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Evaluation de l’état de santé et des conditions de vie des personnes sans domicile à partir d’enquêtes épidémiologiques : difficultés méthodologiques et pratiques

Abstract : Since the 80’s, many surveys have been carried to count and describe homeless people, and to understand the exclusion’s phenomenon to advice French public assistance policies. However, only a few surveys have been done ensuring representativeness and even fewer attempted in assessing the health status of homeless people in an objective way, whereas housing deprivation (homelessness) is known to have a durable impact on health. This can be explained by the fact that this population is difficult to define, as it is very heterogeneous and constantly evolving (number and profile wise). The homeless are also scattered and highly mobile within the Ile-de-France territory, and also between streets and different forms of accommodation. These particularities are all constraints to epidemiological surveys among homeless people, and the generalization of their results.This PhD thesis presents the state of knowledge on homelessness and what has been done in order to give support to this population between 2007 and 2016. It compiles knowledge on the health status and living conditions of homeless people in Ile-de-France based on epidemiological surveys carried out by the Observatoire du Samusocial de Paris focusing on mental health, ectoparasites or anemia. It details the main methodological and practical obstacles encountered during these investigations, the solutions chosen to overcome them and concludes by affirming that reasonable and reliable estimates of prevalence can be produced in the field of health.
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Amandine Arnaud. Evaluation de l’état de santé et des conditions de vie des personnes sans domicile à partir d’enquêtes épidémiologiques : difficultés méthodologiques et pratiques. Méthodologie [stat.ME]. Université Paris-Saclay, 2017. Français. ⟨NNT : 2017SACLS384⟩. ⟨tel-02369422⟩

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