NATIONAL HIV BEHAVIORAL SURVEILLANCE SYSTEM

描述（由申请人提供）：国家艾滋病毒行为监测系统（NHBS）的目标是调查艾滋病毒风险，检测和预防服务，以设计和评估纽约市和整个美国的艾滋病毒预防工作。纽约市 卫生和心理卫生部（DOHMH）建议在历史上艾滋病毒感染风险高的人群中进行一项持续的、周期性的、跨部门的艾滋病毒风险研究，以实现这一目标。NHBS将包括定性人种学研究、定量调查研究和对三个高危人群的艾滋病毒检测：男男性行为者（MSM）、注射毒品使用者（IDU）和高危异性恋者（HRH）。卫生和保健部建议在第一个项目年研究男男性行为者，在第二个项目年研究注射吸毒者，在第三个项目年研究生殖健康。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，艾滋病毒检测和艾滋病毒预防服务的使用。DOHMH将通过基于场所/时空抽样（MSM周期）和响应者驱动的抽样（IDU和HRH周期）对目标人群进行抽样。卫生和家庭部将完成每年至少对选定目标人群中的500名成员进行的NHBS调查，在三年项目期内共进行1 500次调查。DOHMH将进行艾滋病毒检测，以估计每个目标人群的艾滋病毒流行率（通过免疫印迹诊断检测）和艾滋病毒发病率（通过失谐检测STARHS检测）。在整个NHBS研究过程中，DOHMH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还将与当地研究人员合作，了解目标人群，并在定性研究方法方面具有专业知识，对三个目标人群进行形成性定性研究，为主要数据收集阶段提供信息和支持。最后，卫生和人口部将对国家健康调查系统进行评估，以改进艾滋病毒行为监测的方法，并将对国家健康调查系统的数据进行描述性和推理性分析，以描述目标人群，并调查有关艾滋病毒风险的具体研究问题。

DESCRIPTION (provided by applicant): 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 testing of three high-risk populations: men who have sex with men (MSM), injection drug users (IDU), and high-risk heterosexuals (HRH). DOHMH proposes to study MSM in the first project year, IDU in the second project year, and HRH in the third project year. 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/time-space sampling (MSM cycle) and respondent-driven sampling (IDU and HRH cycles). DOHMH will complete NHBS surveys with a minimum of 500 members of the selected target population each year, for a total of 1500 surveys over the three 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. 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 descriptive and inferential analyses of NHBS data to describe the target populations and to investigate specific research questions on HIV risk.