Forsythe S, Hasbún J, Butler de Lister M
AIDSCAP/Family Health International, Arlington, VA, USA.
Health Policy Plan. 1998 Sep;13(3):277-86. doi: 10.1093/heapol/13.3.277.
This study summarizes results from six data collection instruments administered to tourists, hotel workers, and commercial sex workers (CSWs) in the Dominican Republic (D.R.). The objective of this study was to assess: 1. how HIV/AIDS may affect tourism; 2. how tourists are likely to react to prevention campaigns; and 3. how tourism may affect the spread of HIV/AIDS. It was found that an overwhelming proportion of tourists did not consider the prevalence of HIV to be a factor when making their travel plans, and that most did not consider themselves at greater risk of becoming infected while on holiday than when they were at home. This study determined that the spread of HIV/AIDS was unlikely to affect the demand for tourism services in the D.R. The study also found that most tourists would respond positively to an HIV/AIDS prevention campaign and would not be discouraged from visiting the D.R. because of such campaigns. Those most receptive to prevention efforts were also those who felt they were at highest risk, according to study data. Finally, it was determined that while most tourists probably do not engage in high risk activities, there were some male and female tourists who do engage in sexual encounters with multiple Dominican CSWs and hotel employees. These encounters represent a risk to the health and economic development of the D.R., as well as to tourists and their other sexual partners. Based on these findings, it is recommended that in order to minimize the potential social and economic impact of HIV/AIDS in the D.R., prevention messages need to reach a number of groups which have not yet been adequately targeted. These groups include tourists, with a special emphasis on 'sex tourists', and hotel employees, with a special emphasis on entertainment staff.
本研究总结了对多米尼加共和国的游客、酒店工作人员和商业性工作者使用六种数据收集工具所得出的结果。本研究的目的是评估：1. 艾滋病毒/艾滋病如何影响旅游业；2. 游客可能对预防运动作何反应；3. 旅游业如何影响艾滋病毒/艾滋病的传播。研究发现，绝大多数游客在制定旅行计划时并不认为艾滋病毒的流行是一个因素，而且大多数人并不认为自己在度假时比在家中更容易感染。本研究确定，艾滋病毒/艾滋病的传播不太可能影响多米尼加共和国对旅游服务的需求。该研究还发现，大多数游客会对艾滋病毒/艾滋病预防运动作出积极反应，并且不会因为此类运动而打消前往多米尼加共和国的念头。根据研究数据，最愿意接受预防措施的也是那些认为自己风险最高的人。最后，研究确定，虽然大多数游客可能不从事高风险活动，但有一些男女游客确实与多名多米尼加商业性工作者和酒店员工发生性行为。这些性行为对多米尼加共和国的健康和经济发展以及游客及其其他性伴侣都构成风险。基于这些发现，建议为尽量减少艾滋病毒/艾滋病在多米尼加共和国可能产生的社会和经济影响，预防信息需要传达给一些尚未得到充分关注的群体。这些群体包括游客，特别强调“性游客”，以及酒店员工，特别强调娱乐工作人员。
