The role of behavioral data in HIV surveillance
The role of behavioral data in HIV surveillance
复制标题
行为数据在艾滋病毒监测中的作用
DOI：
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发表时间：
2005
期刊：
影响因子：
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通讯作者：
Boerma Jt
中科院分区：
文献类型：
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作者：
B. Zaba;E. Slaymaker;M. Urassa;Boerma Jt
本文以 2004 年 1 月在亚的斯亚贝巴举行的资源有限国家艾滋病毒/艾滋病监测新战略会议上提出的工作为基础，回顾了性行为数据如何有助于基于哨点监测来了解艾滋病毒流行趋势。第二代监测的一个关键组成部分是收集可能影响人群中艾滋病毒流行进程的行为和背景特征的数据。然而，尚未建立针对各种类型的流行病收集和分析这些数据的最合适的方法。提出了一个概念框架，概述了背景特征、行为和艾滋病毒感染之间的关系。回顾了广泛性和集中性流行病中用于收集艾滋病毒感染、危险行为和背景特征数据的不同方法，包括基于人群的调查以及高危和低危人群的监测。讨论了不同方法中固有的各种偏见。借鉴坦桑尼亚产前诊所生物和行为监测联系起来的试点研究的例子，探讨了将个人和社区层面的数据联系起来的影响，并就适当的分析方法提出了建议。本文最后提出了收集第二代艾滋病毒监测所需数据的方法和频率的建议。
This paper reviews the ways in which data on sexual behavior can contribute to the understanding of HIV prevalence trends based on sentinel surveillance, building on work presented at a meeting on new strategies for HIV/AIDS surveillance in resource-constrained countries, held in Addis Ababa in January 2004.A key component of second-generation surveillance is the collection of data on the behaviors and background characteristics that may influence the course of the HIV epidemic in a population. However, the most appropriate methods for the collection and analysis of these data for various types of epidemic have yet to be established.A conceptual framework is presented outlining the relationships between background characteristics, behaviors and HIV infection. The different methods used to collect data on HIV infection, risk behaviors and background characteristics in generalized and concentrated epidemics are reviewed, including population-based surveys, and surveillance in high- and low-risk groups. The various biases inherent in different approaches are discussed. The implications of linking data at the individual and community levels are explored and recommendations made concerning appropriate analytical approaches, drawing on an example of a pilot study that linked biological and behavioral surveillance in Tanzanian antenatal clinics.The paper concludes with recommendations for the methods and frequency with which to collect the data required for second-generation HIV surveillance.