Service de pédiatrie, Centre Hospitalier de Cayenne, Cayenne, French Guiana; Centre d'Investigation Clinique Antilles-Guyane, CIC INSERM 1424, DRISP, Centre hospitalier de Cayenne, Cayenne, French Guiana.
Centre d'Investigation Clinique Antilles-Guyane, CIC INSERM 1424, DRISP, Centre hospitalier de Cayenne, Cayenne, French Guiana.
Arch Pediatr. 2022 Jul;29(5):340-346. doi: 10.1016/j.arcped.2022.03.009. Epub 2022 May 27.
French Guiana is a French overseas territory in South America, marked by poverty and inequalities. Access to different services, including healthcare, is unequal depending on where people live. Several studies showed that among adults, the most precarious individuals had greater incidences of chronic and infectious diseases. Although the median age of the population living in this territory is 25, there is no specific focus on the pediatric population although it is documented that socioeconomic inequalities have an impact on child health. The objective of this scoping review is to shed light on health challenges concerning children living in French Guiana.
A literature search was performed on PubMed to identify relevant articles, and additional references were added if within the scope of this review.
A total of 106 publications were reviewed. Perinatal health issues were linked to a high rate of teenage pregnancies with poor medical follow-up leading to complications such as preterm deliveries and congenital malformations and abnormalities. Infectious diseases were a significant burden with worrisome vaccination coverage figures for some bacterial infections, partly explaining a high mortality rate attributable to infectious diseases. Herbicide poisoning with paraquat was reported in children, and environment-related concerns such as wild animal attacks as well as lead and mercury exposure were reported. Some children living in remote Amerindian communities had a higher suicide rate than in mainland France, and chronic diseases such as sickle cell disease were reported to have more transfusion-related complications.
Children living in French Guiana have worse pediatric health indicators in comparison with children from mainland France.
法属圭亚那是南美洲的一个法国海外领地，以贫困和不平等为特征。人们获得不同服务的机会（包括医疗保健）因居住地点而异而不平等。多项研究表明，在成年人中，最不稳定的个体患慢性和传染病的几率更高。尽管居住在该领土的人口的中位数年龄为 25 岁，但并未特别关注儿科人群，尽管有文件记录表明社会经济不平等会对儿童健康产生影响。本次范围综述的目的是阐明生活在法属圭亚那的儿童所面临的健康挑战。
在 PubMed 上进行了文献检索，以确定相关文章，如果在本次综述范围内，则添加了其他参考文献。
共审查了 106 篇出版物。围产期健康问题与青少年怀孕率高有关，医疗随访不良导致早产和先天性畸形和异常等并发症。传染病是一个重大负担，一些细菌感染的疫苗接种覆盖率令人担忧，部分解释了归因于传染病的高死亡率。有报道称儿童接触到除草剂百草枯，以及与环境有关的问题，如野生动物袭击以及铅和汞暴露。生活在偏远的美洲印第安人社区的一些儿童的自杀率高于法国本土，镰状细胞病等慢性疾病的输血相关并发症报告也更多。
与法国本土的儿童相比，生活在法属圭亚那的儿童的儿科健康指标更差。
