Prevalence and characteristics of diabetes among homeless people attending shelters in Paris, France, 2006
Open accessAbstract
Chronic diseases are frequent in homeless people. The aims of this study were to estimate the prevalence of diabetes in people living in shelters and to describe the characteristics of homeless people previously diagnosed with diabetes. Diabetes screening was systematically performed in nine shelters in Paris, from October to December 2006. We found a high prevalence of diabetes comparable with those of the general population, but a high frequency of major complications, in spite of a relatively young age, short duration since diabetes diagnosis and moderate glycaemic control. This study underlines the burden of diabetes among precarious people and supports the development of more effective strategies to improve diabetes management in this population, especially regarding podiatric care.
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In Europe and Canada, homeless people have diabetes and hypertension rates similar to the general population.
“In Europe and Canada, compared with the general population, homeless people have higher rates of smoking, lower rates of obesity and hyperlipidaemia, and similar rates of diabetes and hypertension77-81 (table 3).”
From The health of homeless people in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendations (2014) · cites this paper as [77]
The Discussion reports that treated diabetes prevalence among people attending Paris shelters was not significantly higher than in the French general population (6.1% vs. 4.9%), while noting possible underestimation. The Results report hypertension among participants with and without diabetes, but do not compare it with the general population. The Discussion mentions Toronto only in comparisons of diabetes treatment and control, not prevalence, so the claim about Canada is unsupported by this paper. (LLM, conf=0.88)
Experimental — accuracy not yet measuredIn Europe and Canada, homeless people have lower rates of obesity and hyperlipidaemia than the general population.
“In Europe and Canada, compared with the general population, homeless people have higher rates of smoking, lower rates of obesity and hyperlipidaemia, and similar rates of diabetes and hypertension77-81 (table 3).”
From The health of homeless people in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendations (2014) · cites this paper as [77]
The Results compare obesity among shelter attendees with and without diabetes, not with the general population. The paper’s general-population comparison concerns diabetes prevalence; the passages found for obesity, cholesterol and hyperlipidaemia do not establish lower rates of obesity or hyperlipidaemia among homeless people in Europe or Canada. Page numbers were not available in our copy. (LLM, conf=0.77)
Experimental — accuracy not yet measuredIn Europe and Canada, homeless people smoke more than the general population.
“In Europe and Canada, compared with the general population, homeless people have higher rates of smoking, lower rates of obesity and hyperlipidaemia, and similar rates of diabetes and hypertension77-81 (table 3).”
From The health of homeless people in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendations (2014) · cites this paper as [77]
The Results and Discussion compare diabetes prevalence in Paris shelter residents with the French general population, but do not compare smoking rates. Searches for smoking, smokers, and tobacco found no passage addressing the claimed Europe-and-Canada comparison. (LLM, conf=0.73)
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Cites
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What is the most effective way to reduce incidence of amputation in the diabetic foot?
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Incidence of diabetes amongst people aged 18?50 years in nine British towns: A collaborative study
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Self-citationRecommandations : prise en charge du diabète chez les personnes en grande précarité
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Self-citationRecommandations Prise en charge du diabète chez les personnes en grande précarité
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Fazel, S., Geddes, J. R., & Kushel, M. (2014) · The Lancet · doi:10.1016/s0140-6736(14)61132-6 · Cited by 1,568 · see citing works
- Authors
- Arnaud, A., Fagot-Campagna, A., Reach, G., Basin, C., & Laporte, A.
- Affiliations
- Hôpital Avicenne (FR)
- Hôpital Cochin (FR)
- ORCID
- Reach, G.
- Venue
- The European Journal of Public Health
- Publisher
- Oxford University Press (OUP)
- Published
- 2009-12-16
- Volume
- 20
- Issue
- 5
- Pages
- 601-603
- ISSN
- 1101-1262 (ISSN-L)
- 1464-360X
- OpenAlex
- W2134578238
- Cited by
- 43
- References
- 9
- Citations by year
- 2025: 4 · 2024: 4 · 2023: 2 · 2022: 9 · 2021: 1 · 2020: 3 · 2019: 3 · 2018: 3 · 2017: 2 · 2016: 3 · 2015: 1 · 2014: 6 · 2013: 1 · 2012: 1
- FWCI
- 0.60
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Journal of Public Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Sanofi
- Topics
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- diabetes prevalence, homeless people, homeless shelters, diabetes complications, glycemic control, diabetes screening, precarious populations, podiatry, diabetes management, Paris
- MeSH terms
- Adolescent, Adult, Aged, Diabetes Mellitus, Female, Ill-Housed Persons, Humans, Hypertension, Male, Middle Aged, Obesity, Paris, Prevalence, Diabetes Complications, Young Adult
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