Stéphanie Vandentorren1, Erwan Le Méner2, Nicolas Oppenchaim3, Amandine Arnaud4, Candy Jangal5, Carme Caum2, Cécile Vuillermoz6, Judith Martin-Fernandez6, Sandrine Lioret7, Mathilde Roze6, Yann Le Strat8, Emmanuelle Guyavarch2. 1. Observatoire du Samusocial de Paris, Paris, France Sorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d'épidémiologie et de Santé Publique (IPLESP UMRS 1136), F75012, Paris, France Institut de veille sanitaire, département des alertes et coordination des régions, Saint Maurice, France. 2. Observatoire du Samusocial de Paris, Paris, France. 3. Observatoire du Samusocial de Paris, Paris, France Université François Rabelais, Laboratoire Citeres, UMR CNS 7324, Tours, France. 4. Observatoire du Samusocial de Paris, Paris, France Institut de veille sanitaire, département des maladies infectieuses, Saint Maurice, France. 5. Observatoire du Samusocial de Paris, Paris, France Laboratoire Espace, Santé et Territoires, Université Paris Ouest Nanterre La Défense, Nanterre, France. 6. Sorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d'épidémiologie et de Santé Publique (IPLESP UMRS 1136), F75012, Paris, France. 7. Early ORigin of the Child's Health and Development Team (ORCHAD), INSERM, UMR1153 Epidemiology and Biostatistics Sorbonne Paris Cité Center (CRESS). Paris Descartes University, France. 8. Institut de veille sanitaire, département des maladies infectieuses, Saint Maurice, France.
Abstract
BACKGROUND: The objectives were to estimate the size of homeless family population in Paris region, to describe their living conditions and health and to analyse the impact of homelessness on children's growth and development, which was never investigated in France. METHODS: A cross-sectional survey was conducted on a random sample of homeless sheltered families in 2013. Families were interviewed in 17 languages and a nurse took anthropometric measures, blood samples and collected health data from child health reports. RESULTS: The population size was estimated at 10 280 families. Half were single-parent female families and 94% were born outside France. Most families had experienced housing instability and 94% were living below the poverty line (828 euros/month). Malnutrition was a major problem: the prevalence of food insecurity was high (77% of parents and 69% of children), as well as anaemia (50% of mothers and 38% of children), overweight (38% of mothers and 22% of children) and obesity (32% of mothers and 4% of children). High rates of depressive disorders were found in 30% of homeless mothers and 20% of children had signs of possible mental health disorders. DISCUSSION: These first results highlight the important number of families among the homeless population in Paris region. Families differed from other homeless people regarding social characteristics such as birthplace, single-parent status and residential instability that are likely to influence schooling, social ties, health and access to care. These results demonstrate the need for urgent actions targeting homeless families, in terms of reducing housing instability and providing adequate care, especially for children.
BACKGROUND: The objectives were to estimate the size of homeless family population in Paris region, to describe their living conditions and health and to analyse the impact of homelessness on children's growth and development, which was never investigated in France. METHODS: A cross-sectional survey was conducted on a random sample of homeless sheltered families in 2013. Families were interviewed in 17 languages and a nurse took anthropometric measures, blood samples and collected health data from child health reports. RESULTS: The population size was estimated at 10 280 families. Half were single-parent female families and 94% were born outside France. Most families had experienced housing instability and 94% were living below the poverty line (828 euros/month). Malnutrition was a major problem: the prevalence of food insecurity was high (77% of parents and 69% of children), as well as anaemia (50% of mothers and 38% of children), overweight (38% of mothers and 22% of children) and obesity (32% of mothers and 4% of children). High rates of depressive disorders were found in 30% of homeless mothers and 20% of children had signs of possible mental health disorders. DISCUSSION: These first results highlight the important number of families among the homeless population in Paris region. Families differed from other homeless people regarding social characteristics such as birthplace, single-parent status and residential instability that are likely to influence schooling, social ties, health and access to care. These results demonstrate the need for urgent actions targeting homeless families, in terms of reducing housing instability and providing adequate care, especially for children.
Authors: Stéphane Darbeda; Bruno Falissard; Massimiliano Orri; Caroline Barry; Maria Melchior; Pierre Chauvin; Stéphanie Vandentorren Journal: Am J Public Health Date: 2018-02-22 Impact factor: 9.308
Authors: Andrea Tortelli; Patrick Simon; Sophie Lehouelleur; Norbert Skurnik; Jean Romain Richard; Grégoire Baudin; Aziz Ferchiou; Marion Leboyer; Franck Schürhoff; Andrei Szöke Journal: Brain Behav Date: 2021-04-09 Impact factor: 2.708
Authors: Judith Martin-Fernandez; Sandrine Lioret; Cécile Vuillermoz; Pierre Chauvin; Stéphanie Vandentorren Journal: Int J Environ Res Public Health Date: 2018-02-28 Impact factor: 3.390
Authors: Maria João Gregório; Ana M Rodrigues; Pedro Graça; Rute Dinis de Sousa; Sara S Dias; Jaime C Branco; Helena Canhão Journal: Front Public Health Date: 2018-02-21
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