While National HIV Behavioral Surveillance (NHBS) provides data on sexual behavior and access to HIV testing and services among adult (18 years of age or older) men who have sex with men (MSM), data on MSM under the age of 18 are limited. Young (13–24 years) MSM are disproportionally affected by HIV infection. In 2015, NHBS conducted a pilot HIV behavioral surveillance project among adolescent sexual minority males (ASMM) 13 to 18 years of age, called National HIV Behavioral Surveillance among Young Men Who Have Sex with Men (NHBS-YMSM) (OMB No. 0920-0840external icon). Three U.S. Metropolitan Statistical Areas (MSAs) (Chicago, IL; Philadelphia, PA; and New York City, NY) were funded to assess HIV prevalence and associated behaviors among ASMM and to identify the most effect sampling methods for this population.
- Protocol pdf icon[PDF – 3 MB]
- Formative Assessment Manual pdf icon[PDF – 859 KB]
- Operations Manual pdf icon[PDF – 7 MB]
- Questionnaire pdf icon[PDF – 2 MB]
Reports and Publications
- Balaji AB, An Q, Smith JC, Newcomb ME, Mustanski B, Prachand NG, Brady KA, Braunstein S, Paz-Bailey G; for the National HIV Behavioral Surveillance for Young Men Who Have Sex with Men (NHBS-YMSM) Study Group. High Human Immunodeficiency Virus Incidence and Prevalence and Associated Factors Among Adolescent Sexual Minority Males-3 Cities, 2015 external icon. Clinical Infectious Diseases. 2018; 66(6): 936-944.
- Agnew-Brune C, Bailey G, Balaji A, Brady K, Braunstein S, Broz D, Hoots B, Musanski B, Newcomb M, Smith J. Mental health, social support, and HIV-related sexual risk behaviors among adolescent sexual minority males: Three U.S. cities, 2015external icon. AIDS and Behavior. 2019;23(12):3419-3426.
- An Q, Bernstein KT, Balaji AB, Wejnert C; for the NHBS-YMSM Study Group. Sexually transmitted infection screening and diagnosis among adolescent men who have sex with men, three US cities, 2015external icon .
International Journal of STD & AIDS. 2020;31(1):53–61.
- Morris E, Balaji AB, Trujillo L, Rasberry CN, Mustanski B, Newcomb ME, Brady KA, Prachand NG. Family Factors and HIV-Related Risk Behaviors Among Adolescent Sexual Minority Males in Three United States Cities, 2015external icon. LGBT Health. 2020;7(7):367-374.
- Robbins T, Wejnert C, Balaji AB, Hoots B, Paz-Bailey G, Bradley H, for the NHBS-YMSM Study Group. Binge Drinking, Non-injection Drug Use, and Sexual Risk Behaviors among Adolescent Sexual Minority Males, 3 US Cities, 2015external icon. J Urban Health. 2020;97(5):739-748.
National HIV Behavioral Surveillance (NHBS) focuses on three core populations at increased risk for HIV: men who have sex with men, persons who inject drugs, and heterosexually active men and women at increased risk for HIV. However, there is no surveillance system in place that specifically focuses on HIV risk among transgender women, a group that is disproportionately affected by HIV, especially transgender women of color.
In 2019-2020, NHBS collected data from transgender women (OMB No. 0920-1262external icon), called National HIV Behavioral Surveillance among Transgender Women (NHBS-Trans). Seven state and local health departments were funded through the Secretary’s Minority AIDS Initiative Fund (SMAIF, now known as the Minority HIV/AIDS Fund) to conduct NHBS-Trans in geographically diverse U.S. metropolitan Statistical Areas (MSA’s): Atlanta, GA; Los Angeles, CA; New Orleans, LA; New York, NY; Philadelphia, PA; San Francisco, CA; and Seattle, WA. Data were collected to assess HIV prevalence and associated behaviors and other experiences important to the health and well-being of transgender women, especially transgender women of color.
More information on HIV among Transgender People is available.
- Protocol pdf icon[PDF – 6 MB]
- Formative Assessment Manual pdf icon[PDF – 411 KB]
- Operations Manual pdf icon[PDF – 5 MB]
- Questionnaire pdf icon[PDF – 1 MB]
Reports and Publications
- Surveillance Special Report – HIV Infection, Risk, Prevention, and Testing Behaviors Among Transgender Women—National HIV Behavioral Surveillance, 7 U.S. Cities, 2019–2020 pdf icon[PDF – 2 MB]
- Infographic – HIV Infection, Risk, Prevention, and Testing Behaviors Among Transgender Women, National HIV Behavioral Surveillance, 2019–2020 pdf icon[PDF – 649 KB]