BEHAVIORAL SURVEILLANCE

描述(由申请人提供)：通过拟议的国家艾滋病毒行为监测(NHBS)项目，路易斯安那州公共卫生办公室艾滋病毒/艾滋病计划(OPH HAP)及其合同合作伙伴将监测新奥尔良大都市区三个艾滋病毒感染风险人群(男男性行为者(MSM)、注射吸毒者(IDU)和高危异性恋者(HET))的危险行为和获得预防服务的机会。通过该项目收集的数据将有助于建立一个国家系统，该系统最终将用于指导和评估地方和国家的艾滋病毒预防工作。此外，该项目将帮助评估个人获得和了解当地艾滋病毒预防计划的情况。最后，该项目将补充 HAP目前开展的活动是系统地评估卡特里娜飓风过后该市特定社区的复兴和风险行为的变化。Oph HAP将与疾控中心和其他受赠者协调，实施监测将使人们面临更高艾滋病毒风险的因素的协议。对于每个周期，将在新奥尔良大都市统计区使用受访者驱动或基于场地的时间/空间抽样方法招募500名符合条件的人。将向所有参与者发放一份标准化问卷，其中审查各种因素，如性行为、药物使用、对检测和避孕套使用的态度、社会和性网络、伴侣特征、艾滋病毒状况和检测历史。将向所有参与者提供快速口腔艾滋病毒检测(对反应样本进行确认性Western印迹检测)，并将检测数据与调查结果联系起来。该项目的一个有价值的组成部分将是其形成的人种学和评估活动，其中将包括系统地收集关于目标人口及其居住或有社会关系的地区的定量和定性数据。通过记录社区恢复指标，以及通过与社区成员和社区合作伙伴的重点小组的访谈收集的信息，将协助项目工作人员开展有助于实现项目目标的活动。HAP还将与疾病预防控制中心、其他受赠者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。总而言之，这些综合活动将加强目前在地方一级通报和指导艾滋病毒预防活动的能力。此外，当对全国所有地点的数据进行集体分析时，结果将是一个一致的、持续的、外部有效的监测系统，用于做出控制艾滋病毒传播的方案决定。

DESCRIPTION (provided by applicant): 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.