Findings

Here are some of the selected key findings from the SNAP Project.

Study sample

Ethnicity

  • 11 (39%) Caucasian
  • 10 (36%) African-American
  • 4 (14%) Latino
  • 2 (7%) Native American
  • 1 (4%) Asian/Pacific Islander

Average age: 34 years old. Time since seroconversion averaged 2 years.

Data Analysis

Analysis of the SNAP interview data is ongoing.

Analysis of Themes

  • Interviews were taped and transcribed verbatim
  • Investigators read all of the interviews, discussed each one and noted themes that were raised in the partcipant’s stories
  • Interviewers independently rated themes to select the most prevalent

The following themes have emerged in the data:

  • Partner Choice
  • Abuse/Sexual Violence
  • Disclosure/Sexual Communication
  • Drug/Alcohol Use
  • Loss
  • Internet
  • Trust
  • Assumptions
  • Prevention Strategies (HIV+ and HIV-)
  • Prevention responsibility
  • Resilience/coping
  • Travel/Displacement

Analysis of Narrative Types

  • Each interview was read by at least two investigators and given a descriptive title
  • A list of narrative types was derived by consensus
  • Each interview was assigned all types that apply by consensus based on their titles and content
  • Drug use
  • Consistent risk taker
  • Loss/Depression/Negative mood state
  • Misinformation-partner
  • Assumption about partner
  • Romance/love
  • Misinformation about HIV
  • Sex worker
  • Internet
  • Freak accident
  • Sex worker
  • Failed algorithm
  • Abuse/trauma/sexual violence
  • Hot/horny
  • Naive boy
  • Displacement

Analysis of P3 Types

  • Text addressing prevention as an HIV+ man was extracted from each of interview to assess the range of strategies respondents were using to decrease transmission risk
  • We are currently refining our typology of prevention strategies
  • No strategy
  • Partner selection
  • Disclosure
  • Celibacy
  • Strategic selection of specific sexual practices
  • Reduce drug/alcohol use
  • Reduce number of sexual partners
  • Reduce frequency of sexual behavior
  • Condoms/clean needles
  • Stabilize life

Next Steps in Analysis

Next the data team will look at the data for two major themes

  • Relationship between Narrative Type and prevention strategies as an HIV+ man
  • Implications for interventions and future research

Other Presentations of Findings

We have also produced a poster (from the Annual Meeting of the American Psychological Association 2004, Honolulu, HI) and a PowerPoint presentation(from the 4th Annual CAPS Conference, 2004, San Francisco, CA) of our preliminary findings.

For a more detailed look at the SNAP project, please see the Science-to-Community Report on SNAP.

Last modified: January 18, 2011