NATIONAL HIB BEHAVIORAL SURVEILLANCE (NHBS) SYSTEM

国家 HIB 行为监测 (NHBS) 系统

• 批准号: 7498172
• 负责人: Tiffany West-Ojo
• 金额: $ 40.88万
• 依托单位: DC DEPARTMENT OF HEALTH
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-01-01 至 2010-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7498172
• 关键词: NATIONAL; HIB; BEHAVIORAL; SURVEILLANCE; NHBS

Description (provided by applicant): The purpose of the National HIV Behavioral Surveillance (NHBS) system is to examine the prevalence of risk behaviors antecedent to human immunodeficiency virus (HIV) acquisition in a population-based, representative sample of individuals in areas with high HIV/AIDS rates. Washington, DC has the highest prevalence of newly reported AIDS cases of states and territories, with 128 cases per 100,000 in 2005; it ranks third among metropolitan areas. Heterosexual contact is the most frequently reported mode of transmission (31%), followed by men who have sex with men (MSM) (27%), and injection drug use (IDU) (18%). The Department of Health/HIV/AIDS Administration (DOH/HAA) and George Washington University (GWU) formed a Public Health/Academic Partnership to successfully implement NHBS-HET-1, meeting accrual goals with the highest regard for human subjects protection, protection of surveillance data, and community involvement; DOH/HAA will continue the Partnership with GWU to conduct NHBS-2. Other Partnership accomplishments of public health importance include collaborations among DOH/HAA and GWU faculty and staff, community members, MPH students, and bilingual interviewers; development of positive and effective community relationships with local HIV care organizations, community advocacy groups, neighborhood councils, and prevention agencies; development of an active Community Advisory Board. The Partnership provides a unique opportunity for the training and professional development of the current and next generation of public health professionals. In the proposed study for NHBS-2, three serial cross-sectional studies will be conducted, focusing on MSM, IDU, and heterosexuals at high risk for HIV infection (HET) in annual succession. For each data collection year, following Institutional Review Board approval, an extensive qualitative evaluation including an ethnographic assessment and secondary data review will be conducted to inform culturally competent and effective methods for study implementation. A minimum of 500 participants for each study year will be recruited using either venue-based, time and space sampling or respondent-driven sampling; survey implementation and HIV testing will be conducted by trained staff in fixed and mobile sites. HIV seroprevalence, risk, and testing behavior data will be forwarded to CDC monthly. Rapid analysis and dissemination of data will inform our understanding of behavior among residents of the metropolitan Washington, DC area as well as prevention strategies. Through the District's participation in NHBS-2, we will together meet the Healthy People 2010 objectives, and contribute to the public health and welfare overall.

描述（由申请人提供）：国家艾滋病毒行为监测（NHB）系统的目的是检查在艾滋病毒/艾滋病率较高的地区，在人类免疫缺陷病毒（HIV）获取的风险行为的患病率（HIV）中的易于接受。华盛顿特区的新报告的艾滋病案件的患病率最高，2005年为每100,000例，每100,000例案件为128例；它在大都市地区排名第三。异性恋接触是最常报告的传播方式（31％），其次是与男性发生性关系的男性（27％）和注射药物使用（IDU）（18％）。卫生/艾滋病毒/艾滋病管理部（DOH/HAA）和乔治华盛顿大学（GWU）成立了公共卫生/学术伙伴关系，以成功实施NHBS-HET-1，达到对人类受试者保护，保护监测数据和社区介入的应计目标； DOH/HAA将继续与GWU建立合作伙伴关系，进行NHBS-2。公共健康重要性的其他伙伴关系成就包括DOH/HAA和GWU教职员工之间的合作，社区成员，MPH学生和双语面试官；与当地的艾滋病毒护理组织，社区倡导组织，邻里理事会和预防机构建立积极有效的社区关系；建立活跃的社区顾问委员会。该合作伙伴关系为当前和下一代公共卫生专业人员的培训和专业发展提供了独特的机会。在拟议的NHBS-2研究中，将进行三项串行横断面研究，重点是年度继承HIV感染（HET）高风险的MSM，IDU和异性恋者。对于每个数据收集年度，在机构审查委员会批准后，将进行广泛的定性评估，包括民族志评估和二级数据审查，以告知具有文化胜任和有效的研究实施方法。每个研究年度至少有500名参与者将使用基于场所的，时间和空间抽样或受访者驱动的抽样来招募；调查实施和HIV测试将由固定和移动站点的训练有素的员工进行。 HIV血清阳性，风险和测试行为数据将每月转发给CDC。对数据的快速分析和传播将使我们对华盛顿大都会居民的行为的理解以及预防策略。通过该地区参与NHBS-2，我们将共同实现2010年健康人的目标，并为整个公共卫生和福利做出贡献。