Innovating a Community-driven Enumeration and Needs Assessment of People Experiencing Homelessness: A Network Sampling Approach for the HUD-Mandated Point-in-Time Count.

IF 5 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH American journal of epidemiology Pub Date : 2024-09-04 DOI:10.1093/aje/kwae342
Zack W Almquist, Ihsan Kahveci, Mary Ashley Hazel, Owen Kajfasz, Janelle Rothfolk, Claire Guilmette, M C Anderson, Larisa Ozeryansky, Amy Hagopian
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Abstract

To enumerate people experiencing homelessness in the U.S., the federal Department of Housing and Urban Development (HUD) mandates its designated local jurisdictions regularly conduct a crude census of this population. This Point-in-Time (PIT) body count, typically conducted on a January night by volunteers with flashlights and clipboards, is often followed by interviews with a separate convenience sample. Here, we propose employing a network-based (peer-referral) respondent-driven sampling (RDS) method to generate a representative sample of unsheltered people, accompanied by a novel method to generate a statistical estimate of the number of unsheltered people in the jurisdiction. First, we develop a power analysis for the sample size of our RDS survey to count unsheltered people experiencing homelessness. Then, we conducted three large-scale population-representative samples in King County, WA (Seattle metro) in 2022, 2023, and 2024. We describe the data collection and the application of our new method, comparing the 2020 PIT count (the last visual PIT count performed in King County) to the new method 2022 and 2024 PIT counts. We conclude with a discussion and future directions.

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创新社区驱动的无家可归者计数和需求评估:针对住房和城市发展部授权的时间点计数的网络抽样方法。
为了统计美国无家可归者的人数,联邦住房和城市发展部(HUD)要求其指定的地方辖区定期对无家可归者进行粗略普查。这种 "时间点"(Point-in-Time,PIT)人口普查通常是在一月的一个晚上,由志愿者拿着手电筒和写字板进行,之后通常会对另一个方便抽样进行访谈。在此,我们建议采用一种基于网络(同伴推荐)的受访者驱动抽样(RDS)方法来产生一个具有代表性的无庇护者样本,同时采用一种新颖的方法来对该辖区内的无庇护者人数进行统计估算。首先,我们对 RDS 调查的样本量进行了功率分析,以统计无家可归者的人数。然后,我们分别于 2022 年、2023 年和 2024 年在华盛顿州金县(西雅图市区)进行了三次大规模人口代表性抽样调查。我们介绍了数据收集和新方法的应用,并将 2020 年的 PIT 计数(金县最后一次进行的可视 PIT 计数)与新方法 2022 年和 2024 年的 PIT 计数进行了比较。最后,我们将进行讨论并提出未来发展方向。
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来源期刊
American journal of epidemiology
American journal of epidemiology 医学-公共卫生、环境卫生与职业卫生
CiteScore
7.40
自引率
4.00%
发文量
221
审稿时长
3-6 weeks
期刊介绍: The American Journal of Epidemiology is the oldest and one of the premier epidemiologic journals devoted to the publication of empirical research findings, opinion pieces, and methodological developments in the field of epidemiologic research. It is a peer-reviewed journal aimed at both fellow epidemiologists and those who use epidemiologic data, including public health workers and clinicians.
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