Health status, healthcare use and child MMR vaccination coverage in Travellers according to their environmental and living conditions in Nouvelle-Aquitaine, France, 2019–2022.
Background The poor health status of underserved populations is compounded by low vaccination uptake, leading to a greater risk of epidemics. On October 2017, a measles outbreak started in the southwest of France among under-vaccinated social groups, including Travellers. We aimed to describe the he...
| Publicado en: | European Journal of Public Health Vol. 33; no. 6; pp. 1194 - 1200 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Dec2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=174108350&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 174108350 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11011262 BHW jtl: European Journal of Public Health issn: 11011262 maglogo: N pubinfo: dt: Dec2023 vid: 33 iid: 6 pid: 622 pub: Oxford University Press / USA artinfo: ui: 174108350 174108350 174108350 10.1093/eurpub/ckad175 174108350 ppf: 1194 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Health status, healthcare use and child MMR vaccination coverage in Travellers according to their environmental and living conditions in Nouvelle-Aquitaine, France, 2019–2022. aug: au: Mondeilh, Aude Brabant, Gilles Haidar, Sahar Saboni, Leïla Ruello, Marc Lesieur, Sophie Castor, Christine Autes-Treand, Erwan strat, Yann Le Vandentorren, Stéphanie affil: Fédération nationale des associations solidaires d'action avec les tsiganes et les Gens du voyage (FNASAT – Gv) , Paris, France sug: subj: Health Status Health Resource Utilization Measles-Mumps-Rubella Vaccine In Infancy and Childhood Vaccination Coverage France Measles Epidemiology Communities Human Cross Sectional Studies France Random Sample Social Workers Questionnaires Child Adult Anthropometry Immunization Environmental Exposure Diabetes Mellitus Obesity Hypertension Depression Housing Instability Water Supply Descriptive Statistics Funding Source Child: 6-12 years Adult: 19-44 years ab: Background The poor health status of underserved populations is compounded by low vaccination uptake, leading to a greater risk of epidemics. On October 2017, a measles outbreak started in the southwest of France among under-vaccinated social groups, including Travellers. We aimed to describe the health status, healthcare use and child measles–mumps–rubella (MMR) vaccination coverage in Travellers according to their environmental and living conditions. Methods A cross-sectional study with a three-stage random sample design was conducted between October 2019 and March 2022 in the Nouvelle-Aquitaine region in France. Trained social workers administered face-to-face questionnaires to collect data on adults and children. Anthropometric measurements, vaccination records and data using an environmental exposure questionnaire were also collected. Results The participation rate was high (73.6%), with 1030 adults and 337 children included. Concerning the adults, 36.6% had obesity, 14.4% reported diabetes, 24.7% hypertension and 14.4% major depression. The prevalence of major depression was significantly higher in adults living in precarious and unauthorized housing than in those with adequate housing (19.8 vs. 14.7%, P = 0.03). With regard to children, 45.3% had full (i.e. 2-dose) MMR vaccination coverage at 24 months and 17.9% had obesity. Finally, 74.5% of the households experienced housing insecurity, and 22.2% did not have a supply of drinking water. Conclusion Traveller children and adults faced deleterious environmental and living conditions potentially affecting their health, healthcare use and vaccination coverage. These results demonstrate the need for urgent interventions for underserved populations which take into account their specific needs. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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