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Article

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

1
Santé Publique France, French National Public Health Agency, F-94415 Saint-Maurice, France
2
Ecoles des Hautes Etudes en santé Publique, 35043 Rennes, France
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European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control (ECDC), 169 73 Solna, Sweden
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Department of Social Epidemiology, Sorbonne Université, Inserm, Institut Pierre Louis d’Epidémiologie et de Santé Publique (IPLESP), F75012 Paris, France
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Department of Infectious Disease and Tropical Medicine, Groupe Hospitalier Sud Île de France, 77000 Melun, France
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Institut Convergences et Migration, 93300 Aubervilliers, France
7
Observatoire du Samusocial de Paris, 75012 Paris, France
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(8), 2854; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17082854
Received: 17 February 2020 / Revised: 3 April 2020 / Accepted: 18 April 2020 / Published: 21 April 2020
(This article belongs to the Special Issue Health and Health Care Access of Vulnerable Populations)
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. View Full-Text
Keywords: immunization; vaccination coverage; children; homeless immunization; vaccination coverage; children; homeless
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MDPI and ACS Style

Mansor-Lefebvre, S.; Le Strat, Y.; Bernadou, A.; Vignier, N.; Guthmann, J.-P.; Arnaud, A.; Lévy-Bruhl, D.; Vandentorren, S. 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. Int. J. Environ. Res. Public Health 2020, 17, 2854. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17082854

AMA Style

Mansor-Lefebvre S, Le Strat Y, Bernadou A, Vignier N, Guthmann J-P, Arnaud A, Lévy-Bruhl D, Vandentorren S. 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. International Journal of Environmental Research and Public Health. 2020; 17(8):2854. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17082854

Chicago/Turabian Style

Mansor-Lefebvre, Samreen, Yann Le Strat, Anne Bernadou, Nicolas Vignier, Jean-Paul Guthmann, Amandine Arnaud, Daniel Lévy-Bruhl, and 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" International Journal of Environmental Research and Public Health 17, no. 8: 2854. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17082854

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