NATIONAL HIV BEHAVIORAL SURVEILLANCE SYSTEM-MICHIGAN

描述(由申请人提供)：拟议项目的具体目标是建立一个全国艾滋病毒行为监测(NHBS)系统，该系统将识别和监测密歇根州韦恩县个人的艾滋病毒危险行为。该系统将收集数据，用于加强对风险和检测行为的了解，以及评估现有的预防举措，以协助未来的规划和艾滋病毒教育工作。拟议的计划将解决以下目标：1)开展形成性研究和以社区为基础的调查，并在注射吸毒期进行丙型肝炎检测；2)评估危险行为以及艾滋病毒感染风险成年人中的艾滋病毒流行率和发病率。还将评估艾滋病毒预防方案的获得和利用情况；3)在男男性行为者(MSM)、注射吸毒者(IDU)和艾滋病毒感染风险增加的异性恋者(HET)中每年轮流收集数据；4)资助地点与社区组织(CBO)之间的合作；5)实施抽样和招募战略，包括场地抽样、时空抽样(VBS)和受访者驱动抽样(RDS)，并完成调查，每个MSM和IDU周期至少有500名合格参与者，每个HET周期至少有450名合格参与者；6)对NHBS参与者进行艾滋病毒感染自愿检测，以评估艾滋病毒血清阳性率和发病率；？)对NHBS系统、其抽样战略和数据收集方法进行评价，以确保该系统实现其目标；8)为国家数据收集结果做出贡献；9)与疾控中心直接资助的CBO以及各州/城市通过社区规划进程资助的CBO合作制定和实施调查，以划拨联邦艾滋病毒预防基金；10)为地方和国家监测报告工作提供数据传播计划；11)在IDU周期内进行丙型肝炎检测；12)结合MSM3周期对黑人和拉丁裔男女变性人进行补充行为监测。

DESCRIPTION (provided by applicant): The specific aim of the proposed project is to establish a National HIV Behavioral Surveillance (NHBS) System that will identify and monitor HIV risk behaviors of individuals in Wayne County, Michigan. This system will gather data that will be used to enhance understanding of risk and testing behaviors, as well as evaluate existing prevention initiatives to assist with future planning and HIV educational efforts. The proposed program will address the following objectives: 1) Conducting formative research and community-based surveys and HIV testing with Hepatitis C testing during the IDU cycles; 2) assessing risk behaviors and HIV prevalence and incidence among adults at risk for HIV infection. Access to and utilization of HIV prevention programs also will be assessed; 3) Collecting data in annual, rotating cycles among men who have sex with men (MSM), injecting drug users (IDU), and heterosexuals at increased risk for HIV infection (HET); 4) Collaboration between funded sites and community-based organizations (CBOs); 5) Implementing sampling and recruitment strategies that include venue-based, time-space sampling (VBS), and respondent-driven sampling (RDS), and completing surveys with a minimum of 500 eligible participants for each MSM and IDU cycle and 450 for each HET cycle; 6) Conducting voluntary testing for HIV infection for NHBS participants in order to assess HIV seroprevalence and incidence;?) Conducting evaluations of the NHBS system, its sampling strategies, and data collection methods to ensure that the system is meeting its goals; 8) Contributing to national data collection outcomes; 9) Collaborating on survey development and implementation with CBOs directly funded by CDC, and CBOs funded by states/cities through the community planning process for allocating Federal HIV prevention funds; 10) Providing a data dissemination plan that will contribute to local and national surveillance reporting efforts; 11) Hepatitis C testing will be conducted in the IDU cycle; 12) Implementing supplemental behavioral surveillance among Black and Latina male-to-female transgender women in conjunction with MSM3 cycle.