Migrations, santé et soins en Guyane

Abstract : The links between migration and health are intricate and the epidemiological data are scarce in France and French Guiana. On the one hand, health can be a decisive element for migration and on the other hand migration can affect the health of those who emigrate. This thesis relies on the results coming from different epidemiological surveys led in 2009 in French Guiana. The aim of this research was to estimate the burden of health-related determinants among those of immigration to French Guiana and to analyze the populations? health status and their access to healthcare according to their migratory status. We found that some immigrants? characteristics in terms of demographics (their native country), migratory process (duration of residence in French Guiana) and hosting conditions provided by French Guiana (the legal status and their socio-economic conditions inside the French territory) were as many factors which do modulate their health status. Our results support the hypothesis of a « healthy migrant effect » and suggest that the immigrants are relatively healthy when they reach the territory. Illegal immigrants appeared to be not only the most vulnerable healthily speaking, but also those who struggled the most to get access to healthcare. Finally our results show that migrations for health care reasons represent only a minority of the migration flows towards French Guiana (3.1%). Healthcare policies in French Guiana do not address properly the present and future challenges of migrants? health and healthcare needs. Considering its particular feature, French Guiana could be a suitable land of experiments for public health policies dedicated to immigrants.
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Anne Jolivet. Migrations, santé et soins en Guyane. Médecine humaine et pathologie. Université Pierre et Marie Curie - Paris VI, 2014. Français. ⟨NNT : 2014PA066124⟩. ⟨tel-01067997⟩

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