Characteristics and health of homeless families: the ENFAMS survey in the Paris region, France 2013

Vandentorren, Stéphanie; Méner, Erwan Le; Oppenchaim, Nicolas; Arnaud, A; Jangal, Candy; Caum, C.; Vuillermoz, Cécile; Martin-Fernandez, Judith; Lioret, Sandrine; Roze, M.; Strat, Yann Le; Guyavarch, Emmanuelle

doi:10.1093/eurpub/ckv187

Cited by 68 publications

(87 citation statements)

References 29 publications

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“…Each of these investigations have demonstrated relationship between maternal and child mental health and lack of food. For example, Vandentorren et al(2015) examined the prevalence of food insecurity among more than 10,000 families experiencing homelessness in the Paris region. Greater than 75% of the parents were food insecure, as were 69% of the children, and mental health disorders were common in the mothers and the children.…”

Section: Food Insecurity and Child Mental Healthmentioning

confidence: 99%

The role of food insecurity in developmental psychopathology

Althoff

Ametti

Bertmann

2016

Preventive Medicine

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Food security is a condition achieved when all members of a household have access to adequate food at all times for a healthy, active lifestyle. As of 2014, 14% of households in the United States were food insecure. Previous research has suggested that household food insecurity is associated with numerous adverse medical and psychosocial outcomes across the lifespan. In this narrative review, we examine current research on food insecurity, specifically as it relates to child psychopathology and risk factors thereof: namely, parental mental illness and poor diet and metabolic health. Moreover, we begin to speculate about behavioral and physiological mechanisms by which these conditions may influence one another, and discuss possible interventions through enhanced screening and treatment, parent training, and provision of high quality foods to vulnerable households. Further research is needed to the effects of child and parental mental health on metabolic outcomes in families with food insecurity.

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Section: Food Insecurity and Child Mental Healthmentioning

confidence: 99%

The role of food insecurity in developmental psychopathology

Althoff

Ametti

Bertmann

2016

Preventive Medicine

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“…This study was based on data collected during the ENFAMS (a French acronym for 'homeless families and children') survey, the first statistical survey of homeless families conducted in France (Vandentorren et al, 2015). The reference population consisted of adults, accompanied by at least one child younger than 13 years of age, living in social hotels, emergency centres, centres for asylum-seekers and long-term rehabilitation centres.…”

Section: Study Samplementioning

confidence: 99%

“…Faced with this population's invisibility, both in the public space and in French routine health statistics and health surveys, the Observatoire du Samusocial de Paris conducted a multipurpose health and social survey among sheltered families in the Greater Paris Area in the winter of 2013 (Vandentorren et al, 2015). Using these data, we sought to determine the proportion of homeless women who had undergone CCS, the time since their last test and the factors associated with no lifetime CCS.…”

Section: Introductionmentioning

confidence: 99%

Cervical cancer screening among homeless women in the Greater Paris Area (France): results of the ENFAMS survey

Vuillermoz

Vandentorren

Roze

et al. 2017

European Journal of Cancer Prevention

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Little is known about the prevalence of cervical cancer screening (CCS) and its correlates among homeless women in France. The objectives of this study were to determine the prevalence of women who had never been screened for cervical cancer and to identify the associated factors. This cross-sectional study was based on data collected in the ENFAMS survey, which was conducted in 2013 among 764 sheltered homeless mothers in the Greater Paris Area. Robust Poisson regression models were used to estimate the association between no lifetime CCS and certain sociodemographic and health-related factors (selected from the behavioral model of vulnerable populations). Analyses were carried out separately for women with and without a regular gynaecological follow-up (RGF). The proportion of never-screeners was 33% among the women with an RGF versus 64% among those without an RGF (P<0.001). Among the latter, never having been screened for CCS was associated mainly with socioeconomic conditions, the length of time lived in France, a history of delivery in France and the duration of homelessness. In those with an RGF, the factors were mainly poor health service utilization and language difficulties. This first quantitative study of CCS among homeless women in the Greater Paris Area points to the need for it to be proposed and performed more systematically in primary care. Every contact between this hard-to-reach population and health services should be an opportunity to check their screening status and to ensure that those in need actually undergo a Pap test.

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“…The ENFAMS survey (a French acronym for "Enfants et familles sans logement") [2] was conducted from January to May 2013 to describe the socio-demographic and health characteristics of homeless families in the Paris region (approximately 12 million inhabitants). Following guidelines from France's National Institute of statistics (INSEE), a person is considered to be homeless on any given day if he or she spent the previous night in a sheltered accommodation or slept in a place not intended for living (on the street, in a squat, vehicles, abandoned buildings, public places including streets, parks etc.)…”

Section: Samplementioning

confidence: 99%

“…But housing inequality is increasing more rapidly than elsewhere, leading to the exclusion of some groups of the population from certain social benefits [1]. In 2013, the ENFAMS survey [2] estimated that over 10,280 homeless families were accommodated in the Paris area, corresponding to approximately 35,000 people including 17,660 children. These estimates do not take into account families housed by friends or relatives, implying that the overall number of families without a stable accommodation is actually higher.…”

Section: Introductionmentioning

confidence: 99%

Emotional and behavioral difficulties in children growing up homeless in Paris. Results of the ENFAMS survey

et al. 2016

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Purpose: Children growing up in homeless families are disproportionately more likely to experience health and psychological problems. Our objective was to describe social, environmental, individual and family characteristics associated with emotional and behavioral difficulties among homeless children living in the Paris region.Methods: Face-to-face interviews with a representative sample of homeless families were conducted by bilingual psychologists and interviewers between January and May 2013 (n=343 children ages 4- years). Mothers reported children's emotional and behavioral difficulties (Strength and DifficultiesQuestionnaire -SDQ), family socio-demographic characteristics, residential mobility, and parents' and children's physical and mental health. Children were interviewed regarding their perception of their living arrangements, friendships and school experiences. We studied children's SDQ total score in a linear regression framework.Results: Homeless children had higher SDQ total scores than children in the general population of France, (mean total score =11.3 vs 8.9, p<0,001). In multivariate analyses, children's difficulties were associated with parents' region of birth (beta=1.74 for Sub-Saharan Africa, beta=0.60 for Eastern Europe, beta=3.22 for other countries, p=0.020), residential mobility (beta=0.22, p=0.012), children's health (beta=3.49, p<0.001) and overweight (beta=2.14, p=0.007), the child's sleeping habits (beta=2.82, p=0.002), the mother's suicide risk (beta=4.13, p<0.001), the child's dislike of the family's accommodation (beta=3.59, p<0.001) and the child's experience of bullying (beta=3.21, p=0.002). Conclusions:Children growing up homeless experience high levels of psychological difficulties which can put them at risk for poor mental health and educational outcomes long-term. Access to appropriate screening and medical care for this vulnerable yet underserved group are greatly needed.

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Characteristics and health of homeless families: the ENFAMS survey in the Paris region, France 2013

Cited by 68 publications

References 29 publications

The role of food insecurity in developmental psychopathology

The role of food insecurity in developmental psychopathology

Cervical cancer screening among homeless women in the Greater Paris Area (France): results of the ENFAMS survey

Emotional and behavioral difficulties in children growing up homeless in Paris. Results of the ENFAMS survey

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