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

Samreen Mansor-Lefebvre, Yann Le Strat, Anne Bernadou, Nicolas Vignier, Jean-Paul Guthmann, Amandine Arnaud, Daniel Lévy-Bruhl and Stéphanie Vandentorren
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Samreen Mansor-Lefebvre: Santé Publique France, French National Public Health Agency, F-94415 Saint-Maurice, 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
Nicolas Vignier: Department of Social Epidemiology, Sorbonne Université, Inserm, Institut Pierre Louis d’Epidémiologie et de Santé Publique (IPLESP), F75012 Paris, 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

IJERPH, 2020, vol. 17, issue 8, 1-17

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.

Keywords: immunization; vaccination coverage; children; homeless (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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