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Diphtheria-Tetanus-Polio, Measles-Mumps-Rubella, and Hepatitis B Vaccination Coverage and Associated Factors among Homeless Children in the Paris Region in 2013: Results from the ENFAMS Survey

Author

Listed:
  • Samreen Mansor-Lefebvre

    (Santé Publique France, French National Public Health Agency, F-94415 Saint-Maurice, France
    Ecoles des Hautes Etudes en santé Publique, 35043 Rennes, France)

  • Yann Le Strat

    (Santé Publique France, French National Public Health Agency, F-94415 Saint-Maurice, France)

  • Anne Bernadou

    (Santé Publique France, French National Public Health Agency, F-94415 Saint-Maurice, France
    European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control (ECDC), 169 73 Solna, Sweden)

  • Nicolas Vignier

    (Department of Social Epidemiology, Sorbonne Université, Inserm, Institut Pierre Louis d’Epidémiologie et de Santé Publique (IPLESP), F75012 Paris, France
    Department of Infectious Disease and Tropical Medicine, Groupe Hospitalier Sud Île de France, 77000 Melun, France
    Institut Convergences et Migration, 93300 Aubervilliers, France)

  • Jean-Paul Guthmann

    (Santé Publique France, French National Public Health Agency, F-94415 Saint-Maurice, France)

  • Amandine Arnaud

    (Observatoire du Samusocial de Paris, 75012 Paris, France)

  • Daniel Lévy-Bruhl

    (Santé Publique France, French National Public Health Agency, F-94415 Saint-Maurice, France)

  • Stéphanie Vandentorren

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

Abstract

Background : The number of homeless families has increased considerably since the 1990s in France. We aimed to estimate the homeless children vaccination coverage (VC) for diphtheria, tetanus, polio, measles–mumps–rubella and hepatitis B and identify factors associated with insufficient VC according to birthplace. Methods : A cross-sectional survey was conducted among homeless shelter families in the greater Paris area. A nurse conducted face-to-face interviews and collected vaccination records. We analyzed factors associated with insufficient VC, stratified by birthplace and vaccine, using robust Poisson regression. Results : The study included 214 children born in France and 236 born outside France. VC in French-born homeless children was high (>90% at 24 months for most vaccinations) and similar to levels observed in the general population, whereas VC in those born outside France was low (<50% at 24 months for all vaccines). Factors significantly associated with insufficient VC among children born outside France were age, parents with French-language difficulties, and changing residence at least twice in the previous year. Children in contact with the healthcare system at least once in the previous year had significantly higher VC, irrespective of vaccine and birthplace. Conclusion : Special attention should be paid to homeless children born outside France, with recent European and French recommendations confirming the need for catch-up vaccination in children with undocumented VC.

Suggested Citation

  • Samreen Mansor-Lefebvre & Yann Le Strat & Anne Bernadou & Nicolas Vignier & Jean-Paul Guthmann & Amandine Arnaud & Daniel Lévy-Bruhl & Stéphanie Vandentorren, 2020. "Diphtheria-Tetanus-Polio, Measles-Mumps-Rubella, and Hepatitis B Vaccination Coverage and Associated Factors among Homeless Children in the Paris Region in 2013: Results from the ENFAMS Survey," IJERPH, MDPI, vol. 17(8), pages 1-17, April.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:8:p:2854-:d:348336
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    References listed on IDEAS

    as
    1. Bassuk, E.L. & Rubin, L. & Lauriat, A.S., 1986. "Characteristics of sheltered homeless families," American Journal of Public Health, American Public Health Association, vol. 76(9), pages 1097-1101.
    2. Judith Martin-Fernandez & Sandrine Lioret & Cécile Vuillermoz & Pierre Chauvin & Stéphanie Vandentorren, 2018. "Food Insecurity in Homeless Families in the Paris Region (France): Results from the ENFAMS Survey," IJERPH, MDPI, vol. 15(3), pages 1-12, February.
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