To combat the HIV/AIDS pandemic effectively, targeted interventions among certain key populations play a critical role. Examples of such key populations include sex workers, people who inject drugs, and men who have sex with men. While having accurate estimates for the size of these key populations is important, any attempt to directly contact or count members of these populations is difficult. As a result, indirect methods are used to produce size estimates. Multiple approaches for estimating the size of such populations have been suggested but often give conflicting results. It is therefore necessary to have a principled way to combine and reconcile these estimates. To this end, we present a Bayesian hierarchical model for estimating the size of key populations that combines multiple estimates from different sources of information. The proposed model makes use of multiple years of data and explicitly models the systematic error in the data sources used. We use the model to estimate the size of people who inject drugs in Ukraine. We evaluate the appropriateness of the model and compare the contribution of each data source to the final estimates.
翻译:为有效防治艾滋病毒/艾滋病流行病,某些关键人群中有针对性的干预措施发挥着关键作用,包括性工作者、注射毒品者和男男性行为者等关键人群的例子。虽然准确估计这些关键人群的规模很重要,但任何直接接触或计算这些人群成员的企图都是困难的。因此,采用间接方法来估算其规模。提出了估算此类人群规模的多种办法,但往往得出相互矛盾的结果。因此,有必要有原则地综合和协调这些估计数。为此,我们提出了一个巴耶斯等级模型,用于估算关键人群的规模,将不同信息来源的多种估计数结合起来。拟议的模型利用多年的数据,明确模拟所用数据源的系统错误。我们使用该模型来估计乌克兰注射毒品者的规模。我们评估该模型的适宜性,比较每个数据源对最后估计数的贡献。