National HIV Behavioral Surveillance System

项目摘要 由于地理位置靠近纽约市，拿骚/萨福克大都会 统计领域(MSA)与艾滋病毒和毒品相关的流行病学问题有许多共同之处 城市MSA的。艾滋病毒的趋势尤其令性活跃的年轻男男性接触者担忧 使用注射毒品的女性和黑人男性；属于这些人的个人 与其他类别相比，这些类别的艾滋病毒感染率高得惊人 他们风险组的成员。了解继续阻碍风险的因素 减少这些群体对艾滋病毒的一级和二级预防至关重要。 作为对侧重于实验室报告数据的传统艾滋病毒监测的补充 和医疗提供者，从高危人群中收集的行为数据 男男性行为者(MSM)、注射吸毒者(IDU)和 有感染风险的异性恋者可以增加收集到的广泛信息 来自传统来源。行为监测可以识别某些新出现的 流行病学趋势，对目前最危险人群的直接干预努力， 并评估目前的干预目标是否得到实现。 作为行为监测受助人，我们将每年轮流调查 被指定为高危人群的男男性接触者、注射吸毒者和有感染风险的异性恋者。对于每个 MSM和IDU周期将至少登记500名合格参与者；最低 450名有感染艾滋病毒风险的异性恋者将在异性恋期间登记 周而复始。评估艾滋病毒的发病率和流行率，全国艾滋病毒的所有周期 行为监测(NHBS)项目将包括自愿艾滋病毒检测部分。 所附研究计划概述了每个NHBS周期的活动将如何 完成。

Project Abstract Due to its geographic proximity to New York City the Nassau/Suffolk metropolitan statistical area (MSA) shares many of the HIV and drug related epidemiologic concerns of Urban MSAs. HIV trends are particularly of concern for young MSM, sexually active females, and Black males who use injection drugs; individuals who fall into these categories experience rates of HIV that are alarmingly elevated relative to other members of their risk group. Understanding the factors that continue to impede risk reduction among these groups is essential to primary and secondary prevention of HIV. As a complement to traditional HIV surveillance which focuses on data from lab reports and medical providers, behavioral data collected from individuals involved in high risk activity such as men who have sex with men (MSM), injection drug users (IDU), and heterosexuals at risk for infection can augment the broad based information gleaned from traditional sources. Behavioral surveillance can identify certain emerging epidemiological trends, direct intervention efforts on populations most currently at risk, and evaluate whether current intervention goals are being met. As a Behavioral Surveillance grantee, we will conduct annual rotating surveys of the designated high risk groups MSM, IDU, and heterosexuals at risk for infection. For each MSM and IDU cycle a minimum of 500 eligible participants will be enrolled; a minimum of 450 heterosexuals at risk for HIV infection will be enrolled during the heterosexual cycle. To assess the incidence and prevalence of HIV, all cycles of the National HIV Behavioral Surveillance (NHBS) project will include a voluntary HIV testing component. The attached research plan outlines how the activities of each NHBS cycle will be completed.