title: Knowledge, attitudes, behaviors, and practices differences regarding HIV in populations living along the Maroni river: particularities of operational interest for Amerindian and Maroon populations.
abstract: The Maroni basin, an isolated region delineating the border between Suriname and French Guiana has been affected by the human immunodeficiency virus (HIV) epidemic 10 years after coastal French Guiana. However, the rise in HIV prevalence was sharp, exceeding 1% within 10 years. The aim of the present study is to compare, using the first quantitative data from the general population in remote villages, the knowledge, attitudes, and behaviors regarding HIV between Maroon and Amerindian populations, the two most frequent populations living along the Maroni. Data were collected in 2012 using a structured questionnaire among a random sample of 896 individuals residing in the remote villages on the Maroni river. Proportions were compared between the Maroni and the coastal general population, and between Maroon and Amerindian populations. The present study shows significant differences between territories and between communities living on the Maroni river: the multiple sexual partnerships, more common among population living on the Maroni river, were more frequently reported in Maroons than in Amerindians. Condom use was more frequently reported among men on the Maroni river than on the coast, but these findings were reversed for women. Moreover, among people living on the Maroni river, condom use was more frequently reported among Maroons than among Amerindians. Regarding genital factors that may affect transmission, penile implant seemed to have no ethnic boundaries, steam baths seemed specific to Maroon women. The present results should help to improve community-based specific interventions.
authors.affiliation: a Centre d'Investigation Clinique Antilles-Guyane, INSERM CIC 1424, Centre Hospitalier Andrée Rosemon , Cayenne , France.
authors.forename: Astrid
authors.initials: A
authors.lastname: van Melle
authors.affiliation: a Centre d'Investigation Clinique Antilles-Guyane, INSERM CIC 1424, Centre Hospitalier Andrée Rosemon , Cayenne , France.
authors.forename: Marie-Claire
authors.initials: MC
authors.lastname: Parriault
authors.affiliation: a Centre d'Investigation Clinique Antilles-Guyane, INSERM CIC 1424, Centre Hospitalier Andrée Rosemon , Cayenne , France.
authors.forename: Célia
authors.initials: C
authors.lastname: Basurko
authors.affiliation: b Centre Hospitalier Franck Joly , Saint Laurent du Maroni , France.
authors.forename: Anne
authors.initials: A
authors.lastname: Jolivet
authors.affiliation: c Institut Pasteur de la Guyane , Cayenne , France.
authors.forename: Claude
authors.initials: C
authors.lastname: Flamand
authors.affiliation: a Centre d'Investigation Clinique Antilles-Guyane, INSERM CIC 1424, Centre Hospitalier Andrée Rosemon , Cayenne , France.
authors.forename: Perrine
authors.initials: P
authors.lastname: Pigeon
authors.affiliation: a Centre d'Investigation Clinique Antilles-Guyane, INSERM CIC 1424, Centre Hospitalier Andrée Rosemon , Cayenne , France.
authors.forename: Johanna
authors.initials: J
authors.lastname: Caudal
authors.affiliation: d Institut National de prévention et d'éducation pour la santé , Paris , France.
authors.forename: Nathalie
authors.initials: N
authors.lastname: Lydié
authors.affiliation: e Observatoire régional de santé d'île de France , Paris , France.
authors.forename: Sandrine
authors.initials: S
authors.lastname: Halfen
authors.affiliation: f Centre Hospitalier Universitaire de Pointe à Pitre , Pointe-à-Pitre , France.
authors.forename: Marie-Thérèse
authors.initials: MT
authors.lastname: Goerger-Sow
authors.affiliation: a Centre d'Investigation Clinique Antilles-Guyane, INSERM CIC 1424, Centre Hospitalier Andrée Rosemon , Cayenne , France.|g COREVIH Guyane, Centre Hospitalier Andrée Rosemon , Cayenne , France.
authors.forename: Mathieu
authors.initials: M
authors.lastname: Nacher
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005006:Ethnicity; D005260:Female; D005616:French Guiana; D015658:HIV Infections / Q000208:ethnology / Q000517:prevention & control* / Q000523:psychology; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D045483:Rivers; D057545:Social Stigma; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Amerindian and descendants of Maroons populations; French Guiana; HIV; Maroni river; knowledge, attitudes, behaviors, practices