Investigation Clinique Antilles-Guyane, CIC Inserm 1424, Centre Hospitalier de Cayenne, Cayenne, French Guiana.
Irène JimenoCentre d'Investigation Clinique Antilles-Guyane, CIC Inserm 1424, Centre Hospitalier de Cayenne, Cayenne, French Guiana.
Muriel GalindoCentre d'Investigation Clinique Antilles-Guyane, CIC Inserm 1424, Centre Hospitalier de Cayenne, Cayenne, French Guiana.
Teddy BardonCentre d'Investigation Clinique Antilles-Guyane, CIC Inserm 1424, Centre Hospitalier de Cayenne, Cayenne, French Guiana.
François-Michel Le TourneauCNRS, UMR 8586, PRODIG, Paris, France.
Perrine MoliniéCentre d'Investigation Clinique Antilles-Guyane, CIC Inserm 1424, Centre Hospitalier de Cayenne, Cayenne, French Guiana.
Alexandre ViéCentre d'Investigation Clinique Antilles-Guyane, CIC Inserm 1424, Centre Hospitalier de Cayenne, Cayenne, French Guiana.
Antoine AdenisCentre d'Investigation Clinique Antilles-Guyane, CIC Inserm 1424, Centre Hospitalier de Cayenne, Cayenne, French Guiana.
Mathieu NacherCentre d'Investigation Clinique Antilles-Guyane, CIC Inserm 1424, Centre Hospitalier de Cayenne, Cayenne, French Guiana.
Amanda Figueira da SilvaLaboratory of Parasitic Diseases, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.
Stephen VredenFoundation for the Advancement of Scientific Research in Suriname, Paramaribo, Suriname.
Martha Cécilia Suarez-MutisLaboratory of Parasitic Diseases, Institute Oswaldo Cruz, Foundation Oswaldo Cruz, Rio de Janeiro, Brazil.
Alice SannaCentre d'Investigation Clinique Antilles-Guyane, CIC Inserm 1424, Centre Hospitalier de Cayenne, Cayenne, French Guiana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSocial determinants of health, such as living and working conditions, economical and environmental context and access to care, combine to impact the health of individuals and communities. In French Guiana (FG), the persons working in informal artisanal and small-scale gold mining in the rainforest are a particularly vulnerable population which lives in precarious conditions and far from the health system. Previous studies have demonstrated their high morbidity due to infectious diseases. This study aims to describe the social determinants of health in this specific population.

methodsThis international multicentre cross-sectional survey included people working on the informal FG gold mines at the crossing points located at both borders with Suriname and Brazil. After collecting written informed consent, a structured questionnaire was administered.

resultsFrom September to December 2022, 539 gold miners were included. These poorly educated migrants, mainly from Brazil (99.1%) did not have access to drinkable water (95.4%), lived in close contact with wild fauna by hunting, eating bushmeat or being bitten and were exposed to mercury by inhalation (58.8%) or ingestion (80.5%). They report frequent accidents (13.5%) and chronic treatment interruptions (26.6% of the 11.9% reporting chronic treatment). Half of them considered themselves in good health (56.4%).

conclusionThis study shows a singular combination of adverse exposures of gold miners working in FG such as zoonoses, heavy metal poisoning, aggression of wild fauna. For ethical as well as public health reasons, actions towards health equity must be considered at different levels: individual, community, environmental, systemic and global level. As end users of minerals, we must assume our responsibilities for the well-being of the extractors by including health in political decisions to engage together in global health. TRIAL REGISTRATION NUMBER: NCT05540470.

Indexed as

GoldSocial Determinants of HealthCross-Sectional StudiesFrench GuianaHumansMiningGoldcross-sectional surveyenvironmental healthinfections, diseases, disorders, injuriespublic health

Identifiers

PMID38103896
PMCPMC10729274

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.