Renouncing care in French Guiana: the national health barometer survey

In French Guiana, health inequalities are patent for a broad range of pathologies for all age groups. The objective of the present study was to quantify the proportion of the population that had renounced care in the past year, to study predictive factors, and to compare results with other French te...

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Bibliographic Details
Published in:BMC health services research 2019-02, Vol.19 (1), p.99-11, Article 99
Main Authors: Van Melle, Astrid, Cropet, Claire, Parriault, Marie-Claire, Adriouch, Leila, Lamaison, Hélène, Sasson, Francine, Duplan, Hélène, Richard, Jean-Baptiste, Nacher, Mathieu
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Analysis
Barometers
Breast cancer
Cancer
Education
Emergency medical care
Female
French Guiana
Health care disparities
Health care policy
Health care reform
Health Care Surveys
Health disparities
Health Expenditures - statistics & numerical data
Health inequalities
Health insurance
Health insurance coverage
Health screening
Health services
Health Status Disparities
Health surveys
Health system use
Healthcare Disparities - statistics & numerical data
HIV
Human immunodeficiency virus
Humans
Immigrants
Infectious diseases
Insurance Coverage - statistics & numerical data
Insurance, Health - statistics & numerical data
Life Sciences
Male
Medical care utilization
Medical personnel
Medical prognosis
Middle Aged
Multivariate analysis
National health insurance
Noncitizens
Patient care
Population
Public health
Renouncing care
Retirees
Risk Factors
Santé publique et épidémiologie
Social aspects
Socioeconomic Factors
Surveys and Questionnaires
Time Factors
Transients and Migrants - statistics & numerical data
Treatment Refusal - statistics & numerical data
Vaccination
Variables
Young Adult
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Summary:In French Guiana, health inequalities are patent for a broad range of pathologies for all age groups. The objective of the present study was to quantify the proportion of the population that had renounced care in the past year, to study predictive factors, and to compare results with other French territories. A two-stage random sample of 2015 individuals aged 15 to 75 years was surveyed by telephone. A descriptive analysis of variables relative to renouncing care, use of health care, screening, and vaccination was initially performed. Multivariate analysis was then used to determine variables associated with renouncing care for financial reasons and renouncing for reasons linked to time were directly estimated using a Poisson model on weighted data. Variables with a significance level 
ISSN:1472-6963
1472-6963
DOI:10.1186/s12913-019-3895-6