van Melle Astrid, Parriault Marie-Claire, Basurko Célia, Jolivet Anne, Flamand Claude, Pigeon Perrine, Caudal Johanna, Lydié Nathalie, Halfen Sandrine, Goerger-Sow Marie-Thérèse, Nacher Mathieu
a Centre d'Investigation Clinique Antilles-Guyane, INSERM CIC 1424, Centre Hospitalier Andrée Rosemon , Cayenne , France.
b Centre Hospitalier Franck Joly , Saint Laurent du Maroni , France.
AIDS Care. 2015;27(9):1112-7. doi: 10.1080/09540121.2015.1032203. Epub 2015 Apr 24.
The Maroni basin, an isolated region delineating the border between Suriname and French Guiana has been affected by the human immunodeficiency virus (HIV) epidemic 10 years after coastal French Guiana. However, the rise in HIV prevalence was sharp, exceeding 1% within 10 years. The aim of the present study is to compare, using the first quantitative data from the general population in remote villages, the knowledge, attitudes, and behaviors regarding HIV between Maroon and Amerindian populations, the two most frequent populations living along the Maroni. Data were collected in 2012 using a structured questionnaire among a random sample of 896 individuals residing in the remote villages on the Maroni river. Proportions were compared between the Maroni and the coastal general population, and between Maroon and Amerindian populations. The present study shows significant differences between territories and between communities living on the Maroni river: the multiple sexual partnerships, more common among population living on the Maroni river, were more frequently reported in Maroons than in Amerindians. Condom use was more frequently reported among men on the Maroni river than on the coast, but these findings were reversed for women. Moreover, among people living on the Maroni river, condom use was more frequently reported among Maroons than among Amerindians. Regarding genital factors that may affect transmission, penile implant seemed to have no ethnic boundaries, steam baths seemed specific to Maroon women. The present results should help to improve community-based specific interventions.
马罗尼河流域是苏里南和法属圭亚那边境的一个孤立地区，在法属圭亚那沿海地区出现人类免疫缺陷病毒（HIV）疫情10年后，该地区也受到了影响。然而，HIV流行率的上升很迅速，在10年内就超过了1%。本研究的目的是利用偏远村庄普通人群的首批定量数据，比较马罗尼河流域最常见的两个群体——黑奴后裔群体和美洲印第安人群体在HIV方面的知识、态度和行为。2012年，我们使用结构化问卷，对居住在马罗尼河沿岸偏远村庄的896名个体进行随机抽样，收集了相关数据。我们比较了马罗尼河流域人群与沿海普通人群之间，以及黑奴后裔群体和美洲印第安人群体之间的比例。本研究显示，在马罗尼河流域的不同地区以及不同群体之间存在显著差异：多性伴关系在马罗尼河流域人群中更为常见，黑奴后裔群体比美洲印第安人群体报告的更为频繁。马罗尼河沿岸男性报告使用避孕套的频率高于沿海地区，但女性的情况则相反。此外，在马罗尼河沿岸人群中，黑奴后裔群体报告使用避孕套的频率高于美洲印第安人群体。关于可能影响传播的生殖因素，阴茎植入似乎没有种族界限，蒸汽浴似乎是黑奴后裔女性特有的。目前的研究结果应有助于改进基于社区的特定干预措施。
