Cumulative incidence of SARS-CoV-2 infection within the homeless population: insights from a city-wide longitudinal study
Objectives The aim of this study was to determine the risk factors associated with SARS-CoV-2 infection in a cohort of homeless people using survival analysis. Seroprevalence in the homeless community was also compared with that of the general population.Design Cohort study.Setting Data were collect...
Ausführliche Beschreibung
Autor*in: |
Sandrine Loubiere [verfasserIn] Aurelie Tinland [verfasserIn] Pascal Auquier [verfasserIn] Jordi Landier [verfasserIn] Josiane Warszawski [verfasserIn] Emilie Mosnier [verfasserIn] Elisabetta Monfardini [verfasserIn] Agathe Alibert [verfasserIn] Laeticia Ninoves [verfasserIn] Thomas Bosetti [verfasserIn] Marine Mosnier [verfasserIn] Stephanie Nguengang Wakap [verfasserIn] |
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Format: |
E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2023 |
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Übergeordnetes Werk: |
In: BMJ Open - BMJ Publishing Group, 2011, 13(2023), 2 |
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Übergeordnetes Werk: |
volume:13 ; year:2023 ; number:2 |
Links: |
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DOI / URN: |
10.1136/bmjopen-2022-065734 |
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Katalog-ID: |
DOAJ079942512 |
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520 | |a Objectives The aim of this study was to determine the risk factors associated with SARS-CoV-2 infection in a cohort of homeless people using survival analysis. Seroprevalence in the homeless community was also compared with that of the general population.Design Cohort study.Setting Data were collected across two testing sessions, 3 months apart, during which each participant was tested for anti-SARS-CoV-2 antibodies and completed a face-to-face survey.Participants All homeless adults sleeping rough, in slums or squats, in emergency shelters or transitional accommodation in Marseille were eligible.Primary outcome measures Occurrence of a seroconversion event defined as a biologically confirmed SARS-CoV-2 infection. Local data from a national seroprevalence survey were used for comparison between homeless people and the general population.Results A total of 1249 people were included. SARS-CoV-2 seroprevalence increased from 6.0% (4.7–7.3) during the first session to 18.9% (16.0–21.7) during the second one, compared with 3.0% (1.9–4.2) and 6.5% (4.5–8.7) in the general population. Factors significantly associated with an increased risk of COVID-19 infection were: having stayed in emergency shelters (1.93 (1.18–3.15)), being an isolated parent (1.64 (1.07–2.52)) and having contact with more than 5–15 people per day (1.84 (1.27–2.67)). By contrast, smoking (0.46 (0.32–0.65)), having financial resources (0.70 (0.51–0.97)) and psychiatric or addictive comorbidities (0.52 (0.32–0.85)) were associated with a lower risk.Conclusion We confirm that homeless people have higher infection rates than the general population, with increased risk in emergency shelters. There is growing evidence that, in addition to usual preventive measures, public policies should pay attention to adapt the type of accommodation and overall approach of precariousness.Trial registration number NCT04408131 | ||
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10.1136/bmjopen-2022-065734 doi (DE-627)DOAJ079942512 (DE-599)DOAJa1c26491af1e466ba75bfe258e05fb56 DE-627 ger DE-627 rakwb eng Sandrine Loubiere verfasserin aut Cumulative incidence of SARS-CoV-2 infection within the homeless population: insights from a city-wide longitudinal study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives The aim of this study was to determine the risk factors associated with SARS-CoV-2 infection in a cohort of homeless people using survival analysis. Seroprevalence in the homeless community was also compared with that of the general population.Design Cohort study.Setting Data were collected across two testing sessions, 3 months apart, during which each participant was tested for anti-SARS-CoV-2 antibodies and completed a face-to-face survey.Participants All homeless adults sleeping rough, in slums or squats, in emergency shelters or transitional accommodation in Marseille were eligible.Primary outcome measures Occurrence of a seroconversion event defined as a biologically confirmed SARS-CoV-2 infection. Local data from a national seroprevalence survey were used for comparison between homeless people and the general population.Results A total of 1249 people were included. SARS-CoV-2 seroprevalence increased from 6.0% (4.7–7.3) during the first session to 18.9% (16.0–21.7) during the second one, compared with 3.0% (1.9–4.2) and 6.5% (4.5–8.7) in the general population. Factors significantly associated with an increased risk of COVID-19 infection were: having stayed in emergency shelters (1.93 (1.18–3.15)), being an isolated parent (1.64 (1.07–2.52)) and having contact with more than 5–15 people per day (1.84 (1.27–2.67)). By contrast, smoking (0.46 (0.32–0.65)), having financial resources (0.70 (0.51–0.97)) and psychiatric or addictive comorbidities (0.52 (0.32–0.85)) were associated with a lower risk.Conclusion We confirm that homeless people have higher infection rates than the general population, with increased risk in emergency shelters. There is growing evidence that, in addition to usual preventive measures, public policies should pay attention to adapt the type of accommodation and overall approach of precariousness.Trial registration number NCT04408131 Medicine R Aurelie Tinland verfasserin aut Pascal Auquier verfasserin aut Jordi Landier verfasserin aut Josiane Warszawski verfasserin aut Emilie Mosnier verfasserin aut Elisabetta Monfardini verfasserin aut Agathe Alibert verfasserin aut Laeticia Ninoves verfasserin aut Thomas Bosetti verfasserin aut Marine Mosnier verfasserin aut Stephanie Nguengang Wakap verfasserin aut In BMJ Open BMJ Publishing Group, 2011 13(2023), 2 (DE-627)654747075 (DE-600)2599832-8 20446055 nnns volume:13 year:2023 number:2 https://doi.org/10.1136/bmjopen-2022-065734 kostenfrei https://doaj.org/article/a1c26491af1e466ba75bfe258e05fb56 kostenfrei https://bmjopen.bmj.com/content/13/2/e065734.full kostenfrei https://doaj.org/toc/2044-6055 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2023 2 |
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10.1136/bmjopen-2022-065734 doi (DE-627)DOAJ079942512 (DE-599)DOAJa1c26491af1e466ba75bfe258e05fb56 DE-627 ger DE-627 rakwb eng Sandrine Loubiere verfasserin aut Cumulative incidence of SARS-CoV-2 infection within the homeless population: insights from a city-wide longitudinal study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives The aim of this study was to determine the risk factors associated with SARS-CoV-2 infection in a cohort of homeless people using survival analysis. Seroprevalence in the homeless community was also compared with that of the general population.Design Cohort study.Setting Data were collected across two testing sessions, 3 months apart, during which each participant was tested for anti-SARS-CoV-2 antibodies and completed a face-to-face survey.Participants All homeless adults sleeping rough, in slums or squats, in emergency shelters or transitional accommodation in Marseille were eligible.Primary outcome measures Occurrence of a seroconversion event defined as a biologically confirmed SARS-CoV-2 infection. Local data from a national seroprevalence survey were used for comparison between homeless people and the general population.Results A total of 1249 people were included. SARS-CoV-2 seroprevalence increased from 6.0% (4.7–7.3) during the first session to 18.9% (16.0–21.7) during the second one, compared with 3.0% (1.9–4.2) and 6.5% (4.5–8.7) in the general population. Factors significantly associated with an increased risk of COVID-19 infection were: having stayed in emergency shelters (1.93 (1.18–3.15)), being an isolated parent (1.64 (1.07–2.52)) and having contact with more than 5–15 people per day (1.84 (1.27–2.67)). By contrast, smoking (0.46 (0.32–0.65)), having financial resources (0.70 (0.51–0.97)) and psychiatric or addictive comorbidities (0.52 (0.32–0.85)) were associated with a lower risk.Conclusion We confirm that homeless people have higher infection rates than the general population, with increased risk in emergency shelters. There is growing evidence that, in addition to usual preventive measures, public policies should pay attention to adapt the type of accommodation and overall approach of precariousness.Trial registration number NCT04408131 Medicine R Aurelie Tinland verfasserin aut Pascal Auquier verfasserin aut Jordi Landier verfasserin aut Josiane Warszawski verfasserin aut Emilie Mosnier verfasserin aut Elisabetta Monfardini verfasserin aut Agathe Alibert verfasserin aut Laeticia Ninoves verfasserin aut Thomas Bosetti verfasserin aut Marine Mosnier verfasserin aut Stephanie Nguengang Wakap verfasserin aut In BMJ Open BMJ Publishing Group, 2011 13(2023), 2 (DE-627)654747075 (DE-600)2599832-8 20446055 nnns volume:13 year:2023 number:2 https://doi.org/10.1136/bmjopen-2022-065734 kostenfrei https://doaj.org/article/a1c26491af1e466ba75bfe258e05fb56 kostenfrei https://bmjopen.bmj.com/content/13/2/e065734.full kostenfrei https://doaj.org/toc/2044-6055 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2023 2 |
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10.1136/bmjopen-2022-065734 doi (DE-627)DOAJ079942512 (DE-599)DOAJa1c26491af1e466ba75bfe258e05fb56 DE-627 ger DE-627 rakwb eng Sandrine Loubiere verfasserin aut Cumulative incidence of SARS-CoV-2 infection within the homeless population: insights from a city-wide longitudinal study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives The aim of this study was to determine the risk factors associated with SARS-CoV-2 infection in a cohort of homeless people using survival analysis. Seroprevalence in the homeless community was also compared with that of the general population.Design Cohort study.Setting Data were collected across two testing sessions, 3 months apart, during which each participant was tested for anti-SARS-CoV-2 antibodies and completed a face-to-face survey.Participants All homeless adults sleeping rough, in slums or squats, in emergency shelters or transitional accommodation in Marseille were eligible.Primary outcome measures Occurrence of a seroconversion event defined as a biologically confirmed SARS-CoV-2 infection. Local data from a national seroprevalence survey were used for comparison between homeless people and the general population.Results A total of 1249 people were included. SARS-CoV-2 seroprevalence increased from 6.0% (4.7–7.3) during the first session to 18.9% (16.0–21.7) during the second one, compared with 3.0% (1.9–4.2) and 6.5% (4.5–8.7) in the general population. Factors significantly associated with an increased risk of COVID-19 infection were: having stayed in emergency shelters (1.93 (1.18–3.15)), being an isolated parent (1.64 (1.07–2.52)) and having contact with more than 5–15 people per day (1.84 (1.27–2.67)). By contrast, smoking (0.46 (0.32–0.65)), having financial resources (0.70 (0.51–0.97)) and psychiatric or addictive comorbidities (0.52 (0.32–0.85)) were associated with a lower risk.Conclusion We confirm that homeless people have higher infection rates than the general population, with increased risk in emergency shelters. There is growing evidence that, in addition to usual preventive measures, public policies should pay attention to adapt the type of accommodation and overall approach of precariousness.Trial registration number NCT04408131 Medicine R Aurelie Tinland verfasserin aut Pascal Auquier verfasserin aut Jordi Landier verfasserin aut Josiane Warszawski verfasserin aut Emilie Mosnier verfasserin aut Elisabetta Monfardini verfasserin aut Agathe Alibert verfasserin aut Laeticia Ninoves verfasserin aut Thomas Bosetti verfasserin aut Marine Mosnier verfasserin aut Stephanie Nguengang Wakap verfasserin aut In BMJ Open BMJ Publishing Group, 2011 13(2023), 2 (DE-627)654747075 (DE-600)2599832-8 20446055 nnns volume:13 year:2023 number:2 https://doi.org/10.1136/bmjopen-2022-065734 kostenfrei https://doaj.org/article/a1c26491af1e466ba75bfe258e05fb56 kostenfrei https://bmjopen.bmj.com/content/13/2/e065734.full kostenfrei https://doaj.org/toc/2044-6055 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2023 2 |
allfieldsGer |
10.1136/bmjopen-2022-065734 doi (DE-627)DOAJ079942512 (DE-599)DOAJa1c26491af1e466ba75bfe258e05fb56 DE-627 ger DE-627 rakwb eng Sandrine Loubiere verfasserin aut Cumulative incidence of SARS-CoV-2 infection within the homeless population: insights from a city-wide longitudinal study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives The aim of this study was to determine the risk factors associated with SARS-CoV-2 infection in a cohort of homeless people using survival analysis. Seroprevalence in the homeless community was also compared with that of the general population.Design Cohort study.Setting Data were collected across two testing sessions, 3 months apart, during which each participant was tested for anti-SARS-CoV-2 antibodies and completed a face-to-face survey.Participants All homeless adults sleeping rough, in slums or squats, in emergency shelters or transitional accommodation in Marseille were eligible.Primary outcome measures Occurrence of a seroconversion event defined as a biologically confirmed SARS-CoV-2 infection. Local data from a national seroprevalence survey were used for comparison between homeless people and the general population.Results A total of 1249 people were included. SARS-CoV-2 seroprevalence increased from 6.0% (4.7–7.3) during the first session to 18.9% (16.0–21.7) during the second one, compared with 3.0% (1.9–4.2) and 6.5% (4.5–8.7) in the general population. Factors significantly associated with an increased risk of COVID-19 infection were: having stayed in emergency shelters (1.93 (1.18–3.15)), being an isolated parent (1.64 (1.07–2.52)) and having contact with more than 5–15 people per day (1.84 (1.27–2.67)). By contrast, smoking (0.46 (0.32–0.65)), having financial resources (0.70 (0.51–0.97)) and psychiatric or addictive comorbidities (0.52 (0.32–0.85)) were associated with a lower risk.Conclusion We confirm that homeless people have higher infection rates than the general population, with increased risk in emergency shelters. There is growing evidence that, in addition to usual preventive measures, public policies should pay attention to adapt the type of accommodation and overall approach of precariousness.Trial registration number NCT04408131 Medicine R Aurelie Tinland verfasserin aut Pascal Auquier verfasserin aut Jordi Landier verfasserin aut Josiane Warszawski verfasserin aut Emilie Mosnier verfasserin aut Elisabetta Monfardini verfasserin aut Agathe Alibert verfasserin aut Laeticia Ninoves verfasserin aut Thomas Bosetti verfasserin aut Marine Mosnier verfasserin aut Stephanie Nguengang Wakap verfasserin aut In BMJ Open BMJ Publishing Group, 2011 13(2023), 2 (DE-627)654747075 (DE-600)2599832-8 20446055 nnns volume:13 year:2023 number:2 https://doi.org/10.1136/bmjopen-2022-065734 kostenfrei https://doaj.org/article/a1c26491af1e466ba75bfe258e05fb56 kostenfrei https://bmjopen.bmj.com/content/13/2/e065734.full kostenfrei https://doaj.org/toc/2044-6055 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2023 2 |
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10.1136/bmjopen-2022-065734 doi (DE-627)DOAJ079942512 (DE-599)DOAJa1c26491af1e466ba75bfe258e05fb56 DE-627 ger DE-627 rakwb eng Sandrine Loubiere verfasserin aut Cumulative incidence of SARS-CoV-2 infection within the homeless population: insights from a city-wide longitudinal study 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objectives The aim of this study was to determine the risk factors associated with SARS-CoV-2 infection in a cohort of homeless people using survival analysis. Seroprevalence in the homeless community was also compared with that of the general population.Design Cohort study.Setting Data were collected across two testing sessions, 3 months apart, during which each participant was tested for anti-SARS-CoV-2 antibodies and completed a face-to-face survey.Participants All homeless adults sleeping rough, in slums or squats, in emergency shelters or transitional accommodation in Marseille were eligible.Primary outcome measures Occurrence of a seroconversion event defined as a biologically confirmed SARS-CoV-2 infection. Local data from a national seroprevalence survey were used for comparison between homeless people and the general population.Results A total of 1249 people were included. SARS-CoV-2 seroprevalence increased from 6.0% (4.7–7.3) during the first session to 18.9% (16.0–21.7) during the second one, compared with 3.0% (1.9–4.2) and 6.5% (4.5–8.7) in the general population. Factors significantly associated with an increased risk of COVID-19 infection were: having stayed in emergency shelters (1.93 (1.18–3.15)), being an isolated parent (1.64 (1.07–2.52)) and having contact with more than 5–15 people per day (1.84 (1.27–2.67)). By contrast, smoking (0.46 (0.32–0.65)), having financial resources (0.70 (0.51–0.97)) and psychiatric or addictive comorbidities (0.52 (0.32–0.85)) were associated with a lower risk.Conclusion We confirm that homeless people have higher infection rates than the general population, with increased risk in emergency shelters. There is growing evidence that, in addition to usual preventive measures, public policies should pay attention to adapt the type of accommodation and overall approach of precariousness.Trial registration number NCT04408131 Medicine R Aurelie Tinland verfasserin aut Pascal Auquier verfasserin aut Jordi Landier verfasserin aut Josiane Warszawski verfasserin aut Emilie Mosnier verfasserin aut Elisabetta Monfardini verfasserin aut Agathe Alibert verfasserin aut Laeticia Ninoves verfasserin aut Thomas Bosetti verfasserin aut Marine Mosnier verfasserin aut Stephanie Nguengang Wakap verfasserin aut In BMJ Open BMJ Publishing Group, 2011 13(2023), 2 (DE-627)654747075 (DE-600)2599832-8 20446055 nnns volume:13 year:2023 number:2 https://doi.org/10.1136/bmjopen-2022-065734 kostenfrei https://doaj.org/article/a1c26491af1e466ba75bfe258e05fb56 kostenfrei https://bmjopen.bmj.com/content/13/2/e065734.full kostenfrei https://doaj.org/toc/2044-6055 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2023 2 |
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Cumulative incidence of SARS-CoV-2 infection within the homeless population: insights from a city-wide longitudinal study |
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Objectives The aim of this study was to determine the risk factors associated with SARS-CoV-2 infection in a cohort of homeless people using survival analysis. Seroprevalence in the homeless community was also compared with that of the general population.Design Cohort study.Setting Data were collected across two testing sessions, 3 months apart, during which each participant was tested for anti-SARS-CoV-2 antibodies and completed a face-to-face survey.Participants All homeless adults sleeping rough, in slums or squats, in emergency shelters or transitional accommodation in Marseille were eligible.Primary outcome measures Occurrence of a seroconversion event defined as a biologically confirmed SARS-CoV-2 infection. Local data from a national seroprevalence survey were used for comparison between homeless people and the general population.Results A total of 1249 people were included. SARS-CoV-2 seroprevalence increased from 6.0% (4.7–7.3) during the first session to 18.9% (16.0–21.7) during the second one, compared with 3.0% (1.9–4.2) and 6.5% (4.5–8.7) in the general population. Factors significantly associated with an increased risk of COVID-19 infection were: having stayed in emergency shelters (1.93 (1.18–3.15)), being an isolated parent (1.64 (1.07–2.52)) and having contact with more than 5–15 people per day (1.84 (1.27–2.67)). By contrast, smoking (0.46 (0.32–0.65)), having financial resources (0.70 (0.51–0.97)) and psychiatric or addictive comorbidities (0.52 (0.32–0.85)) were associated with a lower risk.Conclusion We confirm that homeless people have higher infection rates than the general population, with increased risk in emergency shelters. There is growing evidence that, in addition to usual preventive measures, public policies should pay attention to adapt the type of accommodation and overall approach of precariousness.Trial registration number NCT04408131 |
abstractGer |
Objectives The aim of this study was to determine the risk factors associated with SARS-CoV-2 infection in a cohort of homeless people using survival analysis. Seroprevalence in the homeless community was also compared with that of the general population.Design Cohort study.Setting Data were collected across two testing sessions, 3 months apart, during which each participant was tested for anti-SARS-CoV-2 antibodies and completed a face-to-face survey.Participants All homeless adults sleeping rough, in slums or squats, in emergency shelters or transitional accommodation in Marseille were eligible.Primary outcome measures Occurrence of a seroconversion event defined as a biologically confirmed SARS-CoV-2 infection. Local data from a national seroprevalence survey were used for comparison between homeless people and the general population.Results A total of 1249 people were included. SARS-CoV-2 seroprevalence increased from 6.0% (4.7–7.3) during the first session to 18.9% (16.0–21.7) during the second one, compared with 3.0% (1.9–4.2) and 6.5% (4.5–8.7) in the general population. Factors significantly associated with an increased risk of COVID-19 infection were: having stayed in emergency shelters (1.93 (1.18–3.15)), being an isolated parent (1.64 (1.07–2.52)) and having contact with more than 5–15 people per day (1.84 (1.27–2.67)). By contrast, smoking (0.46 (0.32–0.65)), having financial resources (0.70 (0.51–0.97)) and psychiatric or addictive comorbidities (0.52 (0.32–0.85)) were associated with a lower risk.Conclusion We confirm that homeless people have higher infection rates than the general population, with increased risk in emergency shelters. There is growing evidence that, in addition to usual preventive measures, public policies should pay attention to adapt the type of accommodation and overall approach of precariousness.Trial registration number NCT04408131 |
abstract_unstemmed |
Objectives The aim of this study was to determine the risk factors associated with SARS-CoV-2 infection in a cohort of homeless people using survival analysis. Seroprevalence in the homeless community was also compared with that of the general population.Design Cohort study.Setting Data were collected across two testing sessions, 3 months apart, during which each participant was tested for anti-SARS-CoV-2 antibodies and completed a face-to-face survey.Participants All homeless adults sleeping rough, in slums or squats, in emergency shelters or transitional accommodation in Marseille were eligible.Primary outcome measures Occurrence of a seroconversion event defined as a biologically confirmed SARS-CoV-2 infection. Local data from a national seroprevalence survey were used for comparison between homeless people and the general population.Results A total of 1249 people were included. SARS-CoV-2 seroprevalence increased from 6.0% (4.7–7.3) during the first session to 18.9% (16.0–21.7) during the second one, compared with 3.0% (1.9–4.2) and 6.5% (4.5–8.7) in the general population. Factors significantly associated with an increased risk of COVID-19 infection were: having stayed in emergency shelters (1.93 (1.18–3.15)), being an isolated parent (1.64 (1.07–2.52)) and having contact with more than 5–15 people per day (1.84 (1.27–2.67)). By contrast, smoking (0.46 (0.32–0.65)), having financial resources (0.70 (0.51–0.97)) and psychiatric or addictive comorbidities (0.52 (0.32–0.85)) were associated with a lower risk.Conclusion We confirm that homeless people have higher infection rates than the general population, with increased risk in emergency shelters. There is growing evidence that, in addition to usual preventive measures, public policies should pay attention to adapt the type of accommodation and overall approach of precariousness.Trial registration number NCT04408131 |
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Cumulative incidence of SARS-CoV-2 infection within the homeless population: insights from a city-wide longitudinal study |
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https://doi.org/10.1136/bmjopen-2022-065734 https://doaj.org/article/a1c26491af1e466ba75bfe258e05fb56 https://bmjopen.bmj.com/content/13/2/e065734.full https://doaj.org/toc/2044-6055 |
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Aurelie Tinland Pascal Auquier Jordi Landier Josiane Warszawski Emilie Mosnier Elisabetta Monfardini Agathe Alibert Laeticia Ninoves Thomas Bosetti Marine Mosnier Stephanie Nguengang Wakap |
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Aurelie Tinland Pascal Auquier Jordi Landier Josiane Warszawski Emilie Mosnier Elisabetta Monfardini Agathe Alibert Laeticia Ninoves Thomas Bosetti Marine Mosnier Stephanie Nguengang Wakap |
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2024-07-04T01:26:39.479Z |
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