Behavioral and Clinical Surveillance Branch, Division of HIV Prevention, Centers for Disease Control and Prevention, Atlanta, GA, United States.
see Acknowledgments, .
JMIR Public Health Surveill. 2022 Nov 15;8(11):e39053. doi: 10.2196/39053.
BACKGROUND: The National HIV Behavioral Surveillance (NHBS) is a comprehensive system for biobehavioral surveillance conducted since 2003 in 3 populations disproportionately affected by HIV: gay, bisexual, and other men who have sex with men (MSM); people who inject drugs; and heterosexually active persons at increased risk for HIV infection (HET). This ongoing and systematic collection and analysis of data is needed to identify baseline prevalence of behavioral risk factors and prevention service use, as well as to measure progress toward meeting HIV prevention goals among key populations disproportionately affected by HIV. OBJECTIVE: This manuscript provides an overview of NHBS from 2003 to 2019. METHODS: NHBS is conducted in rotating, annual cycles; these 3 annual cycles are considered a round. Venue-based, time-space sampling is used for the MSM population. Respondent-driven sampling is used for people who inject drugs and HET populations. A standardized, anonymous questionnaire collects information on HIV-related behavioral risk factors, HIV testing, and use of prevention services. In each cycle, approximately 500 eligible persons from each participating area are interviewed and offered anonymous HIV testing. RESULTS: From 2003 to 2019, 168,600 persons were interviewed and 143,570 agreed to HIV testing across 17 to 25 cities in the United States. In the fifth round (2017 to 2019), over 10,000 (10,760-12,284) persons were interviewed each of the 3 population cycles in 23 cities. Of those, most (92%-99%) agreed to HIV testing. Several cities also conducted sexually transmitted infection or hepatitis C testing. CONCLUSIONS: NHBS is critical for monitoring the impact of the Ending the HIV Epidemic in the United States initiative. Data collected from NHBS are key to describe trends in key populations and tailor new prevention activities to ensure high prevention impact. NHBS data provide valuable information for monitoring and evaluating national HIV prevention goals and guiding national and local HIV prevention efforts. Furthermore, NHBS data can be used by public health officials and researchers to identify HIV prevention needs, allocate prevention resources, and develop and improve prevention programs directed to the populations of interest and their communities.
背景：国家艾滋病毒行为监测（NHBS）是自 2003 年以来针对三个受艾滋病毒影响不成比例的人群：男同性恋、双性恋和其他与男性发生性关系的男性（MSM）；注射毒品者；以及感染艾滋病毒风险增加的异性恋活跃人群（HET）进行的综合性生物行为监测系统。需要持续系统地收集和分析数据，以确定行为风险因素和预防服务使用的基线流行率，并衡量在受艾滋病毒不成比例影响的重点人群中实现艾滋病毒预防目标的进展情况。 目的：本文概述了 2003 年至 2019 年期间的 NHBS。 方法：NHBS 按年度周期进行轮换；这三个年度周期被视为一轮。基于场地的时空抽样用于 MSM 人群。受访者驱动抽样用于注射毒品者和 HET 人群。一份标准化的匿名问卷收集有关艾滋病毒相关行为风险因素、艾滋病毒检测和预防服务使用的信息。在每个周期中，每个参与地区约有 500 名符合条件的人接受采访并接受匿名艾滋病毒检测。 结果：从 2003 年到 2019 年，在美国 17 到 25 个城市共采访了 168600 人，143570 人同意进行艾滋病毒检测。在第五轮（2017 年至 2019 年）中，每个人群周期在 23 个城市中各有超过 10000（10760-12284）人接受采访。其中，大多数（92%-99%）人同意进行艾滋病毒检测。一些城市还进行了性传播感染或丙型肝炎检测。 结论：NHBS 对于监测美国终结艾滋病毒流行倡议的影响至关重要。从 NHBS 收集的数据是描述重点人群趋势并调整新的预防活动以确保高预防效果的关键。NHBS 数据为监测和评估国家艾滋病毒预防目标以及指导国家和地方艾滋病毒预防工作提供了有价值的信息。此外，公共卫生官员和研究人员可以使用 NHBS 数据来确定艾滋病毒预防需求、分配预防资源，并为感兴趣的人群及其社区制定和改进预防计划。
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