Minimally Invasive Blood Collection for an Mpox Serosurvey among People Experiencing Homelessness

J Appl Lab Med. 2024 Sep 3;9(5):1014-1019. doi: 10.1093/jalm/jfae035.

Abstract

Background: People experiencing homelessness (PEH) are underrepresented in public health and clinical research. Study methods that can improve participation by this group are needed.

Methods: In late 2022, the Centers for Disease Control and Prevention conducted an mpox serological survey using venipuncture among PEH in San Francisco, California. Blood collection by a minimally invasive device was offered if venipuncture was not possible or preferred. Participants who had a successful blood draw using the device were asked about device acceptability.

Results: Of the 209 successful blood collections, 137 (66%) were among participants who underwent venipuncture and 72 (34%) were among participants who used the device. Use of the device increased overall blood collection participation by 53%. Participants reported high acceptability and preference for the device over venipuncture.

Conclusions: Minimally invasive blood collection devices may increase participation and representation of PEH in serosurveys.

MeSH terms

  • Adult
  • Blood Specimen Collection* / instrumentation
  • Blood Specimen Collection* / methods
  • Blood Specimen Collection* / statistics & numerical data
  • Female
  • Humans
  • Ill-Housed Persons* / statistics & numerical data
  • Male
  • Middle Aged
  • Phlebotomy* / methods
  • Phlebotomy* / statistics & numerical data
  • San Francisco / epidemiology
  • Seroepidemiologic Studies