Observatoire du Samusocial de Paris, 35 avenue Courteline, Paris, France.
Eur J Public Health. 2010 Oct;20(5):601-3. doi: 10.1093/eurpub/ckp197. Epub 2009 Dec 16.
Chronic diseases are frequent in homeless people. The aims of this study were to estimate the prevalence of diabetes in people living in shelters and to describe the characteristics of homeless people previously diagnosed with diabetes. Diabetes screening was systematically performed in nine shelters in Paris, from October to December 2006. We found a high prevalence of diabetes comparable with those of the general population, but a high frequency of major complications, in spite of a relatively young age, short duration since diabetes diagnosis and moderate glycaemic control. This study underlines the burden of diabetes among precarious people and supports the development of more effective strategies to improve diabetes management in this population, especially regarding podiatric care.
慢性疾病在无家可归者中较为常见。本研究旨在评估居住在收容所中的人群中糖尿病的患病率，并描述先前被诊断患有糖尿病的无家可归者的特征。2006 年 10 月至 12 月，我们在巴黎的 9 个收容所中系统地进行了糖尿病筛查。我们发现，糖尿病的患病率很高，与一般人群相当，但尽管年龄相对较轻、糖尿病诊断后时间较短且血糖控制适中，主要并发症的发生率仍很高。这项研究强调了不稳定人群中糖尿病的负担，并支持制定更有效的策略来改善这一人群的糖尿病管理，特别是足部护理。
