Risk Factors for Delayed Access to Specialized Care in French Guiana

Mathieu Nacher Centre d'Investigation Clinique, Epidémiologie Clinique Antilles Guyane, Centre Hospitalier de Cayenne, Cayenne, French Guiana; COREVIH Guyane, CH de Cayenne, Cayenne, French Guiana; Service de Médecine, INSERM CIE 802, Centre Hospitalier de l'Ouest Guyanais, Saint Laurent du Maroni, French Guiana; Hôpital de Jour, CH de Cayenne, Cayenne, French Guiana; Service Dermatologie, CH de Cayenne, Cayenne, French Guiana

Search for other papers by Mathieu Nacher in
Current site
Google Scholar
PubMed
Close
,
Leila Adriouch Centre d'Investigation Clinique, Epidémiologie Clinique Antilles Guyane, Centre Hospitalier de Cayenne, Cayenne, French Guiana; COREVIH Guyane, CH de Cayenne, Cayenne, French Guiana; Service de Médecine, INSERM CIE 802, Centre Hospitalier de l'Ouest Guyanais, Saint Laurent du Maroni, French Guiana; Hôpital de Jour, CH de Cayenne, Cayenne, French Guiana; Service Dermatologie, CH de Cayenne, Cayenne, French Guiana

Search for other papers by Leila Adriouch in
Current site
Google Scholar
PubMed
Close
,
Antoine Adenis Centre d'Investigation Clinique, Epidémiologie Clinique Antilles Guyane, Centre Hospitalier de Cayenne, Cayenne, French Guiana; COREVIH Guyane, CH de Cayenne, Cayenne, French Guiana; Service de Médecine, INSERM CIE 802, Centre Hospitalier de l'Ouest Guyanais, Saint Laurent du Maroni, French Guiana; Hôpital de Jour, CH de Cayenne, Cayenne, French Guiana; Service Dermatologie, CH de Cayenne, Cayenne, French Guiana

Search for other papers by Antoine Adenis in
Current site
Google Scholar
PubMed
Close
,
Matthieu Hanf Centre d'Investigation Clinique, Epidémiologie Clinique Antilles Guyane, Centre Hospitalier de Cayenne, Cayenne, French Guiana; COREVIH Guyane, CH de Cayenne, Cayenne, French Guiana; Service de Médecine, INSERM CIE 802, Centre Hospitalier de l'Ouest Guyanais, Saint Laurent du Maroni, French Guiana; Hôpital de Jour, CH de Cayenne, Cayenne, French Guiana; Service Dermatologie, CH de Cayenne, Cayenne, French Guiana

Search for other papers by Matthieu Hanf in
Current site
Google Scholar
PubMed
Close
,
Astrid Van Melle Centre d'Investigation Clinique, Epidémiologie Clinique Antilles Guyane, Centre Hospitalier de Cayenne, Cayenne, French Guiana; COREVIH Guyane, CH de Cayenne, Cayenne, French Guiana; Service de Médecine, INSERM CIE 802, Centre Hospitalier de l'Ouest Guyanais, Saint Laurent du Maroni, French Guiana; Hôpital de Jour, CH de Cayenne, Cayenne, French Guiana; Service Dermatologie, CH de Cayenne, Cayenne, French Guiana

Search for other papers by Astrid Van Melle in
Current site
Google Scholar
PubMed
Close
,
Marie Claire Parriault Centre d'Investigation Clinique, Epidémiologie Clinique Antilles Guyane, Centre Hospitalier de Cayenne, Cayenne, French Guiana; COREVIH Guyane, CH de Cayenne, Cayenne, French Guiana; Service de Médecine, INSERM CIE 802, Centre Hospitalier de l'Ouest Guyanais, Saint Laurent du Maroni, French Guiana; Hôpital de Jour, CH de Cayenne, Cayenne, French Guiana; Service Dermatologie, CH de Cayenne, Cayenne, French Guiana

Search for other papers by Marie Claire Parriault in
Current site
Google Scholar
PubMed
Close
,
Mélanie Calvez Centre d'Investigation Clinique, Epidémiologie Clinique Antilles Guyane, Centre Hospitalier de Cayenne, Cayenne, French Guiana; COREVIH Guyane, CH de Cayenne, Cayenne, French Guiana; Service de Médecine, INSERM CIE 802, Centre Hospitalier de l'Ouest Guyanais, Saint Laurent du Maroni, French Guiana; Hôpital de Jour, CH de Cayenne, Cayenne, French Guiana; Service Dermatologie, CH de Cayenne, Cayenne, French Guiana

Search for other papers by Mélanie Calvez in
Current site
Google Scholar
PubMed
Close
,
Julie Dufour Centre d'Investigation Clinique, Epidémiologie Clinique Antilles Guyane, Centre Hospitalier de Cayenne, Cayenne, French Guiana; COREVIH Guyane, CH de Cayenne, Cayenne, French Guiana; Service de Médecine, INSERM CIE 802, Centre Hospitalier de l'Ouest Guyanais, Saint Laurent du Maroni, French Guiana; Hôpital de Jour, CH de Cayenne, Cayenne, French Guiana; Service Dermatologie, CH de Cayenne, Cayenne, French Guiana

Search for other papers by Julie Dufour in
Current site
Google Scholar
PubMed
Close
,
Emmanuelle Papot Centre d'Investigation Clinique, Epidémiologie Clinique Antilles Guyane, Centre Hospitalier de Cayenne, Cayenne, French Guiana; COREVIH Guyane, CH de Cayenne, Cayenne, French Guiana; Service de Médecine, INSERM CIE 802, Centre Hospitalier de l'Ouest Guyanais, Saint Laurent du Maroni, French Guiana; Hôpital de Jour, CH de Cayenne, Cayenne, French Guiana; Service Dermatologie, CH de Cayenne, Cayenne, French Guiana

Search for other papers by Emmanuelle Papot in
Current site
Google Scholar
PubMed
Close
,
Vincent Vantilcke Centre d'Investigation Clinique, Epidémiologie Clinique Antilles Guyane, Centre Hospitalier de Cayenne, Cayenne, French Guiana; COREVIH Guyane, CH de Cayenne, Cayenne, French Guiana; Service de Médecine, INSERM CIE 802, Centre Hospitalier de l'Ouest Guyanais, Saint Laurent du Maroni, French Guiana; Hôpital de Jour, CH de Cayenne, Cayenne, French Guiana; Service Dermatologie, CH de Cayenne, Cayenne, French Guiana

Search for other papers by Vincent Vantilcke in
Current site
Google Scholar
PubMed
Close
, and
Pierre Couppié Centre d'Investigation Clinique, Epidémiologie Clinique Antilles Guyane, Centre Hospitalier de Cayenne, Cayenne, French Guiana; COREVIH Guyane, CH de Cayenne, Cayenne, French Guiana; Service de Médecine, INSERM CIE 802, Centre Hospitalier de l'Ouest Guyanais, Saint Laurent du Maroni, French Guiana; Hôpital de Jour, CH de Cayenne, Cayenne, French Guiana; Service Dermatologie, CH de Cayenne, Cayenne, French Guiana

Search for other papers by Pierre Couppié in
Current site
Google Scholar
PubMed
Close
Restricted access

The variables influencing the interval between diagnosis and effective access to specialized care were studied in a cohort of 2,661 human immunodeficiency virus (HIV)-positive patients in French Guiana between 1992 and 2008. Patients with a subsequent follow-up interruption were significantly more likely to have a delayed first consultation after the HIV diagnosis. Ordinal logistic regression showed that younger persons, women, and French citizens were independently associated with greater delays between the HIV diagnosis and the first specialized consultation. However, persons with acquired immunodeficiency syndrome (AIDS) were less likely to have a delay between the HIV diagnosis and the first specialized consultation. Focusing on the link between the private sector and specialized health care may shorten delays and improve care and follow-up.

Author Notes

*Address correspondence to Mathieu Nacher, Centre d'Investigation Clinique, Epidémiologie Clinique Antilles Guyane, INSERM CIE 802, Centre Hospitalier de Cayenne and COREVIH Guyane, CH de Cayenne, Cayenne, French Guiana. E-mail: mathieu.nacher@ch-cayenne.fr

Authors' addresses: Mathieu Nacher, Centre d'Investigation Clinique, Epidémiologie Clinique Antilles Guyane, INSERM CIE 802, Centre Hospitalier de Cayenne and COREVIH Guyane, CH de Cayenne, E-mail: mathieu.nacher@ch-cayenne.fr. Leila Adriouch, COREVIH Guyane, CH de Cayenne, E-mail: adriouchleila@yahoo.fr. Antoine Adenis, Matthieu Hanf, Astrid Van Melle, and Marie Claire Parriault, Centre d'Investigation Clinique, Epidémiologie Clinique Antilles Guyane, INSERM CIE 802, Centre Hospitalier de Cayenne, E-mails: antoine.adenis@gmail.com. matthieu.hanf@ch-cayenne.fr, astrid.van-melle@ch-cayenne.fr, and marie-claire.parriault@ch-cayenne.fr. Mélanie Calvez, Hôpital de Jour, CH de Cayenne, E-mail: mcalvez@yahoo.fr. Julie Dufour, Emmanuelle Papot, and Pierre Couppié, Service Dermatologie, CH de Cayenne, E-mails: julie.dufour@ch-cayenne.fr, emmanuelle.papot@ch-cayenne.fr, and couppie.pierre@voila.fr. Vincent Vantilcke, Service de Médecine, Centre Hospitalier de l'Ouest Guyanais, E-mail: v.vantilcke@ch-ouestguyane.fr.

  • 1.

    Nacher M, El Guedj M, Vaz T, Nasser V, Randrianjohany A, Alvarez F, Sobesky M, Magnien C, Couppié P, 2005. Risk factors for late HIV diagnosis in French Guiana. AIDS 19: 727729.

  • 2.

    Nacher M, El Guedj M, Vaz T, Nasser V, Randrianjohany A, Alvarez F, Sobesky M, Magnien C, Couppié P, 2006. Risk factors for follow-up interruption of HIV patients in French Guiana. Am J Trop Med Hyg 74: 915917.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Turner BJ, Cunningham WE, Duan N, Andersen RM, Shapiro MF, Bozzette SA, Nakazono T, Morton S, Crystal S, St Clair P, Stein M, Zierler S, 2000. Delayed medical care after diagnosis in a US national probability sample of persons infected with human immunodeficiency virus. Arch Intern Med 160: 26142622.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Stein MD, Crystal S, Cunningham WE, Ananthanarayanan A, Andersen RM, Turner BJ, Zierler S, Morton S, Katz MH, Bozzette SA, Shapiro MF, Schuster MA, 2000. Delays in seeking HIV care due to competing caregiver responsibilities. Am J Public Health 90: 11381140.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Girardi E, Aloisi MS, Arici C, Pezzotti P, Serraino D, Balzano R, Vigevani G, Alberici F, Ursitti M, D'Alessandro M, d'Arminio Monforte A, Ippolito G; for the ICoNA Behavioural Epidemiology Study Group, 2004. Delayed presentation and late testing for HIV: demographic and behavioral risk factors in a multicenter study in Italy. J Acquir Immune Defic Syndr 36: 951959.

    • PubMed
    • Search Google Scholar
    • Export Citation
Past two years Past Year Past 30 Days
Abstract Views 433 403 68
Full Text Views 330 9 1
PDF Downloads 45 6 1
 
 
 
 
Affiliate Membership Banner
 
 
Research for Health Information Banner
 
 
CLOCKSS
 
 
 
Society Publishers Coalition Banner
Save