When analyzing the ratio of homelessness to state population, New York, Vermont, and Oregon had the highest rates in 2023. However, Washington, D.C. had an estimated 73 homeless individuals per 10,000 people, which was significantly higher than any of the 50 states. Homeless people by race The U.S. Department of Housing and Urban Development performs homeless counts at the end of January each year, which includes people in both sheltered and unsheltered locations. The estimated number of homeless people increased to 653,104 in 2023 – the highest level since 2007. However, the true figure is likely to be much higher, as some individuals prefer to stay with family or friends - making it challenging to count the actual number of homeless people living in the country. In 2023, nearly half of the people experiencing homelessness were white, while the number of Black homeless people exceeded 243,000. How many veterans are homeless in America? The  number of homeless veterans in the United States has halved since 2010. The state of California, which is currently suffering a homeless crisis, accounted for the highest number of homeless veterans in 2022. There are many causes of homelessness among veterans of the U.S. military, including post-traumatic stress disorder (PTSD), substance abuse problems, and a lack of affordable housing.

In 2023, there were about 653,104 homeless people estimated to be living in the United States, the highest number of homeless people recorded within the provided time period. In comparison, the second-highest number of homeless people living in the U.S. within this time period was in 2007, at 647,258. How is homelessness calculated? Calculating homelessness is complicated for several different reasons. For one, it is challenging to determine how many people are homeless as there is no direct definition for homelessness. Additionally, it is difficult to try and find every single homeless person that exists. Sometimes they cannot be reached, leaving people unaccounted for. In the United States, the Department of Housing and Urban Development calculates the homeless population by counting the number of people on the streets and the number of people in homeless shelters on one night each year. According to this count, Los Angeles City and New York City are the cities with the most homeless people in the United States. Homelessness in the United States Between 2022 and 2023, New Hampshire saw the highest increase in the number of homeless people. However, California was the state with the highest number of homeless people, followed by New York and Florida. The vast amount of homelessness in California is a result of multiple factors, one of them being the extreme high cost of living, as well as opposition to mandatory mental health counseling and drug addiction. However, the District of Columbia had the highest estimated rate of homelessness per 10,000 people in 2023. This was followed by New York, Vermont, and Oregon.

"Ratio of Homeless Population to General Population in major US Cities in 2012. *This represents a list of large U.S. cities for which DHS was able to confirm a recent estimate of the unsheltered population. Unsheltered estimates are from 2011 except for Seattle and New York City (2012) and Chicago (2009). All General Population figures are from the 2010 U.S. Census enumeration."

VITAL SIGNS INDICATOR Life Expectancy (EQ6)

FULL MEASURE NAME Life Expectancy

LAST UPDATED April 2017

DESCRIPTION Life expectancy refers to the average number of years a newborn is expected to live if mortality patterns remain the same. The measure reflects the mortality rate across a population for a point in time.

DATA SOURCE State of California, Department of Health: Death Records (1990-2013) No link

California Department of Finance: Population Estimates Annual Intercensal Population Estimates (1990-2010) Table P-2: County Population by Age (2010-2013) http://www.dof.ca.gov/Forecasting/Demographics/Estimates/

U.S. Census Bureau: Decennial Census ZCTA Population (2000-2010) http://factfinder.census.gov

U.S. Census Bureau: American Community Survey 5-Year Population Estimates (2013) http://factfinder.census.gov

CONTACT INFORMATION vitalsigns.info@mtc.ca.gov

METHODOLOGY NOTES (across all datasets for this indicator) Life expectancy is commonly used as a measure of the health of a population. Life expectancy does not reflect how long any given individual is expected to live; rather, it is an artificial measure that captures an aspect of the mortality rates across a population that can be compared across time and populations. More information about the determinants of life expectancy that may lead to differences in life expectancy between neighborhoods can be found in the Bay Area Regional Health Inequities Initiative (BARHII) Health Inequities in the Bay Area report at http://www.barhii.org/wp-content/uploads/2015/09/barhii_hiba.pdf. Vital Signs measures life expectancy at birth (as opposed to cohort life expectancy). A statistical model was used to estimate life expectancy for Bay Area counties and ZIP Codes based on current life tables which require both age and mortality data. A life table is a table which shows, for each age, the survivorship of a people from a certain population.

Current life tables were created using death records and population estimates by age. The California Department of Public Health provided death records based on the California death certificate information. Records include age at death and residential ZIP Code. Single-year age population estimates at the regional- and county-level comes from the California Department of Finance population estimates and projections for ages 0-100+. Population estimates for ages 100 and over are aggregated to a single age interval. Using this data, death rates in a population within age groups for a given year are computed to form unabridged life tables (as opposed to abridged life tables). To calculate life expectancy, the probability of dying between the jth and (j+1)st birthday is assumed uniform after age 1. Special consideration is taken to account for infant mortality.

For the ZIP Code-level life expectancy calculation, it is assumed that postal ZIP Codes share the same boundaries as ZIP Code Census Tabulation Areas (ZCTAs). More information on the relationship between ZIP Codes and ZCTAs can be found at http://www.census.gov/geo/reference/zctas.html. ZIP Code-level data uses three years of mortality data to make robust estimates due to small sample size. Year 2013 ZIP Code life expectancy estimates reflects death records from 2011 through 2013. 2013 is the last year with available mortality data. Death records for ZIP Codes with zero population (like those associated with P.O. Boxes) were assigned to the nearest ZIP Code with population. ZIP Code population for 2000 estimates comes from the Decennial Census. ZIP Code population for 2013 estimates are from the American Community Survey (5-Year Average). ACS estimates are adjusted using Decennial Census data for more accurate population estimates. An adjustment factor was calculated using the ratio between the 2010 Decennial Census population estimates and the 2012 ACS 5-Year (with middle year 2010) population estimates. This adjustment factor is particularly important for ZCTAs with high homeless population (not living in group quarters) where the ACS may underestimate the ZCTA population and therefore underestimate the life expectancy. The ACS provides ZIP Code population by age in five-year age intervals. Single-year age population estimates were calculated by distributing population within an age interval to single-year ages using the county distribution. Counties were assigned to ZIP Codes based on majority land-area.

ZIP Codes in the Bay Area vary in population from over 10,000 residents to less than 20 residents. Traditional life expectancy estimation (like the one used for the regional- and county-level Vital Signs estimates) cannot be used because they are highly inaccurate for small populations and may result in over/underestimation of life expectancy. To avoid inaccurate estimates, ZIP Codes with populations of less than 5,000 were aggregated with neighboring ZIP Codes until the merged areas had a population of more than 5,000. ZIP Code 94103, representing Treasure Island, was dropped from the dataset due to its small population and having no bordering ZIP Codes. In this way, the original 305 Bay Area ZIP Codes were reduced to 217 ZIP Code areas for 2013 estimates. Next, a form of Bayesian random-effects analysis was used which established a prior distribution of the probability of death at each age using the regional distribution. This prior is used to shore up the life expectancy calculations where data were sparse.

Of all families with children (FWC) and adult families (AF) who applied for shelter and received application decision in the reporting month, this is the proportion who were found eligible. For families with multiple decisions within the month, only the most recent decision is factored into this rate.

The index is constructed using socioeconomic and demographic, exposure, health, and housing indicators and is intended to serve as a planning tool for health and climate adaptation. Steps for calculating the index can be found in in the "An Assessment of San Francisco’s Vulnerability to Flooding & Extreme Storms" located at https://sfclimatehealth.org/wp-content/uploads/2018/12/FloodVulnerabilityReport_v5.pdf.pdfData Dictionary: (see attachment here also: https://data.sfgov.org/Health-and-Social-Services/San-Francisco-Flood-Health-Vulnerability/cne3-h93g)

Field Name Data Type Definition Notes (optional)

Census Blockgroup Text San Francisco Census Block Groups

Children Numeric Percentage of residents under 18 years old. American Community Survey 2009 - 2014.

Chidlren_wNULLvalues Numeric Percentage of residents under 18 years old. American Community Survey 2009 - 2014. Because the American Community Survey uses survey estimates, all data is attached to a margin of error. When the coefficient of variation is over .3, the SFDPH considers this data unstable and gives it a NULL value. However, because principal component analysis and the final development of the flood health index could not use NULL values, SFDPH used this unstable data for these limited purposes. For the purpose of transparency, SFDPH has included both datasets with NULL values and without NULL values.

Elderly Numeric Percentage of residents aged 65 and older. American Community Survey 2009 - 2014.

Elderly_wNULLvalues Numeric Percentage of residents aged 65 and older. American Community Survey 2009 - 2014. Because the American Community Survey uses survey estimates, all data is attached to a margin of error. When the coefficient of variation is over .3, the SFDPH considers this data unstable and gives it a NULL value. However, because principal component analysis and the final development of the flood health index could not use NULL values, SFDPH used this unstable data for these limited purposes. For the purpose of transparency, SFDPH has included both datasets with NULL values and without NULL values.

NonWhite Numeric Percentage of residents that do not identify as white (not Hispanic or Latino). American Community Survey 2009 - 2014.

NonWhite_wNULLvalues Numeric Percentage of residents that do not identify as white (not Hispanic or Latino). American Community Survey 2009 - 2014. Because the American Community Survey uses survey estimates, all data is attached to a margin of error. When the coefficient of variation is over .3, the SFDPH considers this data unstable and gives it a NULL value. However, because principal component analysis and the final development of the flood health index could not use NULL values, SFDPH used this unstable data for these limited purposes. For the purpose of transparency, SFDPH has included both datasets with NULL values and without NULL values.

Poverty Numeric Percentage of all individuals below 200% of the poverty level. American Community Survey 2009 - 2014.

Poverty_wNULLvalues Numeric Percentage of all individuals below 200% of the poverty level. American Community Survey 2009 - 2014. Because the American Community Survey uses survey estimates, all data is attached to a margin of error. When the coefficient of variation is over .3, the SFDPH considers this data unstable and gives it a NULL value. However, because principal component analysis and the final development of the flood health index could not use NULL values, SFDPH used this unstable data for these limited purposes. For the purpose of transparency, SFDPH has included both datasets with NULL values and without NULL values.

Education Numeric Percent of individuals over 25 with at least a high school degree. American Community Survey 2009 - 2014.

Education_wNULLvalues Numeric Percent of individuals over 25 with at least a high school degree. American Community Survey 2009 - 2014. Because the American Community Survey uses survey estimates, all data is attached to a margin of error. When the coefficient of variation is over .3, the SFDPH considers this data unstable and gives it a NULL value. However, because principal component analysis and the final development of the flood health index could not use NULL values, SFDPH used this unstable data for these limited purposes. For the purpose of transparency, SFDPH has included both datasets with NULL values and without NULL values.

English Numeric Percentage of households with no one age 14 and over who speaks English only or speaks English "very well". American Community Survey 2009 - 2014.

English_wNULLvalues Numeric Percentage of households with no one age 14 and over who speaks English only or speaks English "very well". American Community Survey 2009 - 2014. Because the American Community Survey uses survey estimates, all data is attached to a margin of error. When the coefficient of variation is over .3, the SFDPH considers this data unstable and gives it a NULL value. However, because principal component analysis and the final development of the flood health index could not use NULL values, SFDPH used this unstable data for these limited purposes. For the purpose of transparency, SFDPH has included both datasets with NULL values and without NULL values.

Elevation Numeric Minimum elevation in feet. United States Geologic Survey 2011.

SeaLevelRise Numeric Percent of land area in the 100-year flood plain with 36-inches of sea level rise. San Francisco Sea Level Rise Committee, AECOM 77inch flood inundation layer, 2014.

Precipitation Numeric Percent of land area with over 6-inches of projected precipitation-related flood inundation during an 100-year storm. San Francisco Public Utilities Commission, AECOM, 2015.

Diabetes Numeric Age-adjusted hospitalization rate due to diabetes; adults 18+. California Office of Statewide Health Planning and Development, 2004-2015.

MentalHealth Numeric Age-adjusted hospitalization rate due to schizophrenia and other psychotic disorders. California Office of Statewide Health Planning and Development, 2004-2015.

Asthma Numeric Age-adjusted hospitalization rate due to asthma; adults 18+. California Office of Statewide Health Planning and Development, 2004 - 2015.

Disability Numeric Percentage of total civilian noninstitutionalized population with a disability. American Community Survey 2009 - 2014.

Disability_wNULLvalues

Percentage of total civilian noninstitutionalized population with a disability. American Community Survey 2009 - 2014. Because the American Community Survey uses survey estimates, all data is attached to a margin of error. When the coefficient of variation is over .3, the SFDPH considers this data unstable and gives it a NULL value. However, because principal component analysis and the final development of the flood health index could not use NULL values, SFDPH used this unstable data for these limited purposes. For the purpose of transparency, SFDPH has included both datasets with NULL values and without NULL values.

HousingQuality Numeric Annual housing violations, per 1000 residents. San Francisco Department of Public Health, San Francisco Department of Building Inspections, San Francisco Fire Department, 2010 - 2012.

Homeless Numeric Homeless population, per 1000 residents. San Francisco Homeless Count 2015.

LivAlone Numeric Households with a householder living alone. American Community Surevey 2009 - 2014.

LivAlone_wNULLvalues Numeric Households with a householder living alone. American Community Surevey 2009 - 2014. Because the American Community Survey uses survey estimates, all data is attached to a margin of error. When the coefficient of variation is over .3, the SFDPH considers this data unstable and gives it a NULL value. However, because principal component analysis and the final development of the flood health index could not use NULL values, SFDPH used this unstable data for these limited purposes. For the purpose of transparency, SFDPH has included both datasets with NULL values and without NULL values.

FloodHealthIndex Numeric Comparative ranking of flood health vulnerability, by block group. The Flood Health Index weights the six socioeconomic and demographic indicators (Children, Elderly, NonWhite, Poverty, Education, English) as 20% of the final score, the three exposure indicators (Sea Level Rise, Precipitation, Elevation) as 40% of the final score, the four health indicators (Diabetes, MentalHealth, Asthma, Disability) as 20% of the final score, and the three housing indicators (HousingQuality, Homeless, LivAlone) as 20% of the final score. For methodology used to develop the final Flood Health Index, please read the San Francisco Flood Vulnerability Assessment Methodology Section.

FloodHealthIndex_Quintiles Numeric Comparative ranking of flood health vulnerability, by block group. The Flood Health Index weights the six socioeconomic and demographic indicators (Children, Elderly, NonWhite, Poverty, Education, English) as 20% of the final score, the three exposure indicators (Sea Level Rise, Precipitation, Elevation) as 40% of the final score, the four health indicators (Diabetes, MentalHealth, Asthma, Disability) as 20% of the final score, and the three housing indicators (HousingQuality, Homeless, LivAlone) as 20% of the final score. For methodology used to develop the final Flood Health Index, please read the San Francisco Flood