Prevalence and predictive factors for renouncing medical care in poor populations of Cayenne, French Guiana

BMC Health Services Research
Larissa ValmyMathieu Nacher

Abstract

Access 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. Populations 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. Twenty 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 previou...Continue Reading

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Citations

Sep 25, 2017·Transactions of the Royal Society of Tropical Medicine and Hygiene·Félix DjossouMathieu Nacher
Mar 26, 2020·PLoS Neglected Tropical Diseases·Edouard HalletMathieu Nacher
Feb 10, 2020·Revue D'épidémiologie Et De Santé Publique·M NacherM Sobesky
Nov 6, 2021·Diabetic Medicine : a Journal of the British Diabetic Association·Fabien PoretNadia Sabbah

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