Evaluation of the National HIV Surveillance System: 2018-2023.

IF 1.9 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Public Health Management and Practice Pub Date : 2025-09-22 DOI:10.1097/PHH.0000000000002214

K L Hess, K A Bosh, M C B Ocfemia, M Chen, A B Balaji, A H Peruski, A L Hernandez

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引用次数: 0

Abstract

Objectives: To evaluate the United States' National HIV Surveillance System (NHSS), 2018-2023.

Design: Surveillance performance outcome standards were calculated by health departments using a SAS program provided by the Centers for Disease Control and Prevention (CDC) and were reported to CDC through an annual report.

Setting: Submitted data from 59 health departments including the 50 US states, the District of Columbia, 6 separately funded cities (Chicago, Houston, Los Angeles County, New York City, Philadelphia, and San Francisco), and 2 territories (Puerto Rico and the US Virgin Islands).

Participants: Cases of HIV reported to the health departments based on data reported through the end of each year, 2018-2023.

Main outcome measures: Outcome standards included measures for case ascertainment, duplicate review, risk factor information, data quality, laboratory reporting, antiretroviral use history information, cause of death, previous negative test result, geocoding, and data dissemination.

Results: Achievement varied by standard with almost all health departments (HDs) meeting certain standards every year and fewer than 10 HDs achieving other standards.

Conclusions: During the period of assessment, results showed steady and improved performance in several measures. Standards related to recent enhancements in the surveillance system were not as resilient and showed potential for improvement. Continued monitoring is necessary to ensure further strengthening of NHSS.

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国家艾滋病毒监测系统评估：2018-2023。

目的：评估2018-2023年美国国家艾滋病毒监测系统（NHSS）。设计：监测绩效结果标准由卫生部门使用疾病控制和预防中心（CDC）提供的SAS程序计算，并通过年度报告报告给CDC。环境：提交了来自59个卫生部门的数据，包括美国50个州、哥伦比亚特区、6个单独资助的城市（芝加哥、休斯顿、洛杉矶县、纽约市、费城和旧金山）和2个领土（波多黎各和美属维尔京群岛）。参与者：根据2018-2023年每年年底报告的数据向卫生部门报告的艾滋病毒病例。主要结果测量：结果标准包括病例确定、重复审查、风险因素信息、数据质量、实验室报告、抗逆转录病毒使用史信息、死亡原因、既往阴性检测结果、地理编码和数据传播等措施。结果：各卫生部门的工作成绩各不相同，每年几乎所有卫生部门都达到一定的标准，达到其他标准的卫生部门不到10个。结论：在评估期间，结果显示几个措施的表现稳定和改善。与最近加强监测系统有关的标准不具有弹性，显示出改进的潜力。有必要继续进行监测，以确保进一步加强国家卫生安全保障。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Public Health Management and Practice PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.40

自引率

9.10%

发文量

287

期刊介绍： Journal of Public Health Management and Practice publishes articles which focus on evidence based public health practice and research. The journal is a bi-monthly peer-reviewed publication guided by a multidisciplinary editorial board of administrators, practitioners and scientists. Journal of Public Health Management and Practice publishes in a wide range of population health topics including research to practice; emergency preparedness; bioterrorism; infectious disease surveillance; environmental health; community health assessment, chronic disease prevention and health promotion, and academic-practice linkages.