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，以确定艾滋病毒风险行为和艾滋病毒感染高危群体中艾滋病毒感染的流行程度，用于制定和指导地方和国家预防服务和方案。数据收集将每年在男男性行为者、注射毒品使用者和艾滋病毒感染风险增加的异性恋者中轮流进行。NHBS是一项匿名、横断面、多地点调查，采用标准化问卷。抽样和征聘战略将包括基于地点的时空抽样和答卷人驱动的抽样调查。每年/风险组至少入组500名合格受试者。该系统将评估风险行为以及艾滋病毒预防方案的获得和利用情况。将进行艾滋病毒感染自愿检测，以评估艾滋病毒血清阳性率和发病率。 国家艾滋病毒行为监测将扩大到包括13-17岁的年轻男男性行为者。两种招募方法，受访者驱动的抽样和场地为基础的监测，将进行试点，以确定最有效的方法来招募年轻的男男性接触者。实施《国家卫生保健战略-年轻男男性行为者》将加强国家监测艾滋病毒流行的能力，并改进对年轻男男性行为者预防工作的指导和评价。该方案涉及“2020年健康人”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新的艾滋病病例数量;增加使用避孕套的性活跃者的比例;增加知道自己血清状况的血清反应阳性者的数量。该方案支持努力改善受艾滋病毒/艾滋病、病毒性肝炎、性传播疾病和结核病严重影响的人口的健康，最大限度地发挥公共卫生服务的健康影响，降低疾病流行率，并根据《国家艾滋病毒/艾滋病战略》促进健康公平。 该计划将提供一个机会，利用从非卫生保健社区环境中招募高危人群的经验，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相关的行为。这将加强全国监测艾滋病毒/艾滋病流行、制定和执行有效的艾滋病毒预防干预措施以及评估预防方案的能力。 公共卫生相关性：费城公共卫生部将在年轻的男男性行为者中开展艾滋病毒行为监测活动。这些活动将有助于制定和实施有效的艾滋病毒预防干预措施，并对这一人群的预防方案进行评估。希望最终结果是减少新的艾滋病毒感染人数。

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.