Frontiers in Public Health (Jan 2024)
Contrasted life trajectories: reconstituting the main population exposomes in French Guiana
- Mathieu Nacher,
- Mathieu Nacher,
- Mathieu Nacher,
- Célia Basurko,
- Célia Basurko,
- Maylis Douine,
- Maylis Douine,
- Maylis Douine,
- Yann Lambert,
- Yann Lambert,
- Yann Lambert,
- Cyril Rousseau,
- Celine Michaud,
- Ronan Garlantezec,
- Ronan Garlantezec,
- Antoine Adenis,
- Antoine Adenis,
- Antoine Adenis,
- Margarete M Gomes,
- Kinan Drak Alsibai,
- Kinan Drak Alsibai,
- Nadia Sabbah,
- Nadia Sabbah,
- Véronique Lambert,
- Véronique Lambert,
- Loïc Epelboin,
- Loïc Epelboin,
- Loïc Epelboin,
- Loïc Epelboin,
- Rakesh Gajadhar Sukul,
- Fredrik Terlutter,
- Caroline Janvier,
- Najeh Hcini,
- Najeh Hcini
Affiliations
- Mathieu Nacher
- CIC INSERM, Centre Hospitalier de Cayenne, Cayenne, French Guiana
- Mathieu Nacher
- Université de Guyane, Cayenne, French Guiana
- Mathieu Nacher
- Amazonian Infrastructures for Population Health, Cayenne, French Guiana
- Célia Basurko
- CIC INSERM, Centre Hospitalier de Cayenne, Cayenne, French Guiana
- Célia Basurko
- Amazonian Infrastructures for Population Health, Cayenne, French Guiana
- Maylis Douine
- CIC INSERM, Centre Hospitalier de Cayenne, Cayenne, French Guiana
- Maylis Douine
- Université de Guyane, Cayenne, French Guiana
- Maylis Douine
- Amazonian Infrastructures for Population Health, Cayenne, French Guiana
- Yann Lambert
- CIC INSERM, Centre Hospitalier de Cayenne, Cayenne, French Guiana
- Yann Lambert
- Université de Guyane, Cayenne, French Guiana
- Yann Lambert
- Amazonian Infrastructures for Population Health, Cayenne, French Guiana
- Cyril Rousseau
- Centres délocalisés de Prévention et de Soins, Centre hospitalier de Cayenne, Cayenne, French Guiana
- Celine Michaud
- Centres délocalisés de Prévention et de Soins, Centre hospitalier de Cayenne, Cayenne, French Guiana
- Ronan Garlantezec
- Épidémiologie et science de l’exposition en santé-environnement (Elixir), Institut de Recherche en Santé Environnement et Travail (IRSET), Rennes, France
- Ronan Garlantezec
- Santé publique et épidémiologie, CHU de Rennes, Rennes, France
- Antoine Adenis
- CIC INSERM, Centre Hospitalier de Cayenne, Cayenne, French Guiana
- Antoine Adenis
- Université de Guyane, Cayenne, French Guiana
- Antoine Adenis
- Amazonian Infrastructures for Population Health, Cayenne, French Guiana
- Margarete M Gomes
- Superintendencia de vigilancia em Saude do Amapa, Macapa, Brazil
- Kinan Drak Alsibai
- Amazonian Infrastructures for Population Health, Cayenne, French Guiana
- Kinan Drak Alsibai
- Centre de Ressources Biologiques Amazonie, Centre Hospitalier de Cayenne, Cayenne, French Guiana
- Nadia Sabbah
- Amazonian Infrastructures for Population Health, Cayenne, French Guiana
- Nadia Sabbah
- Service d’endocrinologie diabétologie, Centre hospitalier de Cayenne, Cayenne, French Guiana
- Véronique Lambert
- Amazonian Infrastructures for Population Health, Cayenne, French Guiana
- Véronique Lambert
- 0Western French Guiana Hospital, Saint Laurent du Maroni, French Guiana
- Loïc Epelboin
- CIC INSERM, Centre Hospitalier de Cayenne, Cayenne, French Guiana
- Loïc Epelboin
- Université de Guyane, Cayenne, French Guiana
- Loïc Epelboin
- Amazonian Infrastructures for Population Health, Cayenne, French Guiana
- Loïc Epelboin
- 1Service des Maladies Infectieuses et Tropicales, Centre hospitalier de Cayenne, Cayenne, French Guiana
- Rakesh Gajadhar Sukul
- 2Director of Health, Ministry of Health, Paramaribo, Suriname
- Fredrik Terlutter
- 0Western French Guiana Hospital, Saint Laurent du Maroni, French Guiana
- Caroline Janvier
- 3Service de Psychiatrie, Centre hospitalier de Cayenne, Cayenne, French Guiana
- Najeh Hcini
- Amazonian Infrastructures for Population Health, Cayenne, French Guiana
- Najeh Hcini
- 0Western French Guiana Hospital, Saint Laurent du Maroni, French Guiana
- DOI
- https://doi.org/10.3389/fpubh.2023.1247310
- Journal volume & issue
-
Vol. 11
Abstract
In French Guiana, life expectancy is between 2 and 3 years below that of France, reflecting differences in mortality rates that are largely sensitive to primary healthcare and thus preventable. However, because poverty affects half of the population in French Guiana, global measurements of life expectancy presumably conflate at least two distinct situations: persons who have similar life expectancies as in mainland France and persons living in precariousness who have far greater mortality rates than their wealthier counterparts. We thus aimed to synthesize what is known about statistical regularities regarding exposures and sketch typical French Guiana exposomes in relation to health outcomes. We conducted a narrative review on common exposures in French Guiana and made comparisons between French Guiana and mainland France, between rich and poor in French Guiana, and between urban and rural areas within French Guiana. The most striking fact this panorama shows is that being a fetus or a young child in French Guiana is fraught with multiple threats. In French Guiana, poverty and poor pregnancy follow-up; renouncing healthcare; wide variety of infectious diseases; very high prevalence of food insecurity; psychosocial stress; micronutrient deficiencies; obesity and metabolic problems; and frequent exposure to lead and mercury in rural areas constitute a stunningly challenging exposome for a new human being to develop into. A substantial part of the population’s health is hence affected by poverty and its sources of nutrition.
Keywords
