title: [Conditions of use and access to care of sickle cell anemia patients. Analysis of the literature].
abstract: In order to identify the care access and life conditions and non-compliance risk factors of sickle-cell patients, we performed a literature survey on these subjects, and on other chronic pathologies and care systems used as references. The data showed a positive influence of good quality of life, social support and family environment on diabetes mellitus patients compliance, and the negative effect of poor socioeconomic status on adequate prenatal care. Concerning sickle-cell disease, there were few data on the non-compliance risk factors. However, the authors identified factors which influence the patient health status and showed the negative result of the disease on the quality of life of the patient and his family. A new study has been induced by these conclusions on the sickle-cell disease cohort of Guadeloupe reference center.
authors.affiliation: Unité 359 de l'Institut National de la Santé et de la Recherche Médicale (INSERM U.359), Pointe-à-Pitre, Guadeloupe, France.
authors.forename: S
authors.initials: S
authors.lastname: Tournebize
authors.forename: C
authors.initials: C
authors.lastname: Le Galès
authors.forename: G
authors.initials: G
authors.lastname: Mérault
authors.forename: C
authors.initials: C
authors.lastname: Berchel
mesh_terms: D000755:Anemia, Sickle Cell / Q000628:therapy*; D003695:Delivery of Health Care; D005602:France; D006297:Health Services Accessibility; D006801:Humans