Cécile Vuillermoz|Stéphanie Vandentorren|Ruben Brondeel|Pierre Chauvin
Unmet healthcare needs in homeless women with children in the Greater Paris area in France
Institut Pierre Louis d‘Épidémiologie et de Santé Publique|Inserm|Sorbonne Université|Institut Pierre Louis d‘Épidémiologie et de Santé Publique|Inserm|Sorbonne Université|Santé Publique France|Public Health|Institut Pierre Louis d‘Épidémiologie et de Santé Publique|Inserm|Sorbonne Université|Institut Pierre Louis d‘Épidémiologie et de Santé Publique|Inserm|Sorbonne Université
background despite poor health status homeless women encounter many barriers care objectives study estimate prevalence unmet healthcare needs homeless women analyse associated relationships following factors financial spatial access care housing history migration status healthcare utilisation victimization history caring children social network selfperceived health status methods used data 656 homeless women interviewed enfams representative survey sheltered homeless families conducted paris region 2013 structural equation models sem used estimate impact various factors homeless womens unmet healthcare needs results among interviewed 251 95ci213290 least one unmet healthcare need previous year given visiting general practitioners medical specialists association factors related financial access health insurance status found however food insecurity poor spatial health access poor selfperceived health associated unmet healthcare needs selfperceived health appeared affected victimization depression discussion lower prevalence unmet healthcare needs homeless women compared women stable housing situations suggests homeless women lower needs perceptions andor lower expectations healthcare system hypothesis supported results sem strategies provide better access care population focus financial interventions also broadly spatial healthcare access cultural norms perceptions health reducing unmet needs improving access healthcare prevention must include improvement living financial housing conditions