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

Roze, M.; Vandentorren, Stéphanie; Vuillermoz, Cécile; Chauvin, Pierre; Melchior, Maria

doi:10.1016/j.eurpsy.2016.05.001

Cited by 19 publications

(10 citation statements)

References 79 publications

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“…Furthermore, 35.9% of our study sample were survivors of rape or sexual assault. It is important to note the growing amount of literature documenting the association between mothers' mental health and children's emotional difficulties [41], highlighting the importance of maternal PTSD on their offspring.…”

Section: Discussionmentioning

confidence: 99%

Post-Traumatic Stress Disorder in Homeless Migrant Mothers of the Paris Region Shelters

Roze

Melchior

Vuillermoz

et al. 2020

IJERPH

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Migrant women are disproportionately more likely to experience traumatic events in their country of origin, during migration and after arriving in the host country. Homeless women are more likely to be exposed to multiple victimizations in childhood (emotional or physical maltreatment) and in adulthood (sexual abuse, street victimization). This study’s objective was to describe the factors associated with the likelihood of post-traumatic stress disorder (PTSD) among homeless migrant mothers in the Paris region. Face-to-face interviews were conducted by bilingual psychologists and interviewers in a representative sample of homeless families in the Paris region. PTSD was ascertained using the Mini International Neuropsychiatric Interview (MINI) (n = 691 mothers). We studied PTSD in mothers using weighted Poisson regression. Homeless migrant mothers had high levels of PTSD (18.9%) in the 12 months preceding the study. In multivariate analysis, PTSD was associated with departure from the country of origin because of violence (PR = 1.45 95% CI 1.03; 2.04), depression in the preceding 12 months (PR = 1.82 95% CI 1.20; 2.76), and residential instability (PR = 1.93 95% CI 1.27; 2.93). Homeless migrant mothers have high levels of traumatic events and PTSD. Improvements in screening for depression and PTSD and access to appropriate medical care are essential for this vulnerable group.

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Section: Discussionmentioning

confidence: 99%

Post-Traumatic Stress Disorder in Homeless Migrant Mothers of the Paris Region Shelters

Roze

Melchior

Vuillermoz

et al. 2020

IJERPH

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“…Social exclusion and the other previously stated factors are also connected with poor educational outcomes (Roze et al , 2016). Frequent episodes of homelessness negatively impact the educational trajectories of children (Gültekin et al , 2014).…”

Section: Resultsmentioning

confidence: 99%

The health challenges of families experiencing homelessness

Annor

Oudshoorn

2019

HCS

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Purpose The purpose of this paper is to report the findings of a scoping review on the health challenges of families experiencing homelessness. There is a bi-directional relationship between health and homelessness in that poor health can increase the risk of housing loss, and experiencing homelessness is bad for one’s health. The experience of homelessness differs between populations and this review focuses on families as one of the fastest growing segments of the homeless population. While research has been integrated on the causes of homelessness for families, this same integration has not been conducted looking at health challenges of families experiencing homelessness. Design/methodology/approach A scoping review methodology is utilized in the paper. As the goal of this work is to ultimately develop interventions for a Canadian context, primacy is given to Canadian sources, but other relevant literature is also included. Findings A clear distinction is seen in the literature between health challenges of children of homeless families and health challenges of parents. These themes are explored separately, and preliminary recommendations are made for potential points of intervention as personal, program and policy levels. Originality/value This review of current evidence is an important first step in building a foundation for interventions to improve health outcomes for those experiencing housing loss.

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“…This survey reported that nearly all these women (94%) were born outside of France (63% in Africa); 94% lived below the poverty level; and about half in single-parent families. The survey highlighted major health problems in both mothers and their children, such as high rates of food insecurity, malnutrition and mental health disorders (Arnaud et al, 2018;Martin-Fernandez et al, 2018;Roze et al, 2018Roze et al, , 2016Vandentorren et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Demographic, socioeconomic, and sociocultural factors associated with any breastfeeding in homeless mothers

Frenoy

Vandentorren

Arnaud

et al. 2021

Maternal & Child Nutrition

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In high-income countries, breastfeeding has been shown to be positively associated with socioeconomic position. However, less is known about breastfeeding practices and their associated factors among extremely disadvantaged populations. We aimed to assess the associations of cultural origins and socioeconomic factors with any breastfeeding initiation and duration in homeless families. We analyzed data from 456 children aged 6 months to 5 years from the cross-sectional ENFAMS survey, conducted in 2013 among a random sample of homeless families in shelters in the Greater Paris area. Data were collected by bilingual interviewers in 17 languages. Four nested multivariable robust Poisson regression models were run in a hierarchical framework to determine the factors associated with breastfeeding initiation and with any breastfeeding for 6 months or more. Most of the children (86.0%) had previously been or were currently being breastfed at the time of the survey; 58.9% were fed with breast milk ≥6 months. A higher maternal age and African origin were positively associated with breastfeeding ≥6 months, although the relation to the region of origin was moderated by education level. Migration to escape war, unrest or other violence and the child's birth in France were inversely associated with breastfeeding ≥6 months. Any breastfeeding by these homeless mothers seems influenced predominantly by their cultural origin and complicated by a difficult migration trajectory. The

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

Cited by 19 publications

References 79 publications

Post-Traumatic Stress Disorder in Homeless Migrant Mothers of the Paris Region Shelters

Post-Traumatic Stress Disorder in Homeless Migrant Mothers of the Paris Region Shelters

The health challenges of families experiencing homelessness

Demographic, socioeconomic, and sociocultural factors associated with any breastfeeding in homeless mothers

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