A qualitative study of man-sharing and the implications for midlife African American women's risk for HIV infection.

Midlife African American women are at risk for HIV related to higher prevalence of infection among African Americans and concurrent sexual partnerships. In this grounded theory study, we explored the context of decision making related to concurrent sexual partnerships among 36 African American women between the ages of 40 and 65 years. Qualitative data from semi-structured interview and focus group schedules collected between fall 2003 and summer 2006 are the basis for analysis. Transcripts were analyzed using constant comparison to develop concrete and abstract categories, and member checking used to verify findings. Women reported that partner concurrency and competition for acceptable men partners, "Man-Sharing," among midlife African American women influenced sexual decision-making, potentially resulting in greater risk for HIV infection. Future research focusing on the power differential in heterosexual relationships, inter-racial dating, and limiting the risks associated with partner concurrency may be fruitful.