National HIV Behavioral Surveillance System

描述（由申请人提供）：国家艾滋病毒行为监测（NHBS）系统监测艾滋病毒风险行为，艾滋病毒检测和其他预防服务的利用，以及高危人群中的艾滋病毒流行率和发病率。佛罗里达卫生部（FDOH）致力于继续在迈阿密戴德县开展NHBS活动。这一领域的行为数据对于指导和评估地方、州和国家各级的艾滋病毒预防活动至关重要。迈阿密-戴德县艾滋病流行率第五高在有资格获得资助的大都市统计区和省中，艾滋病患者人数（2006年底为12 490人）。NHBS于2002年首次获得资助，并继续支持一些重要的公共卫生目标。2，3，45，6，7我们的目标包括进行形成性研究，调查，在高风险人群中进行艾滋病毒和肝炎检测;采用受调查者驱动和基于场所的时空抽样;并在每个研究周期中对男男性行为者（MSM）（500）、注射毒品使用者（IDUs）（500）和感染风险增加的异性恋者（HET）（450）中所需数量的合格参与者进行抽样。方法：FDOH将继续与迈阿密大学（UM）合作，在迈阿密开展NHBS。FDOH和UM将根据CDC协议实施NHBS。每年，工作人员将交替研究目标人群（即，MSM、IDUs和HET）。在每个周期的采样之前，工作人员将进行形成性研究，以确定感兴趣的人群，确定接触人群的方式，并深入了解人群的艾滋病毒风险行为。研究团队将与各种社区合作伙伴（例如，研究人员、服务提供者）进行形成性研究和传播研究结果。结论：研究小组在迈阿密戴德县所有以前的NHBS周期中获得了> 500名合格人员的样本，并拥有经验，专业知识和资源（例如，一辆移动的采访货车），以继续成功的NHBS活动。Marlene LaLota，公共卫生硕士，首席研究员，和丽莎梅奇，博士，共同首席研究员，一起拥有超过30年的经验，指导艾滋病毒预防研究，每个人都有丰富的同行评议的出版物。大卫福雷斯特，博士，现场业务总监，是一个训练有素的文化人类学家，并带来民族志专业知识，NHBS的业务，包括形成性研究。该小组有一个机构之间的密切合作，并与疾病预防控制中心计划和进行NHBS活动的既定历史。该小组充分致力于在地方、州和国家各级传播研究结果，并利用这些数据评估和改善艾滋病毒预防服务。

DESCRIPTION (provided by applicant): The National HIV Behavioral Surveillance (NHBS) system monitors HIV risk behaviors, utilization of HIV testing and other prevention services, and HIV prevalence and incidence among high-risk populations. The Florida Department of Health (FDOH) is committed to continuing NHBS activities in Miami-Dade County. Behavioral data from this area are imperative to guide and evaluate HIV prevention activities on local, state, and national levels. Miami-Dade County had the fifth highest AIDS prevalence (12,490 persons living with AIDS at the end of 2006) among Metropolitan Statistical Areas and divisions eligible for funding.1 Background/Objectives: NHBS was first funded in 2002 and continues to support a number of important public health goals.2,3,45,6,7 Our objectives include conducting formative research, surveys, and HIV and hepatitis testing among high-risk populations; employing respondent- driven and venue-based, time-space sampling; and sampling the required number of eligible participants for each study cycle among men who have sex with men (MSM) (500), injection drug users (IDUs) (500) and heterosexuals at increased risk for infection (HET) (450). Methods: FDOH will continue to collaborate with the University of Miami (UM) to conduct NHBS in Miami. FDOH and UM will implement NHBS according to CDC protocols. Each year, staff will alternate the study target population (i.e., MSM, IDUs, and HET). Prior to sampling in each cycle, staff will conduct formative research to define the population of interest, determine ways to access the population, and gain insight into the population's HIV risk behaviors. The research team will collaborate with various community partners (e.g., researchers, service providers) both to perform formative research and to disseminate study findings. Conclusions: The research team has obtained a sample of > 500 eligible persons in all previous NHBS cycles in Miami-Dade County and has the experience, expertise, and resources (e.g., a mobile interviewing van) to continue successful NHBS activities. Marlene LaLota, MPH, Principal Investigator, and Lisa Metsch, PhD, Co-Principal Investigator, together hold over 30 years of experience directing HIV prevention studies and each have a wealth of peer-reviewed publications. David Forrest, PhD, Field Operations Director, is a trained cultural anthropologist and brings ethnographic expertise to NHBS operations, including formative research. The team has an established history of close collaboration between institutions and with CDC to plan and conduct NHBS activities. The team is fully committed to disseminating study findings on local, state, and national levels and using the data to evaluate and improve HIV prevention services.