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Am J Public Health. 2010 Jan;100(1):70-7. doi: 10.2105/AJPH.2009.161968.

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

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1
Department of Health Behavior and Health Education, School of Public Health, University of Michigan, 109 Observatory St, Room 3830, Ann Arbor, MI 48108, USA. padillam@umich.edu

Abstract

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.

PMID:
19910343
PMCID:
PMC2791250
DOI:
10.2105/AJPH.2009.161968
[Indexed for MEDLINE]
Free PMC Article
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