HIV sexual risk behavior and family dynamics in a Dominican tourism town.

Journal Article (Journal Article)

Expansion of the tourism industry in the Dominican Republic has had far-reaching health consequences for the local population. Research suggests families with one or more members living in tourism areas experience heightened vulnerability to HIV/STIs due to exposure to tourism environments, which can promote behaviors such as commercial and transactional sex and elevated alcohol use. Nevertheless, little is known about how tourism contexts influence family dynamics, which, in turn, shape HIV risk. This qualitative study examined family relationships through in-depth interviews with 32 adults residing in Sosúa, an internationally known destination for sex tourism. Interviewees situated HIV risk within a context of limited employment opportunities, high rates of migration, heavy alcohol use, and separation from family. This study has implications for effective design of health interventions that make use of the role of the family to prevent HIV transmission in tourism environments.

Full Text

Duke Authors

Cited Authors

  • Guilamo-Ramos, V; Padilla, M; Cedar, AL; Lee, J; Robles, G

Published Date

  • October 2013

Published In

Volume / Issue

  • 42 / 7

Start / End Page

  • 1255 - 1265

PubMed ID

  • 23436038

Pubmed Central ID

  • PMC3686998

Electronic International Standard Serial Number (EISSN)

  • 1573-2800

International Standard Serial Number (ISSN)

  • 0004-0002

Digital Object Identifier (DOI)

  • 10.1007/s10508-012-0064-y


  • eng