Dermatological infections constitute the most common health
problem in the homeless population.
To estimate the prevalences of scabies and pediculosis
corporis and identify associated factors in the homeless population.
Two random cross-sectional surveys were performed, one on
the homeless population sleeping in public places in Paris, the other on the
homeless population in various shelters in the Ile-de-France administrative
region. 341 and 667 people were respectively interviewed about
socio-demographic characteristics, lifestyle, hygiene practices and examined by
a nurse.
The prevalence of scabies was estimated at 6.5% in individuals sleeping in public places and at 5.4% for pediculosis corporis. For those sleeping in shelters these
values were 0.4%, respectively. In public places, after
multivariate analysis, being a woman, citing squats among the three main types
of accommodation and not possessing a sleeping bag were significantly
associated with diagnosis of scabies. Likewise, begging, a history of pubic
lice, and not taking showers in municipal baths were associated with
pediculosis corporis in public places.
First, this study highlighted the real existence of two
distinct sub-populations having different socio-demographic characteristics,
with specific lifestyles and practices, and with different prevalences of
ectoparasitism. Then, the results of multivariate analyses will help the
implementation of specific actions targeting group of people who sleep in
public places
Full article at:
By:
- 1Observatoire du Samusocial de Paris, France.
- 2French Institute for Public Health Surveillance, Saint-Maurice, France.
- 3Department of Dermatology, AP-HP, Hôpital Henri Mondor, Créteil, France.
- 4Université Paris-est Créteil Val de Marne (UPEC), France.
- 5CIC INSERM 1430 and EA EpiDermE (Epidemiology in Dermatology and Evaluation of Therapeutics), France.
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