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Ensuring Inclusion of Adolescent Key Populations at Higher Risk of HIV Exposure: Recommendations for Conducting Biological Behavioral Surveillance Surveys

机译:确保将艾滋病毒感染风险较高的青少年关键人群包括在内:进行生物行为监测调查的建议

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Ending acquired immune deficiency syndrome (AIDS) depends on greater efforts to reduce new human immunodeficiency virus (HIV) infections and prevent AIDS-related deaths among key populations at highest HIV risk, including males who have sex with males, sex workers, and people who inject drugs. Although adolescent key populations (AKP) are disproportionately affected by HIV, they have been largely ignored in HIV biological behavioral surveillance survey (BBSS) activities to date. This paper reviews current ethical and sampling challenges and provides suggestions to ensure AKP are included in surveillance activities, with the aim being to enhance evidence-informed, strategic, and targeted funding allocations and programs toward ending AIDS among AKP. HIV BBSS, conducted every few years worldwide among adult key populations, provide information on HIV and other infections’ prevalence, HIV testing, risk behaviors, program coverage, and when at least three of these surveys are conducted, trend data with which to evaluate progress. We provide suggestions and recommendations on how to make the case to ethical review boards to involve AKP in surveillance while assuring that AKP are properly protected. We also describe two widely used probability sampling methods, time location sampling and respondent driven sampling, and offer considerations of feature modifications when sampling AKP. Effectively responding to AKP’s HIV and sexual risks requires the inclusion of AKP in HIV BBSS activities. The implementation of strategies to overcome barriers to including AKP in HIV BBSS will result in more effective and targeted prevention and intervention programs directly suited to the needs of AKP.
机译:终结获得性免疫缺陷综合症(AIDS)取决于加大努力以减少新的人类免疫缺陷病毒(HIV)感染,并预防艾滋病毒风险最高的关键人群,包括与男性发生性关系的男性,性工作者以及注射毒品。尽管青少年关键人群(AKP)受HIV感染的比例不成比例,但迄今为止,它们在HIV生物行为监测调查(BBSS)活动中已被很大程度上忽略。本文回顾了当前在道德和抽样方面的挑战,并提出了一些建议,以确保将AKP纳入监测活动,目的是加强循证医学,战略性和针对性的资金分配和计划,以终结AKP中的艾滋病。 HIV BBSS在全球成人关键人群中每隔几年进行一次,提供有关HIV和其他感染的患病率,HIV测试,风险行为,计划覆盖范围的信息,以及至少进行了其中三项调查时提供的趋势数据,用以评估进展情况。我们提供有关如何向道德审查委员会举报以使AKP参与监视并同时确保AKP得到适当保护的建议和建议。我们还描述了两种广泛使用的概率采样方法,即时间位置采样和响应者驱动的采样,并提供了在对AKP进行采样时对功能修改的考虑。为了有效应对AKP的艾滋病毒和性风险,需要将AKP纳入HIV BBSS活动。实施克服将AKP纳入HIV BBSS的障碍的策略,将导致更有效,更有针对性的预防和干预计划,直接适合AKP的需求。

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