{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T15:33:03Z","timestamp":1776439983691,"version":"3.51.2"},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T00:00:00Z","timestamp":1698364800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"National Federation of Solidarity Associations for Action"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The poor health status of underserved populations is compounded by low vaccination uptake, leading to a greater risk of epidemics. On October 2017, a measles outbreak started in the southwest of France among under-vaccinated social groups, including Travellers. We aimed to describe the health status, healthcare use and child measles\u2013mumps\u2013rubella (MMR) vaccination coverage in Travellers according to their environmental and living conditions.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A cross-sectional study with a three-stage random sample design was conducted between October 2019 and March 2022 in the Nouvelle-Aquitaine region in France. Trained social workers administered face-to-face questionnaires to collect data on adults and children. Anthropometric measurements, vaccination records and data using an environmental exposure questionnaire were also collected.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The participation rate was high (73.6%), with 1030 adults and 337 children included. Concerning the adults, 36.6% had obesity, 14.4% reported diabetes, 24.7% hypertension and 14.4% major depression. The prevalence of major depression was significantly higher in adults living in precarious and unauthorized housing than in those with adequate housing (19.8 vs. 14.7%, P\u2009=\u20090.03). With regard to children, 45.3% had full (i.e. 2-dose) MMR vaccination coverage at 24\u2009months and 17.9% had obesity. Finally, 74.5% of the households experienced housing insecurity, and 22.2% did not have a supply of drinking water.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Traveller children and adults faced deleterious environmental and living conditions potentially affecting their health, healthcare use and vaccination coverage. These results demonstrate the need for urgent interventions for underserved populations which take into account their specific needs.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/eurpub\/ckad175","type":"journal-article","created":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T17:30:08Z","timestamp":1698427808000},"page":"1194-1199","source":"Crossref","is-referenced-by-count":1,"title":["Health status, healthcare use and child MMR vaccination coverage in Travellers according to their environmental and living conditions in Nouvelle-Aquitaine, France, 2019\u20132022"],"prefix":"10.1093","volume":"33","author":[{"given":"Aude","family":"Mondeilh","sequence":"first","affiliation":[{"name":"F\u00e9d\u00e9ration nationale des associations solidaires d\u2019action avec les tsiganes et les Gens du voyage (FNASAT \u2013 Gv) , Paris, France"},{"name":"Bordeaux Population Health, Universit\u00e9 de Bordeaux, PHAReS, Centre Inserm U1219 , Bordeaux, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gilles","family":"Brabant","sequence":"additional","affiliation":[{"name":"F\u00e9d\u00e9ration nationale des associations solidaires d\u2019action avec les tsiganes et les Gens du voyage (FNASAT \u2013 Gv) , Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sahar","family":"Haidar","sequence":"additional","affiliation":[{"name":"Sant\u00e9 publique France , Saint Maurice, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Le\u00efla","family":"Saboni","sequence":"additional","affiliation":[{"name":"Sant\u00e9 publique France , Saint Maurice, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Ruello","sequence":"additional","affiliation":[{"name":"Sant\u00e9 publique France , Saint Maurice, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophie","family":"Lesieur","sequence":"additional","affiliation":[{"name":"Institut Pierre Louis d\u2019\u00e9pid\u00e9miologie et de sant\u00e9 publique (IPLESP), Sorbonne Universit\u00e9, Equipe de recherche en \u00e9pid\u00e9miologie sociale, Inserm, Paris , France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Castor","sequence":"additional","affiliation":[{"name":"Sant\u00e9 publique France, Direction des r\u00e9gions , Cellule Nouvelle-Aquitaine \u2013 Bordeaux \u2013 France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erwan","family":"Autes-Treand","sequence":"additional","affiliation":[{"name":"Agence R\u00e9gionale de la sant\u00e9 Nouvelle Aquitaine , Bordeaux, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yann","family":"Le strat","sequence":"additional","affiliation":[{"name":"Sant\u00e9 publique France , Saint Maurice, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"St\u00e9phanie","family":"Vandentorren","sequence":"additional","affiliation":[{"name":"Bordeaux Population Health, Universit\u00e9 de Bordeaux, PHAReS, Centre Inserm U1219 , Bordeaux, France"},{"name":"Sant\u00e9 publique France , Saint Maurice, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,10,27]]},"reference":[{"key":"2023120922243259300_ckad175-B1","author":"Council of Europe","year":"2012"},{"key":"2023120922243259300_ckad175-B2","first-page":"346","author":"Cour des comptes, Paris","year":"2012"},{"key":"2023120922243259300_ckad175-B3","author":"European Union Agency for Fundamental Rights (FRA)","year":"2020"},{"key":"2023120922243259300_ckad175-B4","first-page":"10","article-title":"Les gens du voyage en France","volume":"61\u201362","author":"Reyniers","year":"2017","journal-title":"Quelques Donn\u00e9es Historiques Et Sociologiques. \u00c9tudes Tsiganes"},{"key":"2023120922243259300_ckad175-B5","author":"Abdalla","year":"2010"},{"key":"2023120922243259300_ckad175-B6","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1136\/jech.2006.045997","article-title":"Health status of Gypsies and Travellers in England","volume":"61","author":"Parry","year":"2007","journal-title":"J Epidemiol Community Health"},{"key":"2023120922243259300_ckad175-B7","author":"Ministerio de Sanida de Espanad, Servicios Sociales e Igualdad","year":"2014"},{"key":"2023120922243259300_ckad175-B8","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1080\/13557850802699130","article-title":"Health and use of health services: a comparison between Gypsies and Travellers and other ethnic groups","volume":"14","author":"Peters","year":"2009","journal-title":"Ethn Health"},{"key":"2023120922243259300_ckad175-B9","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1080\/09638230600700888","article-title":"Crossing boundaries. 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