PS08-001, NATIONAL HIV BEHAVIORAL SURVEILLANCE

PS08-001，国家艾滋病毒行为监测

• 批准号: 7497731
• 负责人: SANDRA MIRANDA
• 金额: $ 32.4万
• 依托单位: PUERTO RICO HEALTH DEPARTMENT
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-01-01 至 2010-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7497731
• 关键词: PS08; 001; NATIONAL; HIV; BEHAVIORAL

DESCRIPTION (provided by applicant): Behavioral surveillance, defined as an ongoing, systematic collection, analysis, and interpretation of behavioral data for preventing or controlling disease or injury, is important for AIDS and many chronic diseases whose onset is separated from their putative exposures by several years or decades. A national surveillance system that provides relevant, timely, and high-quality data on risk and prevention behaviors of MSM, IDUs and HET is needed to help direct and evaluate local and national HIV prevention efforts. In the absence of an effective vaccine against HIV, reducing known risk factors for HIV infection is essential for reducing HIV transmission. HIV behavioral surveillance data can be used to target prevention efforts on identified risk behaviors that need to be changed in populations at greatest risk for HIV infection. Behavioral surveillance data is important for evaluating whether prevention efforts within a community are reaching important population segments and in meeting local and national goals for HIV prevention. An ongoing, systematic collection, interpretation, and analysis of behavioral data are needed to identify baseline risk and prevention-service-utilization outcomes, and to quantify progress towards meeting the plan's objectives. For those populations that are identified with unmet prevention needs, behavioral surveillance data can be used at local, state, and federal levels to help improve or redirect prevention efforts, or to obtain additional prevention resources. CDC's HIV/AIDS strategic plan has identified that monitoring behaviors that place people at risk for HIV infection is a key element of an integrated surveillance system, particularly in MSM, IDU's, and HRH. This programs goal is to develop an ongoing surveillance system to ascertain the prevalence of HIV risk behaviors among groups at high risk for HIV infection to be used in the development and directing national prevention services and programs; and to evaluate the impact of a variety of prevention efforts. This data will be important to implement strategies and provide local relevant epidemiological information for the Puerto Rico Health Department, CBO's and other groups. For this reason and in collaboration with the Behavioral and Clinical Surveillance Branch, Division of HIV/AIDS Prevention, and other participating state and local health departments we will conduct the National HIV Behavioral Surveillance in MSM, IDU's, and HET populations. The HIV Behavioral Surveillance System will be conducted in three research cycles. Each cycle will approach three different populations: MSM, IDU's, and HET and each cycle will be of one year duration. The first cycle will be MSM and it will be conducted through from January to December 31, 2008. The second cycle will be the IDU's and it will be conducted from January to December 31st, 2009. The third and last cycle will be the HRH, starting from January to December 31, 2010. High-risk individuals from non-healthcare community settings will be recruited using a scientifically sound methodology to develop an ongoing system for surveillance of behaviors related to HIV acquisition. We will assess risk behaviors and trends in behaviors over time among adults 18 years old and older at high risk for HIV infection through sexual behavior between men, injection drug use and heterosexual contact. HIV testing will be assessed in addition to access and utilization of HIV prevention programs. We will interview at least 500 persons per cycle. Through the community planning process and the collaboration of CDC directly funded community-based organizations (CBO's) or CBO's funded by states/cities, HIV prevention programs, schools of public health, universities, ethnographers and behavioral scientist we will conduct a formative research, and questionnaire development.

描述(由申请人提供)：行为监测，定义为对预防或控制疾病或伤害的行为数据进行持续、系统的收集、分析和解释，对艾滋病和许多慢性病来说很重要，这些疾病的发病与其假定的暴露相隔数年或数十年。需要一个国家监测系统，提供有关男男性接触者、注射吸毒者和艾滋病患者的风险和预防行为的相关、及时和高质量的数据，以帮助指导和评估地方和国家的艾滋病毒预防工作。在缺乏有效的艾滋病毒疫苗的情况下，减少艾滋病毒感染的已知风险因素对于减少艾滋病毒的传播至关重要。艾滋病毒行为监测数据可用于针对艾滋病毒感染风险最高的人群中需要改变的已确定的危险行为进行预防工作。行为监测数据对于评估社区内的预防工作是否正在达到重要的人群部分以及在实现地方和国家预防艾滋病毒的目标方面非常重要。需要对行为数据进行持续、系统的收集、解释和分析，以确定基线风险和预防服务利用结果，并量化实现计划目标的进展情况。对于那些被确定为未得到满足的预防需求的人群，可以在地方、州和联邦各级使用行为监测数据来帮助改进或调整预防工作，或获得额外的预防资源。疾控中心的艾滋病毒/艾滋病战略计划确定，监测将人们置于艾滋病毒感染风险中的行为是综合监测系统的关键要素，特别是在男男性接触者、注射吸毒者和HRH。该方案的目标是开发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危险行为的流行率，以用于制定和指导国家预防服务和方案；并评估各种预防努力的影响。这些数据对于实施战略和为波多黎各卫生局、国会预算办公室和其他团体提供当地相关的流行病学信息将是重要的。为此，我们将与行为和临床监测处、艾滋病毒/艾滋病预防司以及其他参与的州和地方卫生部门合作，在MSM、IDU和HET人群中开展全国艾滋病毒行为监测。艾滋病毒行为监测系统将分三个研究周期进行。每个周期将涉及三个不同的人群：MSM、IDU和HET，每个周期将持续一年。第一个周期为MSM，将于2008年1月至12月31日进行。第二个周期将是IDU的周期，将于2009年1月至12月31日进行。第三个也是最后一个周期将是HRH，从2010年1月到12月31日。将使用科学合理的方法招募来自非医疗保健社区环境的高危个人，以开发一个持续监测与艾滋病毒感染相关的行为的系统。我们将评估18岁及以上成年人通过男性之间的性行为、注射吸毒和异性接触感染艾滋病毒的高危行为和行为趋势。除了获得和利用艾滋病毒预防计划外，还将对艾滋病毒检测进行评估。我们每个周期将至少采访500人。通过社区规划过程和疾控中心直接资助的社区组织(CBO)或由州/市资助的CBO、艾滋病毒预防项目、公共卫生学院、大学、民族志学者和行为科学家的合作，我们将进行形成性研究和问卷开发。