The number of families sheltered in the Paris region (France) increased by a factor of 5 between 1999 and 2009. 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 random survey was conducted in 17 languages among homeless families sheltered in emergency centers for asylum-seekers, emergency housing centers, social rehabilitation centers and social hotels in the Paris region. The situation was particularly worrying regarding their food security. Indeed, only 14.0% of people were with food security, whereas 43.3% were with low food security and 9.8% very low food security (a situation where children are also affected). Stratified multivariate robust Poisson models showed that some characteristics can lead homeless families to be at higher risk of food insecurity and/or at higher risk of falling into very low food security, such as residential instability, single parenthood, having more than 3 children, depressive symptoms, housing in social hostels, difficult access to cheap or free food locally. These harmful situations are intolerable in such a wealthy region as the Paris region. They argue for a better detection of these families, a closer social follow-up and an increase in food aid.

Health of migrant is a widely studied topic. It has been argued that migrant health may deteriorate over time. Though migrants are ‘a hard to reach’ population in survey data, this paper builds on a unique dataset provided by Médecins du Monde from five countries. We study self perceived health (SPH) in connection with socio-economic and demographic factors and length of stay. Results show different results for men and women. Asylum seekers compared to other documented migrants have a worse health. Migrants with better living conditions tend to be in better health. Employment and stable accommodation has a positive effect on SPH. Women from poorer countries have a better physical SPH after 3 months of residing in the host country. This paper contributes widely to knowledge of health of migrants. Contrarily to other evidence, health of migrants tends to improve for some migrants.

The Samenta study was conducted in 2009 in the Greater Paris area to estimate the prevalence of psychiatric disorders among the homeless. A cross-sectional survey was performed with a three-stage random sample of homeless people (n = 859), including users of day services, emergency shelters, hot meal distribution, long-term rehabilitation centres and social hotels. Information was collected by a lay interviewer, using the Mini International Neuropsychiatric Interview, and completed by a psychologist through an open clinical interview. In the end, a psychiatrist assessed the psychiatric diagnosis according to the ICD10. One third of the homeless in the Paris area had at least one severe psychiatric disorder: psychotic disorders (13%), anxiety disorders (12%) or severe mood disorders (7%). One in five was alcohol dependent and 18% were drug users. Homeless women had significantly higher prevalence of anxiety disorders and depression and men were more likely to suffer from psychotic disorders. Homeless people of French origin were at higher risk of SPD, as well as people who experienced various adverse life events before the age of 18 (running away, sexual violence, parental disputes, and/or addictions) and those who experienced homelessness for the first time before the age of 26. The prevalence rates of main psychiatric disorders within the homeless population of our study are consistent with those reported in other Western cities. Our results advocate for an improvement in detection, housing and care of psychiatric homeless.