Table 3 | Supplemental Surveillance Needs of States with Low-to-Moderate HIV/AIDS Prevalence, 2004 | Reports | Statistics and Surveillance | Topics

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CDC Home > HIV/AIDS > Topics > Statistics and Surveillance > Reports > Supplemental Surveillance Needs of States with Low-to-Moderate HIV/AIDS Prevalence, 2004

Emerging Concerns and Little or No Data

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Priorities for Supplemental Data Collection

We would like your insight into the most pressing needs for supplemental data collection in your state. We are specifically interested in 4 key surveillance areas: clinical outcomes, incidence estimation, targeted specimen collection, and behavioral surveillance. Please rank these 4 areas in order of preference, using '1' for your highest priority and '4' your lowest.

States were asked to prioritize their data collection needs among 4 surveillance content areas: clinical outcomes, incidence estimation, targeted specimen collection, and behavioral surveillance. Descriptions of these four content areas appear in Box 1 below.

Box 1. Description of 4 Key Content Areas

Clinical outcomes

Data elements for clinical outcomes are those collected through the Adult/Adolescent Spectrum of HIV Disease Project. This project collects information about persons living with HIV who are receiving medical care. The information includes data on HIV morbidity, CD4 counts, viral loads, health care utilization, drug resistance, and proportion of persons in care who are receiving highly active antiretroviral therapy.

Incidence estimation

The goal of incidence estimation is to provide population-based data that will accurately characterize current HIV transmission. Specimens from newly reported HIV cases are tested by using STARHS (the serologic algorithm for recent HIV seroconversion) to detect recent infections.

Targeted specimen collection

The goal of targeted specimen collection is to collect biologic specimens in order to estimate HIV prevalence or the occurrence of new infections in specific subpopulations or settings.

Behavioral surveillance

Behavioral surveillance involves monitoring HIV risk and prevention behaviors among men who have sex with men, injection drug users, and heterosexual adults. Comparable to the behavioral questions asked in the Supplement to HIV/AIDS Surveillance and the HIV Testing Survey studies, behavioral surveillance may be conducted among persons living with HIV/AIDS or among persons at risk for HIV infection.

Of the 21 states, 8 (38%) listed behavioral surveillance as their 1st priority for supplemental data collection; 10 (48%) listed it as their 2nd priority. Incidence estimation was the 2nd most-selected content area: 10 states listed incidence estimation as their 1st or 2nd priority. States' 1st and 2nd priorities for supplemental data collection, by content area, are presented in Table 3.

Table 3. 1st and 2nd priorities for supplemental data collection (N = 21 States)


	1st Priority		2nd Priority		1st or 2nd Priority
	States		States		States
Content area	No.	%	No.	%	No.	%

Behavioral surveillance	8	38	10	48	18	86

Incidence estimation	5	24	5	24	10	48

Clinical outcomes	5	24	4	19	9	43

Targeted specimen collection	3	14	2	10	5	24

Last Modified: October 10, 2006
Last Reviewed: October 10, 2006
Content Source:
Divisions of HIV/AIDS Prevention
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention

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