The Centers for Disease Control and Prevention (CDC) currently conducts National HIV Behavioral Surveillance (NHBS) in 21 metropolitan statistical areas (MSA) in the U.S., including the Seattle MSA. We propose to continue NHBS in the Seattle MSA from 2011 to 2015. The goal of NHBS in the Seattle MSA is to provide relevant data for local HIV prevention resource allocation and prevention program evaluation. To accomplish this goal, we propose to collaborate with CDC to continue maintaining and evaluating a surveillance system of behaviors and co-infections related to HIV acquisition in men who have sex with men (MSM), injection drug users (IDU), and heterosexuals at increased risk (HET). Specifically, we will conduct formative research and community-based surveys and HIV testing each year. We will conduct a survey each year to assess HIV risk behaviors, HIV prevention services access and utilization, and HIV prevalence among Seattle-area MSM (2011 and 2014), IDU (2012 and 2015) and HET (2014). We will collaborate with Seattle area community-based organizations, public health department colleagues, University of Washington researchers with expertise in qualitative and quantitative methods to conduct NHBS and evaluate and disseminate results. We will employ venue-based time-space sampling (VBS) and respondent-driven sampling (RDS) and complete surveys with 500 eligible participants in each of the MSM and IDU cycles and 450 in the HET cycle. We will provide voluntary HIV counseling and testing to NHBS participants in all three cycles to assess HIV seroprevalence. We will conduct evaluations of the NHBS system including sampling strategies, and data collection methods to ensure that the system meets its goals, and provide recommendations for improving the quality, efficiency and usefulness of NHBS both locally and nationally. We will collaborate on development and implementation of local prevention survey questions with Seattle area community-based organizations that are directly funded by CDC or funded by state or local funding through the community planning process. We will contribute to the national data collections outcomes such as MMWR reports and other publications, and provide a data dissemination plan that will contribute to local and national surveillance reporting efforts. Finally, we will implement hepatitis C counseling and testing in the MSM and IDU cycles to assess hepatitis C seroprevalence. The Seattle area NHBS system will continue to be based at the HIV/STD Program of Public Health - Seattle &King County.

Public Health Relevance

We propose to continue collaborating with CDC to conduct and evaluate the National HIV Behavioral Surveillance (NHBS) system in the Seattle area from 2011 to 2015. The purpose of NHBS is to monitor HIV risk behaviors, HIV prevention access and utilization, and HIV seroprevalence in three high-risk populations, including men who have sex with men, injection drug users and high-risk heterosexuals in over 20 U.S. metropolitan statistical. Findings from the Seattle area NHBS will be used to provide relevant data for local HIV prevention resource allocation and prevention program evaluation.

National Institute of Health (NIH)
National Center for HIV, Viral Hepatitis, STDS and Tb Prevention (NCHHSTP)
Cooperative Agreement for Research and Surveillance Activities to Reduce the Incidence of HIV/AIDS (U1B)
Project #
Application #
Study Section
Special Emphasis Panel (ZPS1-GCA (13))
Program Officer
Hopkins, Andrew S
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
Washington State Department of Health
United States
Zip Code
Tsui, Judith I; Burt, Richard; Thiede, Hanne et al. (2018) Utilization of buprenorphine and methadone among opioid users who inject drugs. Subst Abus 39:83-88
Robinson, William T; Kazbour, Catherine; Nassau, Tanner et al. (2017) Brief Report: Nonfatal Overdose Events Among Persons Who Inject Drugs: Findings From Seven National HIV Behavioral Surveillance Cities 2009 & 2012. J Acquir Immune Defic Syndr 75 Suppl 3:S341-S345
Raymond, H Fisher; Al-Tayyib, Alia; Neaigus, Alan et al. (2017) HIV Among MSM and Heterosexual Women in the United States: An Ecologic Analysis. J Acquir Immune Defic Syndr 75 Suppl 3:S276-S280
Burt, Richard D; Tinsley, Joe; Glick, Sara Nelson (2017) A Decline in HIV Testing Among Persons Who Inject Drugs in the Seattle Area, 2004-2015. J Acquir Immune Defic Syndr 75 Suppl 3:S346-S351
Burt, Richard D; Thiede, Hanne (2016) Reduction in Needle Sharing Among Seattle-Area Injection Drug Users Across 4 Surveys, 1994-2013. Am J Public Health 106:301-7