Introduction: With the increase in life expectancy of the population, the progression of chronic diseases, in particular cardiovascular diseases, neurodegenerative diseases (NDD) and their complications, health and medico-social care represents a major public health issue.
Objective: The aim of this article is to present an overview of the situation of the elderly and the current organization of the healthcare system for their care in French Guiana.
Method: A review of the literature and analysis of the most recent data related to demographics, socioeconomics, morbidity and mortality, supply and use of care, were carried out. For comparative purposes, these data were compared with those for mainland France and the other French overseas departments and regions when available.
Results: With an average annual growth rate of +6.7% among people aged 65 and over, the highest in France (excluding Mayotte), the aging phenomenon has begun in French Guiana, although its population is still young. The health status of the elderly in French Guiana, characterized by an early onset of dependency and a greater prevalence of silent diseases (arterial hypertension, diabetes, hypercholesterolemia), is less favorable than in mainland France. In addition, the health and medico-social provision for the elderly remain incomplete or even embryonic, with little adapted support for elderly people with NND.
Conclusion: This review highlights the situation of elderly people and the challenges for the health system.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.3917/spub.225.0695 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Cardiovascular Anesthesia and Critical Care in the French West Indies: Historical Evolution and Current Prospects.
J Clin Med
January 2025
Department of Cardiovascular & Thoracic Anaesthesia and Critical Care, University Hospital of Martinique, F-97200 Fort de France, France.
Anesthesiology, the medical specialty that deals with the management of vital functions in patients undergoing surgery, has played an important role in the successful development of cardiac interventions worldwide. Tracing the historical roots of cardiac anesthesia and critical care from its inception in the late 1950s, a paradigm shift in perioperative care has been driven by a better understanding of the mechanisms of organ dysfunction in stressful conditions and technological advances regarding surgical approach, patient monitoring, and organ protection. Although progress in cardiac anesthesia and critical care lagged a little behind in Caribbean territories, successful achievements have been accomplished over the last forty years.
View Article and Find Full Text PDFBrazilian Gold Miners Working Irregularly in French Guiana: Health Status and Risk Determinants.
Trop Med Infect Dis
December 2024
Laboratory of Parasitic Diseases, Oswaldo Cruz Institute/Fiocruz, Rio de Janeiro 21040-360, Brazil.
Brazilian garimpeiros are a highly hard-to-reach and mobile population, with little access to basic hygiene and health services, and have been crossing the border to work irregularly in gold mines in French Guiana since the 1990s. This study aimed to characterize this population and identify their main health problems. A cross-sectional study was carried out in the municipality of Oiapoque-AP, with two surveys: before (2018) and after (2019) the implementation of Malakit.
View Article and Find Full Text PDFEmoquine-1: A Hybrid Molecule Efficient against Multidrug-Resistant Parasites, Including the Artemisinin-Resistant Quiescent Stage, and Also Active In Vivo.
J Med Chem
January 2025
Laboratoire de Chimie de Coordination du CNRS, LCC-CNRS, Inserm ERL 1289 MAAP, Université de Toulouse, 205 route de Narbonne, 31077 Toulouse cedex, France.
To challenge the multidrug resistance of malaria parasites, new hybrid compounds were synthesized and evaluated against laboratory strains and multidrug-resistant clinical isolates. Among these hybrids, emoquine-1 was the most active on proliferative , with IC values in the range of 20-55 nM and a high selectivity index with respect to mammalian cells. This drug retained its activity on several multiresistant field isolates from Cambodia and Guiana, exhibited no cross-resistance to artemisinin, and is also very active against the quiescent stage of the artemisinin-resistant parasites, three features that constitute the gold standard for new antimalarial drugs.
View Article and Find Full Text PDFA Day with Gold Miners in the Amazon Fighting against Malaria.
Am J Trop Med Hyg
January 2025
Centre d'Investigation Clinique Antilles-Guyane Inserm1424, Centre Hospitalier de Cayenne, Cayenne, French Guiana.
[ETP and transcultural clinics in health centers in French Guiana].
Soins
January 2025
Laboratoire PCPP, Université Paris Cité, 71 avenue Édouard-Vaillant, 92100 Boulogne-Billancourt, France; Maison de Solenn, Hôpital Cochin, AP-HP, 97 boulevard de Port-Royal, 75014 Paris, France; Université Paris-Saclay, UVSQ, Inserm, Centre de recherche en épidémiologie et santé des populations, Team DevPsy, 16 avenue Paul-Vaillant-Couturier, 94807 Villejuif cedex, France.
French Guiana is a "transcultural world" in its own right, with its indigenous "inland" populations, highly isolated from the healthcare system, more affected by chronic cardiometabolic and infectious diseases than either the coast or mainland France. Transcultural clinics and therapeutic patient education (TPE) therefore play a key role. French Guiana is a pioneer in TPE, health mediation and the practice of "outreach" via local hospitals, delocalized specialty consultations and so on.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!