Heterosexual HIV transmission is more prevalent among women than in men. This often leads to accusations of infidelity by their spouses. The cultural composition of East Harlem has changed dramatically. One the signs of the times was the painting over of a mural of Albizu Campos that was on a wall on the corner of 116 th and 2 nd for over two decades. It is almost impossible to estimate the rate of HIV infection in immigrant groups because many are not documented.
Language limits access to services.