Use of Rapid Behavioral Assessments to Determine the Prevalence of HIV Risk Behaviors in High-Risk Populations

Abstract

Rapid HIV Behavioral Assessment (RHBA) is a method for collecting much-needed information about sexual, drug-use, and HIV testing behaviors from people at high risk for HIV infection in areas with low-to-moderate HIV prevalence.

During 2004, RHBAs were conducted in seven small to moderate-sized cities in the United States during Gay Pride events. Anonymous 10-minute interviews were administered to eligible attendees using handheld computers. Depending on the city, between 47% and 97% of individuals approached agreed to hear more about the survey. Enrollment rates exceeded 90% in every location.

RHBAs conducted during 2004 were well received by the gay and public health communities. They were simple to organize and administer, flexible, and cost-efficient, suggesting that this approach holds promise for expansion to additional high-risk groups and geographic locations. RHBAs can provide state and local health departments with demographic and behavioral data that can be used to design, target, and evaluate local HIV prevention programs.

References

Brookmeyer

. Reconstruction and future trends in the AIDS epidemic in the United States. Science 1991;253:37–42.

Rosenberg

Biggar

. Trends in HIV incidence in different transmission groups in the United States. XI International Conference of AIDS; 1996 Jul 7–12; Vancouver, Canada.

Karon

Fleming

Steketee

De Cock

. HIV in the United States at the turn of the century: an epidemic in transition. Am J Public Health 2001;91:1060–8.

Centers for Disease Control and Prevention (US). HIV prevention strategic plan through 2005 [cited 2004 Dec 15]. Available from: URL: http://www.cdc.gov/hiv/partners/psp.htm.

Gallagher

Sullivan

Lansky

Onorato

. Behavioral surveillance among people at risk for HIV infection in the U.S.: the National HIV Behavioral Surveillance System. Public Health Rep 2007;122(Suppl 1):32–8.

CDC (US). Supplemental surveillance needs of states with low-to-moderate HIV/AIDS prevalence 2004. Special Surveillance Report No. 3 [cited 2004 Dec 15]. Available from: URL: http://www.cdc.gov/hiv/stats/PrevalenceNum3.htm.

CDC (US). Guidelines for defining public health research and public health non-research [cited 2004 Dec 15]. Available from: URL: http://www.cdc.gov/od/ads/opspoll1.htm.

Nova Research Co. Questionnaire Development System: Version 2.1 for Windows. Bethesda, MD: Nova Research Co.; 2006.

CDC (US). Advancing HIV prevention: new strategies for a changing epidemic—United States, 2003. MMWR Morb Mortal Wkly Rep 2003;52(15):329–32.

10.

Department of Labor (US). State & county quickfacts. U.S. Census Bureau 2000 [cited 2004 Dec 29]. Available from: URL: http://quickfacts.census.gov/qfd/index.html.

11.

CDC (US). Approval of a new rapid test for HIV antibody. MMWR Morb Mortal Wkly Rep 2002;51(46):1051–2.

12.

Department of Health and Human Services (US). FDA approves first oral fluid based rapid HIV test kit. Food and Drug Administration [cited 2004 Oct 27]. Available from: URL: www.fda.gov/bbs/topics/news/2004/NEW01042.html.

13.

Brown

. Behavioral surveillance: current perspectives, and its role in catalyzing action. J Acquir Immune Defic Syndr 2003;32(Suppl 1):12–7.