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Mosnier E, Nacher M, Parriault MC, Dao C, Bidaud B, Brousse P, Gaillet M, Epelboin L, Mendes AM, Montenegro L, Daniel CN, Botreau R, Rouseliere A, Rhodes S, Carbunar A. Knowledge, attitudes, practices about HIV and implications in risk and stigma prevention among French Guianese and Brazilian border inhabitants : Beliefs about HIV among border inhabitants. BMC Public Health 2019; 19:1633. [PMID: 31801512 PMCID: PMC6894142 DOI: 10.1186/s12889-019-7997-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2019] [Accepted: 11/22/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The border area between French Guiana and Brazil is an active HIV-transmission zone. The aim of the present study was to describe HIV knowledge, risk and the level of stigma among inhabitants of this border area. METHODS A cross-sectional study was conducted among 621 inhabitants over 18 years of age in the border cities of Saint-Georges-de-l'Oyapock in French Guiana and Oiapoque in Brazil. It was conducted between October 2017 and February 2018. An anonymous standardized questionnaire was filled out by culturally-trained mediators, then analyzed using STATA 12. RESULTS Almost half (45.9%) of the individuals had a low education level. Participants whose native language was Portuguese or French demonstrated better HIV knowledge than other populations, notably native Amerindian and creole-speaking people. HIV risk behavior was more frequent in men and in younger age groups. People with good HIV knowledge reported having performed more HIV tests in the last year than participants with poor knowledge. The stigma level was high and reported in 74.8% of respondents. CONCLUSIONS These results illustrate the need for initiatives to improve HIV prevention among autochthonous populations on both sides of this border area. Cross-border collaboration on health policies could produce common key messages adapted to the education level and multi-linguistic populations who live in this area.
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Affiliation(s)
- E Mosnier
- Pôle des Centres Délocalisés de Prévention et de Soins, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana. .,Aix Marseille University, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, Marseille, France.
| | - M Nacher
- Centre d'Investigation Clinique Antilles Guyane, CIC INSERM 1424, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana
| | - M C Parriault
- Centre d'Investigation Clinique Antilles Guyane, CIC INSERM 1424, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana.,Ecosystèmes Amazoniens et Pathologie Tropicale, EA3593, Université de Guyane, Cayenne, French Guiana
| | - C Dao
- Dsanté NGO, Rémire Montjoly, Rémire Montjoly, French Guiana
| | - B Bidaud
- Pôle des Centres Délocalisés de Prévention et de Soins, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana
| | - P Brousse
- Pôle des Centres Délocalisés de Prévention et de Soins, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana
| | - M Gaillet
- Pôle des Centres Délocalisés de Prévention et de Soins, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana.,Ecosystèmes Amazoniens et Pathologie Tropicale, EA3593, Université de Guyane, Cayenne, French Guiana
| | - L Epelboin
- Ecosystèmes Amazoniens et Pathologie Tropicale, EA3593, Université de Guyane, Cayenne, French Guiana.,Unité de Maladies Infectieuses et Tropicales, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana
| | - A M Mendes
- Universidade Federal do Amapá (UNIFAP), Oiapoque, Brazil
| | - L Montenegro
- Dsanté NGO, Rémire Montjoly, Rémire Montjoly, French Guiana
| | | | - R Botreau
- Pôle des Centres Délocalisés de Prévention et de Soins, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana
| | - A Rouseliere
- Dsanté NGO, Rémire Montjoly, Rémire Montjoly, French Guiana
| | - S Rhodes
- Dsanté NGO, Rémire Montjoly, Rémire Montjoly, French Guiana
| | - A Carbunar
- Pôle des Centres Délocalisés de Prévention et de Soins, Centre Hospitalier Andrée Rosemon, Cayenne, French Guiana.,Dsanté NGO, Rémire Montjoly, Rémire Montjoly, French Guiana
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Nacher M, Vantilcke V, Parriault MC, Van Melle A, Hanf M, Labadie G, Romeo M, Adriouch L, Carles G, Couppié P. What is driving the HIV epidemic in French Guiana? Int J STD AIDS 2010; 21:359-61. [DOI: 10.1258/ijsa.2010.009570] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Thirty years after the first HIV case in French Guiana, the drivers of the epidemic are not clearly known, but the epidemic is usually conceptualized as generalized. Cross-linking results from a study in the general population and a study in the HIV-infected population in Cayenne suggests that in the general population of HIV-positive men, 45% of HIV cases are attributable to having sex with someone they paid. Similarly, for HIV-positive women exchanging sex for presents or money, 10.7% of HIV cases are attributable to transactional sex. A surprising finding was that 16.8% of HIV patients had tried crack cocaine before. On the Maroni river, the female-biased sex ratio suggests the drivers in that remote area may be related to cultural polygyny. These observations have important consequences on communication and prevention strategies.
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Affiliation(s)
- M Nacher
- Centre d'Investigation Clinique, Epidémiologie Clinique Antilles Guyane (CIC EC CIE802)
- COREVIH Guyane
- Hôpital de Jour, Centre Hospitalier de Cayenne, Rue des Flamboyants
| | - V Vantilcke
- Service de Médecine, Centre Hospitalier de l'Ouest Guyanais, Saint Laurent du Maroni
| | - M C Parriault
- Centre d'Investigation Clinique, Epidémiologie Clinique Antilles Guyane (CIC EC CIE802)
| | - A Van Melle
- Centre d'Investigation Clinique, Epidémiologie Clinique Antilles Guyane (CIC EC CIE802)
| | - M Hanf
- Centre d'Investigation Clinique, Epidémiologie Clinique Antilles Guyane (CIC EC CIE802)
| | - G Labadie
- Département des Centres de prévention et de Santé
| | - M Romeo
- Service Dermatologie, Centre Hospitalier de Cayenne, Rue des Flamboyants
| | | | - G Carles
- Service de Gynécologie et d'Obstétrique, Centre Hospitalier de l'Ouest Guyanais, Saint Laurent du Maroni, French Guiana
| | - P Couppié
- Service Dermatologie, Centre Hospitalier de Cayenne, Rue des Flamboyants
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