1. Residential Mobility of a Cohort of Homeless People in Times of Crisis: COVID-19 Pandemic in an European Metropolis
- Author
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Agathe Allibert, Aurélie Tinland, Jordi Landier, Sandrine Loubière, Jean Gaudart, Marine Mosnier, Cyril Farnarier, Pascal Auquier, Emilie Mosnier, Assistance Publique - Hôpitaux de Marseille (APHM), Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique (GREZOSP), Université de Montréal (UdeM), Centre d'études et de recherche sur les services de santé et la qualité de vie (CEReSS), Aix Marseille Université (AMU), Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale (SESSTIM - U1252 INSERM - Aix Marseille Univ - UMR 259 IRD), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut National de la Santé et de la Recherche Médicale (INSERM), Institut des sciences de la santé publique [Marseille] (ISSPAM), COVIDep Homeless [Marseille] (Médecins du Monde), and Laboratoire de Sciences Sociales Appliquées (LaSSA)
- Subjects
MESH: Pandemics ,MESH: Humans ,seroprevalence ,SARS-CoV-2 ,Health, Toxicology and Mutagenesis ,[SDV]Life Sciences [q-bio] ,Population Dynamics ,public health ,Public Health, Environmental and Occupational Health ,COVID-19 ,cohort ,MESH: Population Dynamics ,homeless people ,SARS-CoV2 ,vulnerable population ,residential mobility ,medicine_pharmacology_other ,MESH: Ill-Housed Persons ,Ill-Housed Persons ,Humans ,MESH: COVID-19 ,MESH: SARS-CoV-2 ,Pandemics - Abstract
Most vulnerable individuals are particularly affected by the COVID-19 pandemic. This study takes place in a large city in France. The aim of this study is to describe the mobility of the homeless population at the beginning of the health crisis and to analyze its impact in terms of COVID-19 prevalence. From June to August 2020 and September to December 2020, 1272 homeless people were invited to be tested for SARS-CoV-2 antibodies and virus and complete questionnaires. Our data show that homeless populations are sociologically different depending on where they live. We show that people that were living on the street were most likely to be relocated to emergency shelters than other inhabitants. Some neighborhoods are points of attraction for homeless people in the city while others emptied during the health crisis, which had consequences for virus circulation. People with a greater number of different dwellings reported became more infected. This first study of the mobility and epidemiology of homeless people in the time of the pandemic provides unique information about mobility mapping, sociological factors of this mobility, mobility at different scales, and epidemiological consequences. We suggest that homeless policies need to be radically transformed since the actual model exposes people to infection in emergency.
- Published
- 2022