2013-2023年美国国家艾滋病毒监测系统的改进。

IF 3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Public Health Reports Pub Date : 2024-11-01 Epub Date: 2024-06-01 DOI:10.1177/00333549241253092
Anna Satcher Johnson, Anne Peruski, Alexandra M Oster, Alexandra Balaji, Azfar-E-Alam Siddiqi, Patricia Sweeney, Angela L Hernandez
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引用次数: 0

摘要

通过全国艾滋病监测系统 (NHSS) 对艾滋病病毒感染情况进行监测,以帮助改善艾滋病病毒感染者的健康状况并减少传播。NHSS 数据在联邦、州和地方各级被常规用于监测 HIV 的分布和传播情况,规划和评估预防和护理计划,分配资源,为政策制定提供信息,以及识别和应对美国的快速传播。我们介绍了自 2013 年 NHSS 状态更新以来扩大使用 HIV 监测数据的情况,在此期间,美国疾病控制和预防中心 (CDC) 进行了协调,修订了 HIV 监测病例定义,以支持早期感染的检测和实验室数据的报告,扩大了数据收集范围,纳入了有关性取向和性别认同的信息,加强了重复数据删除流程以提高质量,并扩大了报告范围,纳入了健康的社会决定因素和健康公平措施。疾病预防控制中心通过将艾滋病毒预防和监测的资金整合为一个单一的计划,最大限度地发挥了联邦资金的作用;计划资金的整合扩大了艾滋病毒监测数据的使用范围,加强了监测工作,从而提高了群集响应能力,强化了数据到护理的活动,以确保持续的病毒抑制。NHSS 数据是监测艾滋病毒趋势和实现国家倡议进展情况的主要来源,这些倡议包括美国卫生与公众服务部的 "结束美国艾滋病毒流行 "倡议、白宫的 "国家艾滋病毒/艾滋病战略(2022-2025 年)"和 "2030 年健康人群"。随着对高质量艾滋病监测数据需求的持续增长,国家艾滋病监测系统将继续进行现代化改造、调整并扩大其范围。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Enhancements to the National HIV Surveillance System, United States, 2013-2023.

HIV infection is monitored through the National HIV Surveillance System (NHSS) to help improve the health of people with HIV and reduce transmission. NHSS data are routinely used at federal, state, and local levels to monitor the distribution and transmission of HIV, plan and evaluate prevention and care programs, allocate resources, inform policy development, and identify and respond to rapid transmission in the United States. We describe the expanded use of HIV surveillance data since the 2013 NHSS status update, during which time the Centers for Disease Control and Prevention (CDC) coordinated to revise the HIV surveillance case definition to support the detection of early infection and reporting of laboratory data, expanded data collection to include information on sexual orientation and gender identity, enhanced data deduplication processes to improve quality, and expanded reporting to include social determinants of health and health equity measures. CDC maximized the effects of federal funding by integrating funding for HIV prevention and surveillance into a single program; the integration of program funding has expanded the use of HIV surveillance data and strengthened surveillance, resulting in enhanced cluster response capacity and intensified data-to-care activities to ensure sustained viral suppression. NHSS data serve as the primary source for monitoring HIV trends and progress toward achieving national initiatives, including the US Department of Health and Human Services' Ending the HIV Epidemic in the United States initiative, the White House's National HIV/AIDS Strategy (2022-2025), and Healthy People 2030. The NHSS will continue to modernize, adapt, and broaden its scope as the need for high-quality HIV surveillance data remains.

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来源期刊
Public Health Reports
Public Health Reports 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.00
自引率
6.10%
发文量
164
审稿时长
6-12 weeks
期刊介绍: Public Health Reports is the official journal of the Office of the U.S. Surgeon General and the U.S. Public Health Service and has been published since 1878. It is published bimonthly, plus supplement issues, through an official agreement with the Association of Schools and Programs of Public Health. The journal is peer-reviewed and publishes original research and commentaries in the areas of public health practice and methodology, original research, public health law, and public health schools and teaching. Issues contain regular commentaries by the U.S. Surgeon General and executives of the U.S. Department of Health and Human Services and the Office of the Assistant Secretary of Health. The journal focuses upon such topics as tobacco control, teenage violence, occupational disease and injury, immunization, drug policy, lead screening, health disparities, and many other key and emerging public health issues. In addition to the six regular issues, PHR produces supplemental issues approximately 2-5 times per year which focus on specific topics that are of particular interest to our readership. The journal''s contributors are on the front line of public health and they present their work in a readable and accessible format.
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