National HIV Behavioral Surveillance System

项目摘要 国家艾滋病毒行为监测系统的目标是调查 艾滋病毒风险、检测和预防服务，以设计和评估艾滋病毒预防工作 在纽约市和整个美国。纽约市卫生署 和心理卫生（DOHMH）建议进行持续的，周期性的，跨部门的 在历史上艾滋病毒感染风险高的人群中开展艾滋病毒风险研究， 实现这一目标。NHBS将包括定性人种学研究，定量 调查研究，并补充艾滋病毒和传染病检测的三个高风险 2011年至2015年人口：男男性行为者、注射吸毒者 (IDU)和异性恋者感染艾滋病毒的风险增加（HET）。DOHMH建议研究 2011年和2014年为男男性行为者，2012年和2015年为注射吸毒者，2013年为卫生部。此外，DOHMH 建议在2011年研究男男性行为者的同时研究变性妇女。NHBS 定量调查将包括四个领域的问题：人口统计学，艾滋病毒风险行为， 艾滋病毒检测和使用艾滋病毒预防服务。卫生部将对目标成员进行抽样调查 通过基于场所（MSM周期）和响应者驱动的采样（IDU和HET）进行人群 循环）。DOHMH将完成NHBS调查，至少有500名男男性行为者和注射吸毒者， 这些周期和该周期内的450个HET，总共至少进行2 450次调查 在五年的项目期间。卫生和健康部将进行艾滋病毒检测，以估计艾滋病毒流行率 （通过蛋白质印迹诊断检测）和HIV发病率（通过失谐检测STARHS 测试）每个目标人群。此外，卫生部将进行B型肝炎检测， 丙型肝炎、单纯疱疹病毒2型和梅毒。卫生部还将进行调查 200名变性妇女在第一个赠款年，并进行上述所有测试（艾滋病毒， HBV、HCV、HSV 2和梅毒）所有研究参与者。在NHBS的研究中， 卫生部将与社区合作伙伴合作，包括当地的艾滋病毒预防规划 小组、艾滋病毒规划理事会和联邦资助的社区组织。DOHMH 还将与了解目标人群的当地研究人员合作， 在定性研究方法的专业知识进行形成性定性研究的三个 目标人群为主要数据收集阶段提供信息和支持。最后，DOHMH将 对国家卫生保健调查系统进行评估，以改进艾滋病毒行为监测方法 并将对NHBS数据进行分析，以描述目标人群，并调查 关于艾滋病毒风险的具体研究问题。

Project Summary The objective of the National HIV Behavioral Surveillance System (NHBS) is to investigate HIV risk, testing, and prevention services in order to design and evaluate HIV prevention efforts in New York City and throughout the United States. The New York City Department of Health and Mental Hygiene (DOHMH) proposes to conduct an ongoing, cyclical, cross-sectional research study of HIV risk among populations with historically high risk of HIV infection to accomplish this objective. NHBS would include qualitative ethnographic research, quantitative survey research, and HIV and supplemental infectious disease testing of three high-risk populations between 2011 and 2015: men who have sex with men (MSM), injection drug users (IDU), and heterosexuals at increased risk for HIV infection (HET). DOHMH proposes to study MSM in 2011 and 2014, IDU in 2012 and 2015, and HRH in 2013. Additionally, DOHMH proposes to study transgender women concurrently with the study of MSM in 2011. The NHBS quantitative survey would include questions in four domains: demographics, HIV risk behaviors, HIV testing, and the use of HIV prevention services. DOHMH will sample members of the target population through venue-based (MSM cycles) and respondent-driven sampling (IDU and HET cycles). DOHMH will complete NHBS surveys with a minimum of 500 MSM and IDU during those respective cycles and 450 HET during that cycle, for a total minimum of 2,450 surveys over the five year project period. DOHMH will conduct HIV testing to estimate HIV prevalence (through Western Blot diagnostic testing) and HIV incidence (through detuned assay STARHS testing) of each target population. Additionally, DOHMH will conduct testing for hepatitis B, hepatitis C, herpes simplex virus-2, and syphilis during all study cycles. DOHMH will also survey 200 transgender women during the first grant year, and conduct all testing listed above (HIV, HBV, HCV, HSV2, and syphilis) all study participants. Throughout the NHBS research study, DOHMH will collaborate with community partners including the local HIV Prevention Planning Group, HIV Planning Council, and federally-funded community-based organizations. DOHMH will also collaborate with local researchers with knowledge of the target populations and with expertise in qualitative research methods to conduct formative qualitative research on the three target populations to inform and support the main data collection phase. Finally, DOHMH will conduct evaluations of the NHBS system to refine the methods of HIV behavioral surveillance and will conduct analyses of NHBS data to describe the target populations and to investigate specific research questions on HIV risk.