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

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  • Padilla, M.B.
  • Guilamo-Ramos, V.
  • Bouris, A.
  • Reyes, A.M.

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.

Suggested Citation

  • Padilla, M.B. & Guilamo-Ramos, V. & Bouris, A. & Reyes, A.M., 2010. "HIV/AIDS and tourism in the Caribbean: An ecological systems perspective," American Journal of Public Health, American Public Health Association, vol. 100(1), pages 70-77.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2009.161968_4
    DOI: 10.2105/AJPH.2009.161968
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    Cited by:

    1. Vasja Roblek & Danijel Drpić & Maja Meško & Vedran Milojica, 2021. "Evolution of Sustainable Tourism Concepts," Sustainability, MDPI, vol. 13(22), pages 1-21, November.
    2. Kathryn P Derose & Denise D Payán & María Altagracia Fulcar & Sergio Terrero & Ramón Acevedo & Hugo Farías & Kartika Palar, 2017. "Factors contributing to food insecurity among women living with HIV in the Dominican Republic: A qualitative study," PLOS ONE, Public Library of Science, vol. 12(7), pages 1-19, July.
    3. Martina Bosone & Francesca Nocca, 2022. "Human Circular Tourism as the Tourism of Tomorrow: The Role of Travellers in Achieving a More Sustainable and Circular Tourism," Sustainability, MDPI, vol. 14(19), pages 1-35, September.
    4. Danielle Kelly & Karen Hughes & Mark A. Bellis, 2014. "Work Hard, Party Harder: Drug Use and Sexual Behaviour in Young British Casual Workers in Ibiza, Spain," IJERPH, MDPI, vol. 11(10), pages 1-11, September.

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