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Emotional and behavioral difficulties in children growing up homeless in Paris. Results of the ENFAMS survey

Published online by Cambridge University Press:  23 March 2020

M. Roze ,
S. Vandentorren ,
C. Vuillermoz ,
P. Chauvin  and
M. Melchior
M. Roze*
Affiliation:
Sorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d’Épidémiologie et de Santé Publique (IPLESP UMRS 1136, Équipe de Recherche en Épidémiologie Sociale)Paris75012, France
S. Vandentorren
Affiliation:
Sorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d’Épidémiologie et de Santé Publique (IPLESP UMRS 1136, Équipe de Recherche en Épidémiologie Sociale)Paris75012, France Institut de Veille Sanitaire, Saint-Maurice, France
C. Vuillermoz
Affiliation:
Sorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d’Épidémiologie et de Santé Publique (IPLESP UMRS 1136, Équipe de Recherche en Épidémiologie Sociale)Paris75012, France
P. Chauvin
Affiliation:
Sorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d’Épidémiologie et de Santé Publique (IPLESP UMRS 1136, Équipe de Recherche en Épidémiologie Sociale)Paris75012, France
M. Melchior
Affiliation:
Sorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d’Épidémiologie et de Santé Publique (IPLESP UMRS 1136, Équipe de Recherche en Épidémiologie Sociale)Paris75012, France
*
*Corresponding author. E-mail address:[email protected](M. Roze).
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Abstract

Purpose

Children growing up in homeless families are disproportionately more likely to experience health and psychological problems. Our objective was to describe social, environmental, individual and family characteristics associated with emotional and behavioral difficulties among homeless children living in the Paris region.

Methods

Face-to-face interviews with a representative sample of homeless families were conducted by bilingual psychologists and interviewers between January and May 2013 (n = 343 children ages 4-13 years). Mothers reported children’s emotional and behavioral difficulties (Strength and Difficulties Questionnaire [SDQ]), family socio-demographic characteristics, residential mobility, and parents’ and children’s physical and mental health. Children were interviewed regarding their perception of their living arrangements, friendships and school experiences. We studied children’s SDQ total score in a linear regression framework.

Results

Homeless children had higher SDQ total scores than children in the general population of France, (mean total score = 11.3 vs 8.9, P < 0,001). In multivariate analyses, children’s difficulties were associated with parents’ region of birth (beta = 1.74 for Sub-Saharan Africa, beta = 0.60 for Eastern Europe, beta = 3.22 for other countries, P = 0.020), residential mobility (beta = 0.22, P = 0.012), children’s health (beta = 3.49, P < 0.001) and overweight (beta = 2.14, P = 0.007), the child’s sleeping habits (beta = 2.82, P = 0.002), the mother’s suicide risk (beta = 4.13, P < 0.001), the child’s dislike of the family’s accommodation (beta = 3.59, P < 0.001) and the child’s experience of bullying (beta = 3.21, P = 0.002).

Conclusions

Children growing up homeless experience high levels of psychological difficulties which can put them at risk for poor mental health and educational outcomes long-term. Access to appropriate screening and medical care for this vulnerable yet underserved group are greatly needed.

Keywords

HomelessChildren’s mental healthEmotional and behavioral difficulties
Type
Original article
Information
European Psychiatry , Volume 38 , October 2016 , pp. 51 - 60
Copyright
Copyright © Elsevier Masson SAS 2016

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