HIV BEHAVIORAL SURVEILLANCE

描述（由申请人提供）：芝加哥公共卫生部（CDPH）建议在芝加哥艾滋病毒感染风险增加的群体中维持一个持续的艾滋病毒行为监测系统。该系统将成为疾病预防控制中心国家艾滋病毒行为监测系统的一部分。该系统的目的是确定艾滋病毒高危成人中艾滋病毒危险行为和艾滋病毒感染的流行程度和趋势。还将确定艾滋病毒预防方案的可获得性和利用情况的趋势。在这一合作协议的五年期间，每年将轮流在男男性行为者（2011年为MSM-3，2014年为MSM-4）、注射毒品使用者（2012年为IDU-3，2015年为IDU-4）和艾滋病毒感染风险增加的异性恋者（2013年为HET-3）中收集数据。此外，除了这些核心的NHBS活动外，我们还建议在2011年期间对男转女（MTF）变性妇女实施行为监测（THBS），并在每个周期进行B & C肝炎检测，以确定肝炎血清阳性率和艾滋病毒感染高危成人中肝炎相关风险行为的相关趋势。每个周期的活动将包括进行形成性研究，采用抽样方法系统地进行社区调查和艾滋病毒抗体检测及B/C型肝炎检测，数据分析和传播以及项目评价。所有活动将与当地社区组织（CBO），社区规划小组（CP 6），学术研究人员和疾病控制和预防中心（CDC）合作进行。这一宣布提供了一个机会，利用八年的经验，成功地进行NHBS和招聘的风险个人从非医疗保健 在社区环境中，使用科学合理的方法，维持一个持续的系统，监测与艾滋病毒感染有关的行为。拟议的行为监测系统将提供相关、及时和高质量的风险和预防行为数据，这是帮助当地社区规划小组的重要组成部分，并帮助CDPH制定循证计划，以适当指导当地的艾滋病毒预防和评估工作。

DESCRIPTION (provided by applicant): The Chicago Department of Public Health (CDPH) proposes to maintain an ongoing HIV behavioral surveillance system among groups at increased risk for acquiring HIV infection in Chicago. This system will be part of the CDC National HIV Behavioral Surveillance system (NHBS). The aims of this system will be to ascertain the prevalence of and trends in HIV risk behaviors and HIV infection among adults at high risk for HIV infection. Trends in accessibility and utilization of HIV prevention programs will also be ascertained. Data collection will rotate each year for the five years of this cooperative agreement among men who have sex with men (MSM-3 in 2011 and MSM-4 in 2014), injecting drug users (IDU-3 in 2012 and IDU-4 in 2015), and heterosexuals at increased risk for HIV infection (HET-3 in 2013). In addition, to these core NHBS activities, we propose to implement behavioral surveillance among male-to- female (MTF) transgender women during 2011 (THBS) and to conduct Hepatitis B & C testing during each cycle to ascertain hepatitis seroprevalence and associated trends in hepatitis-related risk behaviors among adults at high risk for HIV infection. Activities for each cycle will consist of conducting formative research, implementing a sampling methodology to systematically conduct community-based surveys and HIV antibody testing and Hepatitis B/C testing, data analysis and dissemination and project evaluation. All activities will be conducted in collaboration with local community-based organizations (CBO), community planning groups (CP6), academic researchers, and the Centers for Disease Control and Prevention (CDC). This announcement provides an opportunity to capitalize on eight years of experience successfully conducting NHBS and recruiting at-risk individuals from non-health care community settings using scientifically sound methodologies to maintain an ongoing system for surveillance of behaviors related to HIV acquisition. The proposed behavioral surveillance system will provided relevant, timely, and high-quality risk and prevention behavior data, an essential component in helping local community planning groups and help CDPH construct evidence-based plans to appropriately direct local HIV prevention and evaluation efforts.