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Master thesis

Etude de l'implication des médecins généralistes de l'Ile de Cayenne dans le suivi des prostitué(e)s : étude centrée sur la prévention du VIH/SIDA et des infections sexuellement transmissibles

Abstract : Located between Brazil and Suriname in South America, French Guiana is the French territory that is most affected by the HIV/AIDS epidemic. 80% of patients are of foreign origin. Sex work is thought to be a major driver of the epidemic. Being a general practitionner in French Guyana is very specific : the workload is significant because of the lack of practitioners, and the precariousness in which many patients are makes the medical support often difficult. The survey concerned liberal general practitioners, gynecologists-obstetricians and dermatologists-venereologists working on the Island of Cayenne. It aimed, on the one hand, to assess their global medical support of sex workers and the health seeking trajectory of the sex workers, and, on the other, hand to study their involvement in the prevention of HIV/AIDS and sexually transmitted infections (STIs) in this population. 84% of surveyed physicians were generalists, 66% agreed to answer the questions. One third of them thought they had patients involved in sex work, that were most frequently Dominican, Guyanese or Brazilian. Their main reasons for consultation were requests for prescription of HIV tests, symptoms of STIs, gynecological problems or paediatric reasons. The preventive measures were discussed at the initiative of the physician, only if he had time, because of the heavy workload. Moreover, the medical nomadism of this population seemed to be very important. Finally, 70% of the surveyed physicians said they were interested in training about HIV. It seems essential to strengthen the involvement of GPs in the prevention of HIV/AIDS among sex workers. Developing specialized consultations seems to be an interesting alternative. The aim is to improve the early screening of HIV among risk populations in order to promote early medical care of the infection and to limit its spread.
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Master thesis
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https://hal.univ-lorraine.fr/hal-01733168
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  • HAL Id : hal-01733168, version 1

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Stéphanie Abga. Etude de l'implication des médecins généralistes de l'Ile de Cayenne dans le suivi des prostitué(e)s : étude centrée sur la prévention du VIH/SIDA et des infections sexuellement transmissibles. Sciences du Vivant [q-bio]. 2010. ⟨hal-01733168⟩

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