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

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  • Mathilde Roze

    (INSERM, Sorbonne Université, Institut Pierre Louis d’Epidémiologie et de Santé Publique (IPLESP), Department of Social Epidemiology, F75012 Paris, France)

  • Maria Melchior

    (INSERM, Sorbonne Université, Institut Pierre Louis d’Epidémiologie et de Santé Publique (IPLESP), Department of Social Epidemiology, F75012 Paris, France)

  • Cécile Vuillermoz

    (INSERM, Sorbonne Université, Institut Pierre Louis d’Epidémiologie et de Santé Publique (IPLESP), Department of Social Epidemiology, F75012 Paris, France)

  • Dalila Rezzoug

    (CESP Inserm 1178, Université Paris 13, APHP Hôpital Avicenne, 93000 Bobigny, France
    Centre National de Ressources et Résilience, 59800 Lille, France)

  • Thierry Baubet

    (CESP Inserm 1178, Université Paris 13, APHP Hôpital Avicenne, 93000 Bobigny, France
    Centre National de Ressources et Résilience, 59800 Lille, France)

  • Stéphanie Vandentorren

    (INSERM, Sorbonne Université, Institut Pierre Louis d’Epidémiologie et de Santé Publique (IPLESP), Department of Social Epidemiology, F75012 Paris, France
    Santé Publique France, French National Public Health Agency, F-94415 Saint-Maurice, France)

Abstract

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.

Suggested Citation

  • Mathilde Roze & Maria Melchior & Cécile Vuillermoz & Dalila Rezzoug & Thierry Baubet & Stéphanie Vandentorren, 2020. "Post-Traumatic Stress Disorder in Homeless Migrant Mothers of the Paris Region Shelters," IJERPH, MDPI, vol. 17(13), pages 1-13, July.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:13:p:4908-:d:381529
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    References listed on IDEAS

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    1. Kenneth Carswell & Pennie Blackburn & Chris Barker, 2011. "The Relationship Between Trauma, Post-Migration Problems and the Psychological Well-Being of Refugees and Asylum Seekers," International Journal of Social Psychiatry, , vol. 57(2), pages 107-119, March.
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    3. Strohschein, Lisa & McDonough, Peggy & Monette, Georges & Shao, Qing, 2005. "Marital transitions and mental health: Are there gender differences in the short-term effects of marital status change?," Social Science & Medicine, Elsevier, vol. 61(11), pages 2293-2303, December.
    4. Summerfield, Derek, 1999. "A critique of seven assumptions behind psychological trauma programmes in war-affected areas," Social Science & Medicine, Elsevier, vol. 48(10), pages 1449-1462, May.
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