A Arnaud1,2, O Chosidow3,4,5, M-A Détrez1, D Bitar2, F Huber1, F Foulet3, Y Le Strat2, S Vandentorren1,2. 1. Observatoire du Samusocial de Paris, 35 Avenue Courteline, 75012, Paris, France. 2. French Institute for Public Health Surveillance, Saint-Maurice, France. 3. Department of Dermatology, AP-HP, Hôpital Henri Mondor, Créteil, France. 4. Université Paris-Est Créteil Val de Marne (UPEC), Créteil, France. 5. CIC INSERM 1430 and EA EpiDermE (Epidemiology in Dermatology and Evaluation of Therapeutics), Créteil, France.
Abstract
BACKGROUND: Dermatological infections constitute the most common health problem in the homeless population. OBJECTIVES: To estimate the prevalences of scabies and pediculosis corporis and to identify associated factors in the homeless population. METHODS: Two randomized cross-sectional surveys were performed, one on the homeless population sleeping in public places in Paris, and the other on the homeless population in various shelters in the Ile-de-France administrative region. Overall 341 and 667 people, respectively, were interviewed about sociodemographic characteristics, lifestyle and hygiene practices, and were examined by a nurse. RESULTS: In individuals sleeping in public places the prevalence of scabies was estimated at 6·5% [95% confidence interval (CI) 0·5-12·5] and for pediculosis corporis at 5·4% (95% CI 1·7-9·1). For those sleeping in shelters these values were 0·4% (95% CI 0·1-1·8) and 0·15% (95% CI 0·0-9·7), respectively (P < 0·01 in both cases). In public places, after multivariate analysis, being a woman, citing squats among the three main types of accommodation and not possessing a sleeping bag were significantly associated with diagnosis of scabies. Likewise, begging, a history of pubic lice, and not taking showers in municipal baths were associated with pediculosis corporis in public places. CONCLUSIONS: Firstly, this study highlights the real existence of two distinct subpopulations having different sociodemographic characteristics, with specific lifestyles and practices, and with different prevalences of ectoparasitism. Secondly, the results of the multivariate analyses will help the implementation of specific actions targeting the group of people who sleep in public places.
RCT Entities:
BACKGROUND: Dermatological infections constitute the most common health problem in the homeless population. OBJECTIVES: To estimate the prevalences of scabies and pediculosis corporis and to identify associated factors in the homeless population. METHODS: Two randomized cross-sectional surveys were performed, one on the homeless population sleeping in public places in Paris, and the other on the homeless population in various shelters in the Ile-de-France administrative region. Overall 341 and 667 people, respectively, were interviewed about sociodemographic characteristics, lifestyle and hygiene practices, and were examined by a nurse. RESULTS: In individuals sleeping in public places the prevalence of scabies was estimated at 6·5% [95% confidence interval (CI) 0·5-12·5] and for pediculosis corporis at 5·4% (95% CI 1·7-9·1). For those sleeping in shelters these values were 0·4% (95% CI 0·1-1·8) and 0·15% (95% CI 0·0-9·7), respectively (P < 0·01 in both cases). In public places, after multivariate analysis, being a woman, citing squats among the three main types of accommodation and not possessing a sleeping bag were significantly associated with diagnosis of scabies. Likewise, begging, a history of pubic lice, and not taking showers in municipal baths were associated with pediculosis corporis in public places. CONCLUSIONS: Firstly, this study highlights the real existence of two distinct subpopulations having different sociodemographic characteristics, with specific lifestyles and practices, and with different prevalences of ectoparasitism. Secondly, the results of the multivariate analyses will help the implementation of specific actions targeting the group of people who sleep in public places.
Authors: Jessica H Leibler; Daniel D Nguyen; Casey León; Jessie M Gaeta; Debora Perez Journal: Int J Environ Res Public Health Date: 2017-08-18 Impact factor: 3.390
Authors: Charlotte Bernigaud; Fang Fang; Katja Fischer; Anne Lespine; Ludwig Serge Aho; Dominique Dreau; Andrew Kelly; Jean-François Sutra; Francis Moreau; Thomas Lilin; Françoise Botterel; Jacques Guillot; Olivier Chosidow Journal: PLoS Negl Trop Dis Date: 2016-10-12
Authors: Anne Laporte; Stéphanie Vandentorren; Marc-Antoine Détrez; Caroline Douay; Yann Le Strat; Erwan Le Méner; Pierre Chauvin Journal: Int J Environ Res Public Health Date: 2018-01-31 Impact factor: 3.390
Authors: Valérie Dauriac-Le Masson; Alain Mercuel; Marie Jeanne Guedj; Caroline Douay; Pierre Chauvin; Anne Laporte Journal: Int J Environ Res Public Health Date: 2020-11-04 Impact factor: 3.390