%0 Journal Article
%T Immigration(s) et acc¨¨s aux soins en Guyane Immigration(s) and access to health care in French Guyana
%A Estelle Carde
%J Anthropologie & Sant¨¦ : Revue Internationale Francophone d'Anthropologie de la Sant¨¦
%D 2012
%I Association Amades
%R 10.4000/anthropologiesante.1003
%X L¡¯immigration en Guyane est plurielle. Aux migrants carib¨¦ens que la pr¨¦carit¨¦ et les violences politiques ont chass¨¦s de chez eux se m¨ºlent des migrants partis de France m¨¦tropolitaine pour go ter ¨¤ l¡¯exotisme de cette soci¨¦t¨¦ fran aise sise en Am¨¦rique du Sud. Cette pluralit¨¦ se retrouve lorsque les premiers, usagers ¨¦trangers du syst¨¨me de soins, rencontrent des professionnels qui, bien que fran ais, sont soit autochtones, soit eux-m¨ºmes migrants. Ces usagers ¨¦trangers sont parfois victimes de discriminations op¨¦r¨¦es par des professionnels autochtones qui les suspectent de venir profiter ind ment du syst¨¨me de soins local. Si ces discriminations ont ¨¦galement cours ailleurs en France, elles sont exacerb¨¦es en Guyane par l¡¯importance des flux migratoires et des difficult¨¦s socio-¨¦conomiques. Une autre figure de l¡¯acc¨¨s aux soins en contexte d¡¯immigration, plus sp¨¦cifique ¨¤ la Guyane, est celle de professionnels migrants qui attribuent ¨¤ certains de leurs usagers ¨¦trangers, au nom de leur identit¨¦ ethnique, une autochtonie que ne leur reconna t pas la loi. Enfin, les enjeux de l¡¯acc¨¨s aux soins en contexte d¡¯immigration s¡¯articulent ¨¤ l¡¯ensemble des rapports sociaux in¨¦galitaires qui traversent la soci¨¦t¨¦ guyanaise. Immigration in French Guyana is plural. Caribbean migrants, driven away by poverty and political violence, mix with migrants who left metropolitan France to taste the exotism of this French society in South America. This plurality shapes access to health care, since foreign users meet French professionals who are either native or migrants. These foreigners may be victims of discrimination on the part of native professionals who suspect them of taking advantage of the local health care system. Whereas such discrimination exists elsewhere in France, the situation seems exacerbated in French Guyana by the importance of the migratory flows and socioeconomic difficulties. Migrant professionals represent another figure in the access to health care in a context of immigration, more specific to French Guyana. They sometimes attribute a native status to some of their foreign users which is not recognized by the law. Finally, these stakes of access to health care in the context of immigration are linked to a set of unequal social relations that cross Guyanese society.
%K access to health care
%K discrimination
%K French Guyana
%K immigration
%K ethnic origin.
%K acc¨¨s aux soins
%K discriminations
%K Guyane
%K immigration
%K origine ethnique.
%U http://anthropologiesante.revues.org/1003