HIV/AIDS and tourism in the Caribbean: an ecological systems perspective.

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Padilla, MB; Guilamo-Ramos, V; Bouris, A; Reyes, AM

Published Date

  • January 2010

Published In

Volume / Issue

  • 100 / 1

Start / End Page

  • 70 - 77

PubMed ID

  • 19910343

Pubmed Central ID

  • PMC2791250

Electronic International Standard Serial Number (EISSN)

  • 1541-0048

International Standard Serial Number (ISSN)

  • 0090-0036

Digital Object Identifier (DOI)

  • 10.2105/ajph.2009.161968

Language

  • eng