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The European Journal of Public Health Advance Access published online on January 30, 2006
The European Journal of Public Health, doi:10.1093/eurpub/ckl011
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© The Author 2006. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.
Received July 6, 2005
Accepted December 7, 2005

Article

Epilepsy among the homeless: prevalence and characteristics

Anne Laporte 1 *, Anny Rouvel-Tallec 2, Etienne Grosdidier 3, Sandrine Carpentier 1, Chantal Benoît 4, Daniel Gérard 5, and Xavier Emmanuelli 3

1 Observatoire du samusocial de Paris, France
2 Department of neurology, Hospital Delafontaine, Saint-Denis, France
3 Samusocial de Paris, France
4 Department of neurology, Hospital Max Fourestier, Nanterre, France
5 Sanofi-Aventis, France

* To whom correspondence should be addressed.
Anne Laporte, E-mail: a.laporte{at}samusocial-75.fr


  Abstract

Homelessness is associated with several risk factors for epileptic seizures. Epilepsy is a stigmatizing condition, which can lead to problematic social adjustment and competence. We found a markedly higher prevalence of seizures among the homeless than that estimated in the general population, with a large majority of non-alcoholic etiology. Unexpected proportion of subject taking treatment and compliance rate call for reflection on the optimal management of epilepsy in this population.

Keywords: alcohol; compliance; epilepsy; homelessness; prevalence; seizure.
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