Center for Latino Adolescent and Family Health, Silver School of Social Work, New York University, 15 Washington Place, New York, NY, 10003, USA,
Arch Sex Behav. 2013 Oct;42(7):1255-65. doi: 10.1007/s10508-012-0064-y. Epub 2013 Feb 23.
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.
多米尼加共和国旅游业的扩张给当地居民的健康带来了深远的影响。研究表明，由于接触旅游环境，有一个或多个成员居住在旅游区的家庭更容易感染艾滋病毒/性传播感染，因为这种环境会助长商业性交易性行为和酗酒等行为。然而，人们对旅游环境如何影响家庭动态，进而影响艾滋病毒风险知之甚少。这项定性研究通过对 32 名居住在索苏亚的成年人进行深入访谈，考察了家庭关系。索苏亚是一个国际知名的性旅游目的地。受访者将艾滋病毒风险置于就业机会有限、移民率高、酗酒严重以及与家人分离的背景下。这项研究对有效设计利用家庭作用预防旅游环境中艾滋病毒传播的卫生干预措施具有重要意义。
