Background: Migrants often undergo an incomplete vaccination program in regards to the French recommendations. The aim of this study was to evaluate the practices of French General Practitioners’ (GPs) in terms of catch-up vaccination. Methods: A cross-sectional study was carried-out in 2017–2018 in France. An online questionnaire was disseminated by email through scholarly societies to GPs involved in the care and the vaccination of migrants. Analyses included univariate and multivariate analysis with a logistic regression model. Results: A total of 216 GPs completed the survey. A majority identified themselves with an average level regarding the prevention of infectious diseases among migrant populations (56.7%) and confirmed this is part of their daily practice (83.3%). The majority of respondents do not perform more than two injections on the same day. When compared to GPs working in health centres, those with a private practice are more likely to report returning to a full primary vaccination schedule (adjusted OR = 2.90, 95% CI [1.29–6.53]). Aside from the serology for hepatitis B and to a lesser extent for measles, other pre-vaccination serologies were not frequently used by GPs. When a migrant declares to be up-to-date with his immunisations, only 56.5% of doctors consider this information reliable. Conclusions: This study clarified the vaccination practices of GPs receiving migrant patients in consultation and showed its heterogeneity. An important need for benchmarks has been identified and these results were used for the elaboration of the French guidelines on vaccines catch-up.

Objectives: This study aimed to explore the associations between mental health status and experienced pain among undocumented migrants (UMs) in France.Methods: We used data from the multicentric cross-sectional “Premier Pas” study conducted in the Parisian and Bordeaux regions from February to April 2019. Participants over 18 years of age were recruited from sixty-three sites. Pain was assessed through two variables: overall pain and musculoskeletal pain. Mental health conditions, including anxiety, sleep disorders, depression, and posttraumatic stress disorder (PTSD) were evaluated. Logistic regression models were used to explore associations, controlling for social determinants of health (SDHs).Results: Our findings revealed significant associations between mental health status and pain among the 1,188 included participants. Sleep disorder was associated to higher odds of musculoskeletal pain (aOR = 2.53, 95% CI [1.20–5.33], p = 0.014). Stratified results indicated that among women, depression was associated to higher odds of pain (aOR = 4.85, 95% CI [1.53–13.36], p = 0.007).Conclusion: This large study confirms the connection between mental health status and pain among UMs, providing valuable evidence for clinicians to address mental health issues in this population.

Purpose. Undocumented immigrants often face mental health issues and multisite pain. Links between pain and mental health have been described however not among undocumented immigrants in France. Describing these associations supports further research on the mental health of this population, especially when no cause can explain the pain. The main objective of this study was to analyze associations between pain and mental health among undocumented immigrants in France. Methods. We drew from the data collected in the multicentric cross-sectional “Premier Pas” study carried out in the Parisian and Bordeaux region between February and April 2019. Undocumented immigrants over the age of 18 were included from sixty-three sites. Participants were asked about their mental health and whether they were experiencing pain. Associations were explored using univariate and multivariate analysis with logistic regression models. Results. Among 1188 research participants, our results showed associations between pain and mental health: musculoskeletal pain with sleep disorder and abdominal pain with anxiety and sleep disorder. Also, social determinants of health such as the duration of residence in France, housing conditions or food insecurity were associated with different types of pain. Conclusion. This study is the first to document the existence of associations between pain experienced by undocumented immigrants in France and their mental health. It provides a new contribution to the French literature and evidence for clinicians to investigate the mental health ofundocumented immigrants experiencing pain.

Background Social determinants of health (SDH) impact the health status of individuals around the world. General practitioners (GPs) can take into account the social situation of patients in their care practice. To this end, the College of General Medicine (CGM) issued recommendations in 2022 to propose 100 methods of action. Objective To assess the acceptability to GPs of the recommendations set out by the CGM to improve the consideration of the social situation of patients in consultations. Design Quantitative, cross-sectional, descriptive study, using the Delphi method. Setting The data were collected through the administration of a questionnaire to GPs practising in France. Participants Participants were recruited by email from the academic network of Sorbonne University. The only criteria for inclusion were to be a GP from Sorbonne University and to complete the full questionnaire. 25 participants were included. Interventions Proposals were grouped into 24 themes. Participants had to rate the acceptability of these themes by rating their degree of relevance and degree of applicability on a Likert scale. Primary outcome The primary outcome was the acceptability by GPs of proposals to take into account the SDH. Acceptability was defined as relevance with a median greater than or equal to 7 and applicability with a median greater than or equal to 7, in the absence of disagreements. Results After 2 rounds, 12 themes were accepted: 5 addressed interventions at the individual level (eg, ‘understanding the context of patients’ lives and identifying social difficulties’), 4 addressed interventions at the organisational level (eg, ‘communication actions aimed at vulnerable patient populations’) and 3 addressed interventions at territorial level (municipality and national). Relevance was very good for all of them, with median responses ranging from 8 to 9 and with no disagreement. Applicability was more mixed, with 12 themes deemed applicable. Justifications were provided through participants’ comments. Proposals were made to improve the applicability. Conclusion This study explored how SDH could be taken into account through the perspective of GPs in the context of the CGM’s recommendations. While all proposals were deemed relevant, some were not applicable. The findings emphasise the need for adaptations in the organisation of the practice, of care pathways and more generally, in the organisation of the health system. Those actions require the commitment of professionals and political actors.