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Improving Health Care Management in Primary Care for Homeless People: A Literature Review
Open AccessFeature PaperArticle

Food Insecurity in Homeless Families in the Paris Region (France): Results from the ENFAMS Survey

INSERM, Sorbonne Université, Institut Pierre Louis d’Épidémiologie et de Santé Publique, Department of Social Epidemiology, 75012 Paris, France
INSERM, Université Sorbonne Paris Cité, Centre of Research in Epidemiology and Statistics, Early Life Research on Later Health (EARoH) Team, 75004 Paris, France
Santé Publique France, French National Public Health Agency, 94410 Saint-Maurice, France
Observatoire du Samusocial de Paris, 75012 Paris, France
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2018, 15(3), 420;
Received: 13 December 2017 / Revised: 6 February 2018 / Accepted: 23 February 2018 / Published: 28 February 2018
(This article belongs to the Special Issue Health and Health Care for Homeless People in Various Contexts)
The number of families living in shelters in the Paris region (France) has increased by a factor of three in 10 years. In 2013, a survey was performed on homeless families in order to characterize their living conditions, their health needs, and the developmental problems in children. This probability survey was conducted in 17 languages among 801 homeless families sheltered in emergency centers for asylum-seekers, emergency housing centers, social rehabilitation centers, and social hotels in the Paris region. Among the 772 families that provided data on food security only 14.0% were with food security, whereas 43.3% were with low food security and 9.8% with very low food security (a situation where children are also affected). Stratified multivariate robust Poisson models showed that some characteristics are associated with a higher risk of food insecurity and/or of falling into very low food security, such as residential instability, single parenthood, having more than three children, depressive symptoms, housing in social hostels, and difficult access to cheap or free food locally. Given the wealth of the Paris region, resources and programs should be concentrated on improving the living situation of this vulnerable population. It needs better detection of these families, a closer social follow-up, and an increase in food aid. View Full-Text
Keywords: homeless; food insecurity; urban health homeless; food insecurity; urban health
MDPI and ACS Style

Martin-Fernandez, J.; Lioret, S.; Vuillermoz, C.; Chauvin, P.; Vandentorren, S. Food Insecurity in Homeless Families in the Paris Region (France): Results from the ENFAMS Survey. Int. J. Environ. Res. Public Health 2018, 15, 420.

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