Monogamy and secondary sexual partnerships among Afro-Amerindian immigrant women in New York City: a qualitative study.

In New York City, HIV is increasingly concentrated in the foreign-born population, necessitating a greater exploration of the mechanisms through which changes in behavior and risk for HIV occur within migrant populations. Interviews were conducted with 22 Honduran-born Garifuna women to explore partnerships, sexual behaviors, and HIV risk in the context of migration, and transcripts were coded by thematic analysis procedures. Five themes emerged: (1) migration ends relationships, (2) new relationships in the U.S. form because of material and psychological needs, (3) secondary sexual partnerships are a man's issue, (4) female secondary sexual partnership participation as a marker of equality, and (5) monogamy due to a lack of time. These findings suggest that greater attention be paid to women's participation in secondary sexual partnerships for purposes other than economic need, and demonstrate a need for HIV interventions that are based in an understanding of how the social context of migration affects sexual behaviors.