National HIV Behavioral Surveillance System

描述（由申请人提供）：国家艾滋病毒行为监测计划的目的是通过艾滋病毒行为监测来监测艾滋病毒的流行。该方案的目标是维持一个持续的监测系统，以确定艾滋病毒感染高危人群中艾滋病毒风险行为和艾滋病毒感染的流行情况，以用于发展和指导地方和国家预防服务和方案。每年将轮流收集男男性行为者（MSM）、注射吸毒者（IDU）和艾滋病毒感染风险较高的异性恋者的数据。NHBS是一项采用标准化问卷的匿名、横断面、多地点调查。抽样和招聘策略将包括基于地点的抽样、时空抽样和受访者驱动的抽样调查。每年/风险组将招收至少500名符合条件的参与者。该系统将评估风险行为以及艾滋病毒预防方案的获取和利用情况。将进行艾滋病毒感染自愿检测，以评估艾滋病毒血清流行率和发病率。国家艾滋病毒行为监测将扩大到包括13-17岁的年轻男同性恋者。将试点两种招募方法，即受访者驱动的抽样和基于场地的监测，以确定招募年轻男同性恋者的最有效方法。实施国家卫生服务体系-青年男男性行为者方案将加强国家监测艾滋病毒流行的能力，并改进对青年男男性行为者预防工作的指导和评价。该方案解决了“健康人2020”的重点领域：减少与男性发生性关系的青少年和成年男子中艾滋病新病例的数量；增加性活跃人群使用避孕套的比例；并增加了解自己血清状况的血清阳性人员的数量。该方案支持努力改善艾滋病毒/艾滋病、病毒性肝炎、性传播疾病和结核病严重影响人群的健康，最大限度地提高公共卫生服务对健康的影响，降低疾病流行率，并根据国家艾滋病毒/艾滋病战略促进卫生公平。该项目将提供一个机会，利用从非卫生保健社区环境中招募风险个体的经验，使用科学合理的方法来维持一个持续的系统，以监测与艾滋病毒感染有关的行为。这将加强全国监测艾滋病毒/艾滋病疫情、制定和实施有效的艾滋病毒预防干预措施以及评估预防方案的能力。

DESCRIPTION (provided by applicant): The purpose of the National HIV Behavioral Surveillance program is to monitor the HIV epidemic through HIV behavioral surveillance. The objectives of this program are to maintain an ongoing surveillance system to ascertain the prevalence of HIV risk behaviors and HIV infection among groups at high risk for acquiring HIV infection to use in developing and directing both local and national prevention services and programs. Data collection will rotate each year among men who have sex with men (MSM), injecting drug users (IDU), and heterosexuals at increased risk for HIV infection. NHBS is an anonymous, cross-sectional, multisite survey that utilizes a standardized questionnaire. Sampling and recruitment strategies will include venue based, time-space sampling and respondent driven sampling surveys. A minimum of 500 eligible participants each year/risk group will be enrolled. This system will assess risk behaviors and access to and utilization of HIV prevention programs. Voluntary testing for HIV infection will be conducted in order to assess HIV seroprevalence and incidence. National HIV Behavioral Surveillance will be expanded to include young MSM age 13-17. Two methods of recruitment, respondent driven sampling and venue based surveillance, will be piloted to determine the most effective method to recruit young MSM. Implementation of NHBS-Young MSM will strengthen the national capacity to monitor the HIV epidemic and improve the direction and evaluation of prevention efforts among young MSM. This program addresses the "Healthy People 2020" focus area of: reducing the number of new AIDS cases among adolescent and adult men who have sex with men; increasing the proportion of sexually active persons who use condoms; and increasing the number of seropositive persons who know their serostatus. The program supports efforts to improve the health of populations disproportionately affected by HIV/AIDS, viral hepatitis, STDs and TB by maximizing the health impact of public health services, reducing disease prevalence, and promoting health equity consistent with the National HIV/AIDS Strategy. This program will provide an opportunity to capitalize on experience 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. This will strengthen the capacity nationwide to monitor the HIV/AIDS epidemic, develop and implement effective HIV prevention interventions and evaluate prevention programs. PUBLIC HEALTH RELEVANCE: The Philadelphia Department of Public Health will conduct HIV behavioral surveillance activities among young MSM. These activities will allow development and implementation of effective HIV prevention interventions and evaluation of prevention programs in this population. Reduction in the number of new HIV infections will hopefully be the end result.