Faillace Department of Psychiatry and Behavioral Sciences, McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth), Houston, TX 77030, USA.
The University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA.
Int J Environ Res Public Health. 2020 Sep 20;17(18):6873. doi: 10.3390/ijerph17186873.
Youths experiencing homelessness (YEH) often cycle between various sheltering locations including spending nights on the streets, in shelters and with others. Few studies have explored the patterns of daily sheltering over time. A total of 66 participants completed 724 ecological momentary assessments that assessed daily sleeping arrangements. Analyses applied a hypothesis-generating machine learning algorithm (component-wise gradient boosting) to build interpretable models that would select only the best predictors of daily sheltering from a large set of 92 variables while accounting for the correlated nature of the data. Sheltering was examined as a three-category outcome comparing nights spent literally homeless, unstably housed or at a shelter. The final model retained 15 predictors. These predictors included (among others) specific stressors (e.g., not having a place to stay, parenting and hunger), discrimination (by a friend or nonspecified other; due to race or homelessness), being arrested and synthetic cannabinoids use (a.k.a., "kush"). The final model demonstrated success in classifying the categorical outcome. These results have implications for developing just-in-time adaptive interventions for improving the lives of YEH.
无家可归的年轻人(YEH)经常在各种避难所之间循环,包括在街上、收容所里和其他人那里过夜。很少有研究探讨过随着时间的推移,日常庇护所的模式。共有 66 名参与者完成了 724 项生态瞬时评估,评估了每日的睡眠安排。分析采用了生成假设的机器学习算法(分量梯度提升),从一大组 92 个变量中选择最佳的每日庇护预测因子,同时考虑到数据的相关性。庇护所被分为三个类别进行比较:字面意义上的无家可归、不稳定住房或庇护所。最终模型保留了 15 个预测因子。这些预测因子包括(除其他外)特定的压力源(例如,没有住处、育儿和饥饿)、歧视(来自朋友或其他不明人士;因种族或无家可归)、被捕和合成大麻素的使用(又称“kush”)。最终模型在对分类结果进行分类方面取得了成功。这些结果对于开发即时自适应干预措施以改善 YEH 的生活具有重要意义。