Sexual vulnerability of migrant women in the multicultural context of French Guiana: A societal issue.

Autor:	Alcouffe L; Institute of Public Health Epidemiology and Development (ISPED), Bordeaux University, Bordeaux, France.; French Red Cross, Saint Laurent du Maroni, French Guiana, France.; Centre d'Investigation Clinique des Antilles et de la Guyane, CIC1424, Centre Hospitalier de Cayenne, Cayenne, French Guiana, France., Huber F; French Red Cross, Saint Laurent du Maroni, French Guiana, France., Creton PM; French Red Cross, Saint Laurent du Maroni, French Guiana, France., Bitan L; French Red Cross, Saint Laurent du Maroni, French Guiana, France., Gonzalez A; French Red Cross, Saint Laurent du Maroni, French Guiana, France., Volpellier M; French Red Cross, Saint Laurent du Maroni, French Guiana, France., Panfili B; French Red Cross, Saint Laurent du Maroni, French Guiana, France., Adenis A; Centre d'Investigation Clinique des Antilles et de la Guyane, CIC1424, Centre Hospitalier de Cayenne, Cayenne, French Guiana, France., Vignier N; Centre d'Investigation Clinique des Antilles et de la Guyane, CIC1424, Centre Hospitalier de Cayenne, Cayenne, French Guiana, France.; Sorbonne Université, INSERM UMR 1136, Institut Pierre Louis d'Épidémiologie et de Santé Publique, IPLESP, Department of Social Epidemiology, Paris, France.; French Collaborative Institute on Migration, Institut Convergences Migrations, ICM, Aubervilliers, France.; Université Sorbonne Paris Nord, UFR SMBH, IAME, INSERM UMR 1137, Hôpital Avicenne, Hôpitaux Universitaires Paris Seine-Saint-Denis, AP-HP, Department of Infectious and Tropical diseases, Bobigny, France.
Jazyk:	angličtina
Zdroj:	Frontiers in public health [Front Public Health] 2022 Sep 07; Vol. 10, pp. 934049. Date of Electronic Publication: 2022 Sep 07 (Print Publication: 2022).
DOI:	10.3389/fpubh.2022.934049
Abstrakt:	Background: French Guiana is a multicultural French territory in Amazonia with an old migration history and a high prevalence of HIV infection. The objective of this study was to evaluate situations of sexual vulnerability and their associated factors among migrant women in French Guiana. Methods: A cross-sectional epidemiological study was carried out in 2021 in the French Red Cross Prevention and Health Centers of the two main cities of French Guiana (Cayenne and Saint Laurent du Maroni). Analysis was performed with multivariate stepwise logistic regression using Stata 15.0 software. Findings: A total of 382 migrant women were included, with a median age of 31 years, mainly born in Haiti (80%), Suriname (9%), or Dominican Republic (6%), undocumented (71%), and with financial difficulties (77%). Among the 20% having casual partners, 57% reported unprotected sexual intercourse, more often the Haitian and Surinamese women. A history of rape was reported by 20% of women, most often in the country of origin (71%). Lifetime rape was associated with being threatened [aOR = 3.69 (1.96-6.96)] or being physically abused [aOR = 12.95 (6.51-25.75)] in the multivariate analysis. Among the women surveyed, 30% reported having ever exchanged sex for money, food, or shelter in their lifetime. Transactional sex is more common among Dominican women [aOR = 5.59 (1.84-16.95)] and women living in French Guiana for more than 2 years [aOR = 2.32 (1.38-3.92)]. Transactional sex is also associated with alcohol misuse [aOR = 2.57 (1.46-4.53)], history of threats [aOR = 2.03 (1.14-3.63)], history of rape [aOR = 1.92 (1.03-3.60)], and depressive disorders [aOR = 2.08 (1.21-3.60)]. Interpretation: Migrant women in French Guiana are in a situation of sexual vulnerability. An intervention focused on sexual education and the promotion of prevention tools among Haitian women is advisable. Better prevention and support for transactional sex are needed to prevent violence and its mental health and alcohol misuse consequences for all women, especially Dominican women. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2022 Alcouffe, Huber, Creton, Bitan, Gonzalez, Volpellier, Panfili, Adenis and Vignier.)
Databáze:	MEDLINE
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