Youth Homelessness in Denver, Colorado: 2017-2021.

IF 6.2 2区 医学 Q1 PEDIATRICS Pediatrics Pub Date : 2025-01-03 DOI:10.1542/peds.2024-067965
Matthew Y Westfall, Pranav Padmanabhan, Jianing Wang, Samantha K Nall, Sarah A Stella, Margot Kushel, Christian Belcher, Lanae Davis, Elysia Versen, Whitney LeBeouf, Joshua A Barocas
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Abstract

Objectives: Homelessness is a public health crisis in the United States, yet homelessness prevalence, especially among children and youth, is not well understood. In this study, we use an indirect estimation method known as multiple systems estimation to further evaluate prevalence of youth experiencing homelessness in Denver, Colorado.

Methods: We performed a multiple systems estimation ("capture-recapture") analysis to estimate annual homelessness among youth aged 14 to 17 years in the city and county of Denver, Colorado from 2017 to 2021. We used 3 citywide datasets linked at the individual level and stratified by year, as follows: (1) Denver-Metro Homeless Management Information System, (2) Denver Public Schools McKinney-Vento data, and (3) Colorado's Statewide Automated Child Welfare Information System TRAILS. We identified "known" youth experiencing homelessness from the 3 datasets and developed log-linear models with calculated 95% CIs to estimate the unknown population. We combined these counts to estimate the total youth homeless population and stratified counts by race, ethnicity, and gender.

Results: The known count of youth experiencing homelessness increased from 840 in 2017 to 1040 in 2021. We estimated the total number of youth experiencing homelessness increased from 2880 (95% CI, 2199-3290) in 2017 to 7084 (95% CI, 2826-9046) in 2021. This corresponds with an increase from 10.4% to 25.1% in the total prevalence of youth experiencing homelessness in Denver. We found 74.9% to 83.1% of youth experiencing homelessness were Black/African American or Hispanic.

Conclusions: The scope of youth homelessness increased notably and may be far greater than previously understood. Using multiple systems estimation may improve homelessness prevalence estimates and facilitate more effective resource allocation and service delivery.

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科罗拉多州丹佛市的无家可归青年:2017-2021年。
目标:无家可归是美国的一项公共卫生危机,但人们对无家可归现象的普遍程度,特别是儿童和青年中的普遍程度了解得并不充分。在这项研究中,我们使用一种被称为多系统估计的间接估计方法来进一步评估科罗拉多州丹佛市青少年无家可归的患病率。方法:我们进行了多系统估计(“捕获-再捕获”)分析,以估计2017年至2021年科罗拉多州丹佛市和县14至17岁青少年每年的无家可归情况。我们使用了3个全市范围的数据集,这些数据集在个人层面上联系在一起,并按年份分层,如下:(1)丹佛地铁无家可归者管理信息系统,(2)丹佛公立学校麦金尼-文托数据,(3)科罗拉多州全州范围的自动儿童福利信息系统TRAILS。我们从3个数据集中确定了“已知”的无家可归青年,并开发了对数线性模型,计算出95% ci来估计未知人口。我们将这些数据结合起来,估计了无家可归的青少年总数,并按种族、民族和性别进行了分层。结果:已知的无家可归青年人数从2017年的840人增加到2021年的1040人。我们估计,无家可归的青年总数从2017年的2880人(95% CI, 2199-3290)增加到2021年的7084人(95% CI, 2826-9046)。这与丹佛无家可归的年轻人的总患病率从10.4%增加到25.1%相对应。我们发现74.9%到83.1%的无家可归青年是黑人/非裔美国人或西班牙裔。结论:青年无家可归的范围显著增加,可能比以前所了解的要大得多。使用多重系统估算可以改进对无家可归现象普遍程度的估算,并促进更有效的资源分配和服务提供。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Pediatrics
Pediatrics 医学-小儿科
CiteScore
12.80
自引率
5.00%
发文量
791
审稿时长
2-3 weeks
期刊介绍: The Pediatrics® journal is the official flagship journal of the American Academy of Pediatrics (AAP). It is widely cited in the field of pediatric medicine and is recognized as the leading journal in the field. The journal publishes original research and evidence-based articles, which provide authoritative information to help readers stay up-to-date with the latest developments in pediatric medicine. The content is peer-reviewed and undergoes rigorous evaluation to ensure its quality and reliability. Pediatrics also serves as a valuable resource for conducting new research studies and supporting education and training activities in the field of pediatrics. It aims to enhance the quality of pediatric outpatient and inpatient care by disseminating valuable knowledge and insights. As of 2023, Pediatrics has an impressive Journal Impact Factor (IF) Score of 8.0. The IF is a measure of a journal's influence and importance in the scientific community, with higher scores indicating a greater impact. This score reflects the significance and reach of the research published in Pediatrics, further establishing its prominence in the field of pediatric medicine.
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