TY - JOUR
T1 - HIV/AIDS and tourism in the Caribbean
T2 - An ecological systems perspective
AU - Padilla, Mark B.
AU - Guilamo-Ramos, Vincent
AU - Bouris, Alida
AU - Reyes, Armando Matiz
PY - 2010/1/1
Y1 - 2010/1/1
N2 - The Caribbean has the highest HIV rates outside of sub-Saharan Africa. In recent decades, tourism has become the most important Caribbean industry. Studies suggest that tourism areas are epicenters of demographic and social changes linked to HIV risk, such as transactional sex, elevated alcohol and substance use, and internal migration. Despite this, no formative HIV-prevention studies have examined tourism areas as ecologies that heighten HIV vulnerability. HIV/AIDS research needs to place emphasis on the ecological context of sexual vulnerability in tourism areas and develop multilevel interventions that are sensitive to this context. From our review and integration of a broad literature across the social and health sciences, we argue for an ecological approach to sexual health in Caribbean tourism areas, point to gaps in knowledge, and provide direction for future research.
AB - The Caribbean has the highest HIV rates outside of sub-Saharan Africa. In recent decades, tourism has become the most important Caribbean industry. Studies suggest that tourism areas are epicenters of demographic and social changes linked to HIV risk, such as transactional sex, elevated alcohol and substance use, and internal migration. Despite this, no formative HIV-prevention studies have examined tourism areas as ecologies that heighten HIV vulnerability. HIV/AIDS research needs to place emphasis on the ecological context of sexual vulnerability in tourism areas and develop multilevel interventions that are sensitive to this context. From our review and integration of a broad literature across the social and health sciences, we argue for an ecological approach to sexual health in Caribbean tourism areas, point to gaps in knowledge, and provide direction for future research.
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U2 - 10.2105/AJPH.2009.161968
DO - 10.2105/AJPH.2009.161968
M3 - Article
C2 - 19910343
AN - SCOPUS:74049110566
SN - 0090-0036
VL - 100
SP - 70
EP - 77
JO - American journal of public health
JF - American journal of public health
IS - 1
ER -