HIV BEHAVIORAL SURVEILLANCE

描述(由申请人提供)：芝加哥公共卫生部(CDPH)建议在芝加哥感染艾滋病毒的高危人群中维持持续的艾滋病毒行为监测系统。该系统将成为疾控中心国家艾滋病毒行为监测系统(NHBS)的一部分。这一系统的目的将是确定艾滋病毒感染高危成年人中艾滋病毒危险行为和艾滋病毒感染的流行率和趋势。还将查明艾滋病毒预防方案的可获得性和利用方面的趋势。在这项合作协议的五年中，数据收集将在男男性行为者(2011年为MSM-3和2014年为MSM-4)、注射吸毒者(2012年为IDU-3和2015年为IDU-4)和艾滋病毒感染风险较高的异性恋者(2013年为HET-3)之间每年轮流收集数据。此外，对于这些核心的NHBS活动，我们建议在2011年对男性到女性(MTF)变性人进行行为监测，并在每个周期进行乙肝和丙型肝炎检测，以确定艾滋病毒感染高危成年人的肝炎血清阳性率和与肝炎相关的危险行为的相关趋势。每个周期的活动将包括进行形成性研究，实施抽样方法，系统地进行社区调查和艾滋病毒抗体检测和乙肝/丙型肝炎检测，数据分析和传播，以及项目评估。所有活动将与当地社区组织(CBO)、社区规划团体(CP6)、学术研究人员和疾病控制和预防中心(CDC)合作进行。这一声明提供了一个机会，利用八年来成功开展NHBS和从非医疗保健部门招聘高危个人的经验 使用科学合理的方法维持一个持续监测艾滋病毒感染相关行为的系统的社区环境。拟议的行为监测系统将提供相关、及时和高质量的风险和预防行为数据，这是帮助当地社区规划小组和帮助CDPH构建循证计划以适当指导当地艾滋病毒预防和评估工作的重要组成部分。

DESCRIPTION (provided by applicant): The Chicago Department of Public Health (CDPH) proposes to maintain an ongoing HIV behavioral surveillance system among groups at increased risk for acquiring HIV infection in Chicago. This system will be part of the CDC National HIV Behavioral Surveillance system (NHBS). The aims of this system will be to ascertain the prevalence of and trends in HIV risk behaviors and HIV infection among adults at high risk for HIV infection. Trends in accessibility and utilization of HIV prevention programs will also be ascertained. Data collection will rotate each year for the five years of this cooperative agreement among men who have sex with men (MSM-3 in 2011 and MSM-4 in 2014), injecting drug users (IDU-3 in 2012 and IDU-4 in 2015), and heterosexuals at increased risk for HIV infection (HET-3 in 2013). In addition, to these core NHBS activities, we propose to implement behavioral surveillance among male-to- female (MTF) transgender women during 2011 (THBS) and to conduct Hepatitis B & C testing during each cycle to ascertain hepatitis seroprevalence and associated trends in hepatitis-related risk behaviors among adults at high risk for HIV infection. Activities for each cycle will consist of conducting formative research, implementing a sampling methodology to systematically conduct community-based surveys and HIV antibody testing and Hepatitis B/C testing, data analysis and dissemination and project evaluation. All activities will be conducted in collaboration with local community-based organizations (CBO), community planning groups (CP6), academic researchers, and the Centers for Disease Control and Prevention (CDC). This announcement provides an opportunity to capitalize on eight years of experience successfully conducting NHBS and recruiting at-risk individuals from non-health care community settings using scientifically sound methodologies to maintain an ongoing system for surveillance of behaviors related to HIV acquisition. The proposed behavioral surveillance system will provided relevant, timely, and high-quality risk and prevention behavior data, an essential component in helping local community planning groups and help CDPH construct evidence-based plans to appropriately direct local HIV prevention and evaluation efforts.