Background
Methods
Ethical aspects
Study design
Setting
Participants
Outcome criteria
Inclusion criteria
Non inclusion criteria
Sampling method
Data collection
Statistical methods
Results
Renouncement (n) | No renouncement (n) | |
---|---|---|
Sociodemographic profile | ||
Age | 33 (26–42) | 35 (25–45) |
Gender | ||
Female | 52 (46) | 231 (53) |
Male | 61 (54) | 202 (47) |
Being Haitian | ||
No | 57 (50) | 280 (65) |
Yes | 56 (50) | 153 (35) |
Being in France, less than a year: | ||
No | 78 (69) | 298 (69) |
Yes | 20 (18) | 42 (10) |
Non applicable | 15 (13) | 93 (21) |
Marital status | ||
In a couple/family/roomate | 38 (34) | 196 (45) |
Single | 75 (66) | 237 (55) |
Social vulnerability | ||
No | 5 (4) | 64 (15) |
Yes | 108 (96) | 369 (85) |
Income level | ||
Less than net minimum wage | 89 (79) | 294 (68) |
Around net minimum wage | 12 (10) | 90 (21) |
More than net minimum wage | 11 (10) | 46 (10) |
No response | 1 (1) | 3 (1) |
Having financial difficulties | ||
No | 28 (25) | 202 (47) |
Yes | 82 (73) | 229 (53) |
Having financial help | ||
No | 53 (47) | 253 (58) |
Yes | 59 (52) | 178 (41) |
Taking Holidays | ||
No | 92 (81) | 310 (72) |
Yes | 21 (19) | 123 (28) |
Reason for coming | ||
Health insurance | 94 (83) | 408 (94) |
Other | 19 (17) | 25 (6) |
Being shy to ask certain questions or to go through medical or administrative appointments | ||
No | 50 (44) | 381 (88) |
Yes | 63 (56) | 49 (11) |
Health profile | ||
Health status 3 years ago: | ||
The same | 43 (38) | 127 (29) |
Better | 52 (46) | 268 (62) |
Worse | 18 (16) | 37 (9) |
Having received dental care in the past 3 years | ||
No | 27 (24) | 181 (42) |
Yes | 86 (76) | 250 (58) |
Having good sight | ||
No | 28 (25) | 70 (16) |
Yes | 85 (75) | 363 (84) |
Medical practice, attitudes | ||
Having consulted the emergency ward in the past year | ||
No | 47 (42) | 95 (22) |
Yes | 66 (58) | 338 (78) |
Having a family physician | ||
No | 64 (57) | 133 (31) |
Yes | 49 (43) | 300 (69) |
Thinking it is easy to see a doctor | ||
No | 11 (10) | 22 (5) |
Yes | 75 (66) | 328 (76) |
No response | 27 (24) | 83 (19) |
Having time to explain problems when you see a doctor | ||
Yes | 90 (80) | 379 (88) |
No | 19 (17) | 32 (7) |
Never consulted | 4 (3) | 22 (5) |
Having been refused health care by a doctor in French Guiana | ||
No | 87 (77) | 387 (89) |
Yes | 24 (21) | 25 (5) |
Never consulted | 1 (2) | 20 (6) |
Having been refused health care by the PASS | ||
No | 48 (42) | 164 (38) |
Yes | 11 (10) | 15 (3) |
Never consulted | 53 (47) | 254 (59) |
Attitudes, practices and knowledge on health matters | ||
Knowing about complementary health insurance | ||
Yes | 51 (45) | 264 (61) |
No | 61 (54) | 160 (37) |
Knowing the difference between CMU and AME | ||
Yes | 48 (42) | 233 (54) |
No | 64 (57) | 191 (44) |
Thinking need to feel pain or malaise to be sick | ||
No | 71 (32) | 325 (75) |
Yes | 36 (63) | 93 (22) |
Knowing infrastructures or associations which help people in administrative process | ||
Yes | 70 (62) | 326 (75) |
No | 43 (38) | 106 (25) |
HIV-knowledge Quizz | ||
< 7 true responses | 74 (65) | 226 (52) |
7true responses | 39 (35) | 207 (48) |
Health insurance | ||
Having documentation proving health insurance | ||
No | 53 (47) | 137 (32) |
Yes | 60 (53) | 296 (68) |
Understanding mail from the health insurance | ||
Yes | 74 (65) | 337 (78) |
No | 9 (8) | 11 (2) |
Never received | 30 (27) | 85 (20) |
p
| |
---|---|
Sociodemographic profile | |
Being Haitian | 0.01 |
Being in France, less than a year | 0.02 |
Social vulnerability | 0.005 |
Marital status | 0.03 |
Having financial difficulties | <0.001 |
Having financial help | 0.04 |
Taking Holidays | 0.05 |
Reason for coming | <0.001 |
Being shy to ask certain questions or to go through medical or administrative appointments | <0.001 |
Health profile | |
Health status 3 years ago | 0.004 |
Having received dental care in the past 3 years | <0.001 |
Having good sight | 0.05 |
Medical practice, attitudes | |
Having consulted the emergency ward in the past year | <0.001 |
Having a family physician | <0.001 |
Having time to explain problems when you see a doctor | 0.01 |
Having been refused health care by a doctor in French Guiana | <0.001 |
Having been refused health care by the PASS | 0.008 |
Attitudes, practices and knowledge on health matters | |
Knowing about complementary insurance | 0.004 |
Knowing about the difference between CMU and AME | 0.05 |
Thinking one needs to feel pain or malaise to be sick | 0.04 |
Knowing about infrastructures or associations which help people in administrative process | 0.01 |
HIV-knowledge Quizz | 0.02 |
Health insurance | |
Having documentation proving health insurance | 0.003 |
Understanding mail from the health insurance | 0.004 |
OR | 95 % CI |
p
| |
---|---|---|---|
Sociodemographic profile | |||
Being Haitian | |||
No | 1 | ||
Yes | 1.25 | 0.72–2.17 | 0.42 |
Being in France, less than a year: | |||
No | 1 | ||
Yes | 1.32 | 0.62–2.81 | 0.47 |
Non applicable | 1.46 | 0.49–4.33 | 0.50 |
Social vulnerability | |||
No | 1 | ||
Yes | 1.55 | 0.47–5.14 | 0.48 |
Marital status | |||
In a couple/family/roomate | 1 | ||
Single | 1.52 | 0.91–2.54 | 0.11 |
Having financial difficulties | |||
No | 1 | ||
Yes | 1.81 | 1.01–3.23 |
0.05
|
Having financial help | |||
No | 1 | ||
Yes | 0.94 | 0.56–1.57 | 0.81 |
Taking Holidays | |||
No | 1 | ||
Yes | 1.56 | 0.78–3.09 | 0.21 |
Reason for coming | |||
Health insurance | 1.74 | 0.80–3.79 | 0.17 |
Other | 1 | ||
Being shy to ask certain questions or to go through medical or administrative appointments | |||
No | 1 | ||
Yes | 8.72 | 5.15–14.76 |
<0.001
|
Health profile | |||
Health status 3 years ago: | |||
The same | 1 | ||
Better | 0.67 | 0.42–1.06 | 0.09 |
Worse | 1.52 | 0.76–3.04 | 0.23 |
Having received dental care in the past 3 years | |||
No | 1 | ||
Yes | 0.47 | 0.29–0.77 |
0.003
|
Having good sight | |||
No | 1 | ||
Yes | 0.71 | 0.42–1.20 | 0.21 |
Medical practice, attitudes | |||
Having consulted the emergency ward in the past year | |||
No | 1 | ||
Yes | 1.83 | 1.12–2.97 |
0.02
|
Having a family physician? | |||
No | 1 | ||
Yes | 0.33 | 0.20–0.53 |
<0.001
|
Having time to explain problems when you see a doctor | |||
Yes | 1 | ||
No | 1.72 | 0.87–3.40 | 0.30 |
Never consulted | 2.52 | 0.43–14.73 | 0.12 |
Having been refused health care by a doctor in French Guiana | |||
No | 1 | ||
Yes | 2.60 | 1.29–5.23 |
0.01
|
Never consulted | 0.14 | 0.02–1.22 | 0.08 |
Having been refused health care by the PASS | |||
No | 1 | ||
Yes | 1.60 | 0.61–4.24 | 0.12 |
Never consulted | 0.68 | 0.42–1.10 | 0.34 |
Attitudes, practices and knowledge on health matters | |||
Knowing about complementary insurance | |||
Yes | 1 | ||
No | 1.57 | 0.95–2.57 | 0.08 |
Knowing about about the difference between CMU and AME | |||
Yes | 1 | ||
No | 1.17 | 0.70–1.95 | 0.54 |
Thinking need to feel pain or malaise to be sick | |||
No | 1 | ||
Yes | 1.48 | 0.89–2.45 | 0.13 |
Knowing about infrastructures or associations which help people in administrative process | |||
Yes | 1 | ||
No | 1.51 | 0.91–2.51 | 0.11 |
HIV-knowledge Quizz | |||
< 7 true responses | 1 | ||
7true responses | 0.78 | 0.47–1.28 | 0.32 |
Health insurance | |||
Having documentation proving health insurance | |||
No | 1 | ||
Yes | 0.49 | 0.23–0.65 |
0.02
|
Understanding mail from the health insurance | |||
Yes | 1 | ||
No | 3.33 | 1.31–8.45 |
0.01
|
Never received | 0.91 | 0.47–1.75 | 0.77 |
Variables | OR | 95 % CI |
p
|
---|---|---|---|
Having financial difficulties | |||
No | 1 | ||
Yes | 1. 66 | 0.97–2.86 | 0.07 |
Being shy to ask certain questions or to go through medical or administrative appointments | |||
No | 1 | ||
Yes | 6.81 | 3.98–11.65 |
<0.001
|
Having received dental care in the past 3 years | |||
No | 1 | ||
Yes | 0.87 | 0.49–1.56 | 0.64 |
Having consulted the emergency ward in the past year | |||
No | 1 | ||
Yes | 1.38 | 0.80–2.40 | 0.25 |
Having a family physician | |||
No | 1 | ||
Yes | 0.43 | 0.24–0.79 |
0.006
|
Having been refused health care by a doctor in French Guiana | |||
No | 1 | ||
Yes | 3.08 | 1.43–6.65 |
0.004
|
Never consulted | 0.23 | 0.05–1.19 | 0.08 |
Having documentation proving health insurance | |||
No | 1 | ||
Yes | 0.61 | 0.30–1.23 | 0.17 |
Understanding mail from the health insurance | |||
Yes | 1 | ||
No | 2.05 | 0.60–6.95 | 0.25 |
Never received | 0.54 | 0.23–1.25 | 0.15 |