Surveillance of HIV Risk Behaviors in Four Populations: National HIV Behavioral S

项目摘要 通过拟议的国家艾滋病毒行为监测项目，路易斯安那州 公共卫生艾滋病毒/艾滋病方案办公室（OPH HAP）及其签约伙伴将监测 三个目标人群中的风险行为和获得预防服务的机会， 艾滋病毒感染（男男性行为者、注射毒品使用者和高危人群） 异性恋者（HET））在新奥尔良大都市区。通过本项目收集的数据 将有助于建立一个国家系统，最终用于指导和评估地方和 国家艾滋病毒预防工作。此外，该项目还将协助评估个人的 获得和了解当地艾滋病毒预防方案。最后，该项目将补充 HAP目前开展的活动，以系统地评估 卡特里娜飓风后城市特定街区的风险行为。 OPH HAP将与CDC和其他受资助者协调，以实施将监测 这些因素使人们面临更高的艾滋病毒风险。每个周期将有500名合资格人士 在新的调查中，使用响应者驱动或基于场地的时间/空间抽样方法招募 奥尔良大都会统计区。一份标准化的调查问卷， 如性行为、吸毒、对检测和使用避孕套的态度、社会和性行为、 网络，合作伙伴的特点，艾滋病毒的状态和测试历史将管理所有 参与者快速口服HIV检测（对反应性标本进行确证性Western印迹） 将提供给所有参与者，测试数据将与调查结果挂钩。 该项目的一个有价值的组成部分将是其形成的人种志和评估 这些活动将包括系统地收集定量和定性数据 关于目标人口及其居住地区或社会联系的信息。 通过记录邻里恢复的指标以及通过 与社区成员和社区合作伙伴的焦点小组的访谈将有助于 项目的工作人员在执行活动，将导致项目目标的实现。 HAP还将与CDC、其他受赠方以及地方和国家大学合作伙伴合作， 评估和进一步完善NHBS协议。总之，这些综合活动将 加强现有能力，为地方一级的艾滋病毒预防活动提供信息和指导。 此外，当数据在全国所有地点进行集体分析时，结果将 是一个一致的，持续的，外部有效的监督系统，用于使方案 控制艾滋病毒传播的决定。

Project Summary Through the proposed National HIV Behavioral Surveillance (NHBS) project, the Louisiana Office of Public Health HIV/AIDS Program (OPH HAP) and its contracted partners will monitor risk behaviors and access to prevention services in three target populations who are at risk for HIV infection (men who have sex with men (MSM), injection drug users (IDU) and high-risk heterosexuals (HET)) in the New Orleans metropolitan area. Data collected through this project will contribute to a national system that will ultimately be used to direct and evaluate local and national HIV prevention efforts. In addition, the project will assist in evaluating individuals' access to and knowledge of local HIV prevention programs. Finally, the project will complement current activities conducted by HAP to systematically assess the revitalization and changes in risk behavior in particular neighborhoods of the city following hurricane Katrina. OPH HAP will coordinate with CDC and other grantees to implement protocols that will monitor factors that place people at higher risk for HIV. For each cycle, 500 eligible persons will be recruited using respondent-driven or venue-based, time/space sampling methods in the New Orleans metropolitan statistical area. A standardized questionnaire that examines factors such as sexual behavior, drug-use, attitudes towards testing and condom use, social and sexual networks, partner characteristics, and HIV status and testing history will be administered to all participants. Rapid oral HIV testing (with confirmatory Western blot for reactive specimens) will be provided to all participants and testing data will be linked to survey results. A valuable component of this project will be its formative ethnographic and assessment activities, which will include the systematic collection of both quantitative and qualitative data about the target population and the areas in which they reside or in which they have social ties. Information gathered by documenting indicators of neighborhood recovery, as well as through interviews with community members and focus groups with community partners will assist the project's staff in implementing activities that will lead to the accomplishment of project goals. HAP will also collaborate with CDC, other grantees, and local and national university partners to evaluate and further refine NHBS protocols. In summary, these combined activities will enhance the current capacity to inform and direct HIV prevention activities on a local level. Moreover, when the data are collectively analyzed across all sites in the country, the result will be a consistent, ongoing, externally valid surveillance system to be used to make programmatic decisions to control the spread of HIV.