About the need to address pediatric health inequalities in French Guiana : a scoping review

Osei, Lindsay; Basurko, Célia; Vignier, Nicolas; Elenga, Narcisse

doi:10.1016/j.arcped.2022.03.009

Cited by 3 publications

(2 citation statements)

References 96 publications

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“…SVN are numerous in French Guiana, given the high proportion of premature birth of 13% is almost twice as high as the figure found in the rest of France (7%) [19,53].…”

Section: Discussionmentioning

confidence: 85%

Small for Gestational Age Newborns in French Guiana: The Importance of Health Insurance for Prevention

Osei,

Vignier,

Nacher

et al. 2024

Int J Public Health

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Objectives: Small for gestational age (SGA) newborns have a higher risk of poor outcomes. French Guiana (FG) is a territory in South America with poor living conditions. The objectives of this study were to describe risk factors associated with SGA newborns in FG.Methods: We used the birth cohort that compiles data from all pregnancies that ended in FG from 2013 to 2021. We analysed data of newborns born after 22 weeks of gestation and/or weighing more than 500 g and their mothers.Results: 67,962 newborns were included. SGA newborns represented 11.7% of all newborns. Lack of health insurance was associated with SGA newborns (p < 0.001) whereas no difference was found between different types of health insurance and the proportion of SGA newborns (p = 0.86). Mothers aged less than 20 years (aOR = 1.65 [1.55–1.77]), from Haiti (aOR = 1.24 [1.11–1.39]) or Guyana (aOR = 1.30 [1.01–1.68]) and lack of health insurance (aOR = 1.24 [1.10–1.40]) were associated with SGA newborns.Conclusion: Immigration and precariousness appear to be determinants of SGA newborns in FG. Other studies are needed to refine these results.

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“…SVN are numerous in French Guiana, given the high proportion of premature birth of 13% is almost twice as high as the figure found in the rest of France (7%) [19,53].…”

Section: Discussionmentioning

confidence: 85%

Small for Gestational Age Newborns in French Guiana: The Importance of Health Insurance for Prevention

Osei,

Vignier,

Nacher

et al. 2024

Int J Public Health

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“…The ecosystem of pathogens and environmental exposures-some of which may be carcinogenic [11,12]-are very different from those in mainland France. In addition, the region is faced with significant social inequalities in health, which hamper access to care for patients [13,14]. Over half the population lives below the national poverty line [15].…”

Section: Introductionmentioning

confidence: 99%

Incidence of Pediatric Cancers in French Guiana: How Does It Compare to Global Estimates?

Nacher,

Wang,

Osei

et al. 2024

Cancers

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French Guiana is a French territory in South America. The exposome of persons living there is quite different from that in mainland France and the ethnic make-up of the population is also quite different. Poverty is also widespread with difficulties in accessing care magnified by the low medical-professional density. In this singular context, we aimed to measure the incidence of pediatric cancers and to compare it with other continents. We used French Guiana’s certified cancer registry to study this between 2003 and 2017. Incidences were standardized using the world population with three strata: 0–4 years, 5–9 years, and 10–14 years. There were 164 solid tumors or hematologic malignancies diagnosed in children under the age of 15 (92 in boys and 72 in girls). Over the study period, the standardized incidence rate was 14.1 per 100,000 among children aged under 15 years. There was no significant trend during the study period. The three most common causes of cancer were leukemias—mostly lymphoblastic—CNS tumors, and sarcoma. The standardized incidence of pediatric cancers in French Guiana was similar to those in Western Europe and North America. As others have discovered, we found that males tended to be more likely to develop cancer, notably leukemia, CNS tumors, sarcoma, and retinoblastoma. As elsewhere, the predominant cancer types changed with age. Our initial assumption was that given the singular context of French Guiana, there may have been differences in pediatric cancer incidences. Here we showed that overall, contrary to our assumption and to trends in tropical countries, the incidence of pediatric cancers was in a range between Western Europe and North America with some apparent but non-significant differences in the main types of cancers observed in global statistics. Quality cancer registry data in this tropical region confirm the suspicion that lower incidences in tropical low- and middle-income countries are likely to result from incomplete diagnosis and data collection.

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Asthma Is an Independent Risk Factor for Acute Chest Syndrome in Children with Sickle Cell Disease in French Guiana

Bafunyembaka,

Nacher,

Maniassom

et al. 2024

Children

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Background/Objectives: The overall incidence of asthma in children with sickle cell disease in French Guiana is unknown. Asthma is common in children with sickle cell disease and is associated with increased morbidity and mortality. This study aimed to describe the impact of asthma on the occurrence of acute chest syndrome in children with sickle cell disease who were followed up in French Guiana. Methods: We performed a multicenter nested case-control study between January 2012 and December 2022. Our study population consisted of children, aged between 6 months and 18 years, who were diagnosed with sickle cell disease at birth and hospitalized at least once for acute chest syndrome during the study period. Results: A total of 588 children were followed up for sickle cell disease. Of these, 390 had sickle cell disease, 180 had SC, and 18 had Sβ + thalassemia. Of the 390-sickle cell disease, we identified 35 who also had asthma, giving an estimated prevalence of asthma of 8.9% among children with sickle cell disease in French Guiana. Only asthma was significantly associated with acute chest syndrome (p < 0.001). Conclusions: The prevalence of asthma in children with sickle cell disease is underestimated. Asthma is an independent risk factor for acute chest syndrome. Given the seriousness of asthma in children with sickle cell disease, systematic screening for asthma in children with sickle cell disease has been implemented. This screening, which will be evaluated after one year, will help to better characterize asthmatic children with sickle cell disease and improve their care.

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About the need to address pediatric health inequalities in French Guiana : a scoping review

Cited by 3 publications

References 96 publications

Small for Gestational Age Newborns in French Guiana: The Importance of Health Insurance for Prevention

Small for Gestational Age Newborns in French Guiana: The Importance of Health Insurance for Prevention

Incidence of Pediatric Cancers in French Guiana: How Does It Compare to Global Estimates?

Asthma Is an Independent Risk Factor for Acute Chest Syndrome in Children with Sickle Cell Disease in French Guiana

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