Health and health care utilization of young people in socio-professional integration: a multicenter interventional research.

Summary In France, the Missions locales (ML) welcome young people in socio-professional integration - who are neither in employment, nor in training, nor in studies - aged 16 to 25, i.e. 10 to 15% of young people in this age group. The objective of the MLs is to enable these young people to overcome the difficulties that hinder their integration in their transition from school to working life - the issues of training, employment, housing and health being interdependent. In France, studies on the health of young people in integration were still exceptional before the Presaje project conducted in five MLs in 2011. The data from this work showed that, despite a certain heterogeneity in the pathways, this large and vulnerable group accumulates risk factors with regard to health: with few or no diplomas, socially isolated, with insufficient social security coverage, and with low self-confidence and low confidence in the institutions. Young people in integration are in poorer health than other young people of the same age. They are more likely to have a chronic illness, psychological malaise, obesity or overweight. Despite their significant health needs, they seek care less often than other young people in the general population. This thesis also highlighted the importance of "health points" within the MLs. The systematic proposal of a social and preventive medicine consultation to this public - in addition to improving certain health behaviors and knowledge - makes it possible to increase their number of entries into measures (participation in a training course or workshop) and, we hope, ultimately their employment rate.