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.
Int J Environ Res Public Health. 2018 Feb 28;15(3):420. doi: 10.3390/ijerph15030420.
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.
在过去 10 年中，居住在法国巴黎地区避难所的家庭数量增加了两倍。为了了解这些家庭的生活状况、健康需求和儿童的发育问题，2013 年对无家可归的家庭进行了一项调查。这项概率调查是在巴黎地区的 17 种语言中，对 801 个居住在寻求庇护者紧急中心、紧急住房中心、社会康复中心和社会旅馆的无家可归家庭进行的。在提供有关食品安全数据的 772 个家庭中，只有 14.0%的家庭食品安全有保障，而 43.3%的家庭食品安全低保障，9.8%的家庭食品安全极低保障（这种情况也会影响到儿童）。分层多变量稳健泊松模型表明，一些特征与更高的食品安全风险和/或极低食品安全风险有关，如居住不稳定、单亲家庭、有三个以上孩子、抑郁症状、居住在社会旅馆以及难以获得当地廉价或免费食物。考虑到巴黎地区的富裕程度，应集中资源和计划，改善这一弱势群体的生活状况。需要更好地发现这些家庭，加强社会后续跟踪，并增加食品援助。
