“Poverty and Covid-19: changes in access and recourse to health care”, Île-de-France March-June 2020 FRESH-PEF73904-en Marianne VIOT “Poverty and Covid-19: changes in access and recourse to health care”, Île-de-France March-June 2020 PreCARES FRESH-PEF73904-en 73904 FRESH-PEF73904 Jean-François VERAN MEDECINS SANS FRONTIERES (MSF) Epidemiology France Portal (PEF) null Marianne;VIOT Access and recourse to health care emergency housing Poverty Emergency medicine Opioid dependence Socio-demographic and economic determinants Environmental determinants: Other Behavioral determinants Behavioral determinants: Eating habits Environmental determinants The study set itself the objective of investigating and documenting the way in which vulnerable populations coped with the lockdown period for controlling the Covid-19 crisis, in terms of the following three aspects: 1) The effects of reducing the public space, access to resources and available services and health care, limiting the ability of vulnerable populations to look after themselves, particularly in terms of health. 2) The way in which public policies for the Covid-19 epidemic were applied - or not - in practical situations facing vulnerable populations. 3) The ability of the stakeholders - including MSF - to offer a solution to health problems arising among these populations, both in terms of the epidemic, and more general health needs. null France Ile-de-France Individuals General population Male Female Young Adult (19 to 24 years) Adult (25 to 44 years) Middle Aged (45 to 64 years) Aged (65 to 79 years) The study population concerned vulnerable individuals aged over 15 years, randomly and proportionally selected at each study site. The study sites were selected out of convenience, to fulfil the following criteria: sites still open and at which the MSF Covid Poverty project intervened at least once to provide medical and paramedical care, in the Paris and Seine Saint Denis administrative departments (main geographical zone of the MSF project), accepting populations suffering from economic and/or administrative instability, representing diverse forms of housing and accommodations, where the safety conditions at the time of the survey permitted, and after approval by the head of the association or housing facility. Participant-reported health data One-time cross-sectional study Other Through organizations (health services or institutions schools businesses etc.) < 500 individuals Interview with the participant (including clinical) Observational Study Observational Study 433 Completed study Restricted access Access not yet planned