National HIV Behavioral Surveillance System

描述（由申请人提供）：疾病控制和预防中心（CDC）目前在美国21个大都市统计区（MSA）进行国家艾滋病毒行为监测（NHBS），包括西雅图海事局。我们建议从2011年到2015年继续在西雅图MSA实施NHBS。NHBS在西雅图MSA的目标是为当地艾滋病预防资源分配和预防方案评估提供相关数据。为了实现这一目标，我们建议与疾病预防控制中心合作，继续维护和评估与男男性行为者（MSM），注射毒品使用者（IDU）和异性恋高危人群（HET）艾滋病毒感染相关的行为和合并感染的监测系统。具体而言，我们将每年进行形成性研究和社区调查以及艾滋病毒检测。我们将每年进行一次调查，以评估艾滋病毒风险行为，艾滋病毒预防服务的获得和利用，以及西雅图地区男男性行为者（2011年和2014年），IDU（2012年和2015年）和HET（2014年）的艾滋病毒流行率。我们将与西雅图地区的社区组织、公共卫生部门的同事、华盛顿大学的研究人员合作，在定性和定量方法方面具有专业知识，以进行NHBS并评估和传播结果。我们将采用基于场地的时空抽样（VBS）和响应者驱动的抽样（RDS），并完成调查，每个MSM和IDU周期有500名合格的参与者，HET周期有450名。我们将为所有三个周期的NHBS参与者提供自愿的艾滋病毒咨询和检测，以评估艾滋病毒血清阳性率。我们将对NHBS系统进行评估，包括抽样策略和数据收集方法，以确保该系统达到其目标，并为提高地方和国家NHBS的质量，效率和实用性提供建议。我们将与西雅图地区社区组织合作开发和实施当地预防调查问题，这些组织由CDC直接资助，或通过社区规划过程由州或地方资助。我们将为MMWR报告和其他出版物等国家数据收集成果做出贡献，并提供有助于地方和国家监测报告工作的数据传播计划。最后，我们将在MSM和IDU周期中实施丙型肝炎咨询和检测，以评估丙型肝炎血清阳性率。西雅图地区NHBS系统将继续设在公共卫生艾滋病毒/性病方案-西雅图和金县。

DESCRIPTION (provided by applicant): The Centers for Disease Control and Prevention (CDC) currently conducts National HIV Behavioral Surveillance (NHBS) in 21 metropolitan statistical areas (MSA) in the U.S., including the Seattle MSA. We propose to continue NHBS in the Seattle MSA from 2011 to 2015. The goal of NHBS in the Seattle MSA is to provide relevant data for local HIV prevention resource allocation and prevention program evaluation. To accomplish this goal, we propose to collaborate with CDC to continue maintaining and evaluating a surveillance system of behaviors and co-infections related to HIV acquisition in men who have sex with men (MSM), injection drug users (IDU), and heterosexuals at increased risk (HET). Specifically, we will conduct formative research and community-based surveys and HIV testing each year. We will conduct a survey each year to assess HIV risk behaviors, HIV prevention services access and utilization, and HIV prevalence among Seattle-area MSM (2011 and 2014), IDU (2012 and 2015) and HET (2014). We will collaborate with Seattle area community-based organizations, public health department colleagues, University of Washington researchers with expertise in qualitative and quantitative methods to conduct NHBS and evaluate and disseminate results. We will employ venue-based time-space sampling (VBS) and respondent-driven sampling (RDS) and complete surveys with 500 eligible participants in each of the MSM and IDU cycles and 450 in the HET cycle. We will provide voluntary HIV counseling and testing to NHBS participants in all three cycles to assess HIV seroprevalence. We will conduct evaluations of the NHBS system including sampling strategies, and data collection methods to ensure that the system meets its goals, and provide recommendations for improving the quality, efficiency and usefulness of NHBS both locally and nationally. We will collaborate on development and implementation of local prevention survey questions with Seattle area community-based organizations that are directly funded by CDC or funded by state or local funding through the community planning process. We will contribute to the national data collections outcomes such as MMWR reports and other publications, and provide a data dissemination plan that will contribute to local and national surveillance reporting efforts. Finally, we will implement hepatitis C counseling and testing in the MSM and IDU cycles to assess hepatitis C seroprevalence. The Seattle area NHBS system will continue to be based at the HIV/STD Program of Public Health - Seattle & King County.