CDPH OA 2011-2015 National HIV Behavioral Surveillance System and Hepatitis Testi

该项目维护并扩展了国家艾滋病毒行为监测系统，该系统提供 有关男男性行为风险和预防行为的相关、及时和高质量的数据， 注射吸毒者和高危异性恋者帮助指导和评估地方和国家艾滋病毒预防工作 努力。在缺乏有效的艾滋病毒疫苗的情况下，减少艾滋病毒的已知行为风险因素 感染对于减少艾滋病毒传播至关重要。艾滋病毒行为监测数据可以用来瞄准 预防工作，以帮助减少艾滋病毒感染风险最高人群中已确定的危险行为。 自1994年以来，州和地方卫生部门一直被指示使用社区规划程序来 将联邦艾滋病毒预防资源分配给最有需要的人群。一种行为监控系统 提供相关、及时和高质量的风险和预防行为数据，以帮助社区 规划小组以及州和地方卫生部门构建基于证据的计划，以适当地指导 当地预防艾滋病毒的努力。 虽然艾滋病毒行为监测数据不能用来评估特定干预措施的效果， 行为监测数据对于评估社区内的预防工作是否 达到重要人群群体，实现地方和国家预防艾滋病毒的目标。对于几个人来说 重要人群，疾病控制和预防中心(CDC)艾滋病毒/艾滋病的目标 战略计划具体规定减少感染艾滋病毒高危人群的比例，并增加 经常接受自愿咨询和检测以及其他艾滋病毒感染的高危人群比例 预防服务。需要对行为数据进行持续、系统的收集、解释和分析 确定基线风险和预防服务利用成果，并量化实现以下目标的进展情况 战略计划的目标。对于那些被确认为未得到满足的预防需求的人群， 可在地方、州和联邦级别使用行为监视数据来帮助改进或重定向 预防努力，或获得额外的预防资源。 国家艾滋病毒行为监测(NHBS)的主要目标包括：1)估计 以及已知与艾滋病毒、性传播和性传播有关的特定性行为和吸毒行为的趋势 疾病(性传播疾病)与乙肝和丙型肝炎感染；2)估计人口、社会和行为相关因素 感兴趣的行为结果；3)评估艾滋病毒、乙肝和丙型肝炎的血清流行率；4) 估计艾滋病毒检测行为的流行率和趋势，以及接触和利用 由疾控中心以及州和地方卫生部门资助的艾滋病毒/性传播疾病/肝炎预防服务；以及，5) 确定预防服务差距和错失的预防机会。

This project maintains and expands a National HIV Behavioral Surveillance (NHBS) system that provides relevant, timely, and high-quality data on risk and prevention behaviors of men who have sex with men, injection drug users, and high-risk heterosexuals to help direct and evaluate local and national HIV prevention efforts. In the absence of an effective vaccine against HIV, reducing known behavioral risk factors for HIV infection is essential for reducing HIV transmission. HIV behavioral surveillance data can be used to target prevention efforts to help reduce identified risk behaviors in populations at greatest risk for HIV infection. Since 1994, state and local health departments have been directed to use a community planning process to allocate federal HIV prevention resources to populations in greatest need. A behavioral surveillance system that provides relevant, timely, and high-quality risk and prevention behavior data is needed to help community planning groups and state and local health departments construct evidence-based plans to appropriately direct local HIV prevention efforts. Although HIV behavioral surveillance data cannot be used to evaluate the efficacy of specific interventions, behavioral surveillance data is important for evaluating whether prevention efforts within a community are reaching important population segments and meeting local and national goals for HIV prevention. For several important populations, objectives within the Centers for Diseases Control and Prevention's (CDC) HIV/AIDS Strategic Plan specify reducing the proportion of persons who are at high risk for acquiring HIV and increasing the proportion of high-risk persons who routinely access voluntary counseling and testing and other HIV prevention services. 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 Strategic 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. The primary National HIV Behavioral Surveillance (NHBS) objectives include: 1) Estimating the prevalence of and trends in specific sexual and drug-use behaviors known to be associated with HIV, sexually transmitted diseases (STDs), and hepatitis B and C infection; 2) Estimating demographic, social, and behavioral correlates of behavioral outcomes of interest; 3) Assessing HIV, hepatitis B, and hepatitis C sero-prevalence; 4) Estimating the prevalence and trends in HIV testing behaviors, and exposure to and utilization of HIV/STD/hepatitis prevention services funded by CDC and state and local health departments; and, 5) Characterizing prevention service gaps and missed opportunities for prevention.