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

Osei, Lindsay; Vignier, Nicolas; Nacher, Mathieu; Laumonnier, Juliette; Conan, Claude; Clarke, Loreinzia; Koivogui, Akoï; Covis, Sabrina; Valony, Luciano; Basurko, Célia; Wiedner-Papin, Solène; Prual, Alain; Cardoso, Thierry; Leneuve-Dorilas, Malika; Alcouffe, Leslie; Hcini, Najeh; Bernard, Stéphanie; Succo, Tiphanie; Vendittelli, Françoise; Elenga, Narcisse

doi:10.3389/ijph.2024.1606423

Cited by 3 publications

(1 citation statement)

References 36 publications

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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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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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Sexual health determinants during the life course and migration, of Haitian-origin people in French Guiana : protocol for the Parcours d’Haïti biographical and transdisciplinary study (Preprint)

Alcouffe,

Tareau,

Brun Rambaud

et al. 2024

JMIR Research Protocols

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Sexual health determinants during the life course and migration of people originated from Haiti and living in French Guiana: a biographical and transdisciplinary study protocol of the Parcours D’Haïti study. (Preprint)

Alcouffe,

Tareau,

Brun Rambaud

et al. 2024

Preprint

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UNSTRUCTURED French Guiana is a French overseas territory located in the Guiana Shield in South America, exposed to specific social and demographic challenges, notably in terms of migration. Haitians are one of the three main foreign communities in French Guiana, and face specific barriers in accessing healthcare and prevention. They are also one of the key populations for HIV infection. We describe here the protocol of the PARCOURS D’HAÏTIstudy, designed to update knowledge on the health of the Haitian population living in French Guiana, using a transdisciplinary approach to gain a detailed understanding of the determinants of health and the processes underlying HIV contamination. This mixed-methods study was based primarily on a quantitative epidemiological and biographical study of people originated from Haiti aged between 18 and 60 who had been living in French Guiana for more than 3 months. The biographical component was based on the use of a biographical grid providing information on variables year by year since birth. Secondly, a qualitative component included three sub-studies based on semi-directive interviews and focus groups with field professionals and people from Haiti, aimed at gaining a better understanding of the use of traditional and biomedical care, access to care and the mental health of people from Haiti. The study material was co-constructed with local stakeholders and community health workers. Recruitment of this discreet population was based on an original method involving all players in the field and mobilizing a wide range of places frequented by the Haitian community. Recruitment and data collection were then carried out by Haitian Creole-speaking peer investigators (community health mediators).

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

Cited by 3 publications

References 36 publications

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

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

Sexual health determinants during the life course and migration, of Haitian-origin people in French Guiana : protocol for the Parcours d’Haïti biographical and transdisciplinary study (Preprint)

Sexual health determinants during the life course and migration of people originated from Haiti and living in French Guiana: a biographical and transdisciplinary study protocol of the Parcours D’Haïti study. (Preprint)

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