HIV Behavioral Surveillance in the U.S.: A Conceptual Framework

Lansky, Amy; Sullivan, Patrick S.; Gallagher, Kathleen; Fleming, Patricia L.

doi:10.1177/00333549071220s104

Cited by 59 publications

(50 citation statements)

References 35 publications

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“…[9][10][11] Surveillance data can come from surveys (selfreports from a sample of the target population) as well as registry systems. Historically, the systematic collection of data regarding Pap test use in national population surveys has been helpful for identifying underserved populations with poor access to care.…”

Section: Definition and Methods Of Behavioral Surveillance Definitionmentioning

confidence: 99%

Human papillomavirus and cervical cancer behavioral surveillance in the US

Tiro

Saraiya

Jain

et al. 2008

Cancer

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In the US, federal and state behavioral surveillance systems routinely monitor selfreported sexual behavior and Papanicolaou (Pap) test use to identify high-risk populations, trends, and disparities and to guide and evaluate interventions for cervical cancer prevention and control. Clinical uptake of human papillomavirus (HPV) vaccination and testing necessitates the expansion of behavioral surveillance systems. Cervical disease is the main focus of HPV-related behavioral surveillance because of greater cancer incidence and mortality relative to other susceptible organs, and the availability of effective technologies for prevention and control. In the current study, a framework is presented for the types of behaviors to monitor, their conceptual and operational definitions, target populations, and evidence supporting the reliability and validity of self-report measures. An overview is also pro-

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Section: Definition and Methods Of Behavioral Surveillance Definitionmentioning

confidence: 99%

Human papillomavirus and cervical cancer behavioral surveillance in the US

Tiro

Saraiya

Jain

et al. 2008

Cancer

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“…NHBS is a cross-sectional study conducted by the Centers for Disease Control and Prevention (CDC) and local partners on HIV prevalence and risk among MSM, IDU, and high-risk heterosexuals. 30 The data are from the high-risk heterosexual cycle conducted in 2006-2007. The NHBS methods for defining high-risk heterosexuals are explained in detail elsewhere. 31 Using NYC HIV surveillance data and the United States Census data on household poverty, NYC zip codes were ranked by combined standardized rates of heterosexual HIV and poverty.…”

Section: Sampling Eligibility Data Collectionmentioning

confidence: 99%

Reciprocal Sex Partner Concurrency and STDs among Heterosexuals at High-Risk of HIV Infection

et al. 2012

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Inconsistent findings on the relationship of sex partner concurrency to infection with HIV and other sexually transmitted diseases (STDs) may result from differences in how sex partner concurrency is conceptualized. We examine the relationship of reciprocal sex partner concurrency (RSPC) to diagnosed STDs among heterosexuals. Heterosexually active adults (N=717) were recruited for a cross-sectional study using respondent-driven sampling (RDS) from high-HIV-risk areas in New York City (NYC, 2006(NYC, -2007 and interviewed about their sexual risk behaviors, number of sex partners, last sex partners, and STD diagnoses (prior 12 months). RSPC was when both the participant and her/his last sex partner had sex with other people during their sexual relationship. Odds ratios (OR), adjusted odds ratios (aOR), and 95 % confidence intervals (95%CI) were estimated by logistic regression. The sample was 52.4 % female, 74.3 % Black; median age was 40 years. RSPC was reported by 40.7 % and any STD diagnoses by 23.4 %. Any STDs was reported by 31.5 % of those reporting RSPC vs. 17.9 % of those who did not (OR=2.11, 95%CI=1.49-3.0). Any STDs was independently associated with RSPC (aOR=1.54, 95%CI=1.02-2.32), female gender (aOR=2.15, 95%CI=1.43-3.23), having more than three sex partners (aOR=1.72, 95%CI=1.13-2.63), and unprotected anal sex (aOR=1.65, 95%CI=1.12-2.42). Heterosexuals in high-HIV-risk neighborhoods in sexual partnerships that involve RSPC are at greater risk of STDs and, potentially, HIV. RSPC, in addition to sexual risk behaviors and the number of sex partners, may facilitate the heterosexual spread of HIV through STD cofactors and linkage into larger STD/HIV sexual transmission networks.

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“…Measurement of behaviors and data analysis for the purpose of HIV behavioral surveillance should be focused on the measures listed in the Figure. These indicators were chosen based on the model for HIV behavioral surveillance 2 and reflect common routes of HIV transmission (sexual behavior, injection drug use) and common, widespread prevention strategies in the U.S.…”

Section: Strategy For Monitoring Behaviors In the Us Populationmentioning

confidence: 99%

HIV Behavioral Surveillance among the U.S. General Population

et al. 2007

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HIV behavioral surveillance in the United States is conducted among three groups: infected populations, high-risk populations, and the general population. We describe the general population component of the overall U.S. HIV behavioral surveillance program and identify priority analyses. This component comprises several data systems (ongoing, systematic, population-based surveys) through which data on risk behaviors and HIV testing are collected, analyzed, and disseminated. Multiple data systems are needed to balance differences in scope and purpose, as well as strengths and weaknesses of the sampling frames, mode of administration, and frequency of data collection. In a concentrated epidemic, such as in the United States, general population data play a small but important role in monitoring the potential spread of infection more broadly, particularly given increases in HIV transmission through heterosexual contact.

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HIV Behavioral Surveillance in the U.S.: A Conceptual Framework

Cited by 59 publications

References 35 publications

Human papillomavirus and cervical cancer behavioral surveillance in the US

Human papillomavirus and cervical cancer behavioral surveillance in the US

Reciprocal Sex Partner Concurrency and STDs among Heterosexuals at High-Risk of HIV Infection

HIV Behavioral Surveillance among the U.S. General Population

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