Center for Research on US Latino HIV/AIDS and Drug Abuse (CRUSADA), Robert Stempel School of Public Health and Social Work, Florida International University , Miami , FL , USA.
Global and Sociocultural Studies, Florida International University , Miami , FL , USA.
Glob Public Health. 2019 Nov;14(11):1578-1588. doi: 10.1080/17441692.2019.1651370. Epub 2019 Aug 9.
Health research on tourism has expanded over the past two decades, focusing on understanding how the social, economic, and political configuration of tourism zones might contribute to health vulnerabilities among the diverse populations that interact in these areas. While there are few studies of HIV and drug use interactions in the region, research has indicated that these two outcomes are often interwoven in tourism zones, potentially producing 'syndemics' of HIV infection and problematic drug use. One framework that has been used in public health research on tourism is one that we refer to as touristic escapism or situational disinhibition that may be heightened for some tourists while on vacation, potentially leading to the abandonment of normative constraints on behaviour and contributing to health risks such as unprotected sex or binge drinking. In this article, we draw upon tourism theory and ethnographic research with male tourism workers employed in two popular tourist areas of the Dominican Republic to explore whether touristic escapism offers insights in understanding health vulnerabilities within tourism spaces.
过去二十年，旅游健康研究不断扩展，主要关注理解旅游区的社会、经济和政治结构如何可能导致在这些地区互动的不同人群的健康脆弱性。尽管该地区关于 HIV 和药物使用相互作用的研究很少，但研究表明，这两种结果通常交织在旅游区中，可能会产生 HIV 感染和药物滥用的“综合征”。旅游健康研究中使用的一个框架是我们称之为旅游逃避主义或情境去抑制，对于一些度假的游客来说，这种情况可能会加剧，可能导致对行为的规范约束的放弃，并导致健康风险，如无保护的性行为或狂饮。在本文中，我们借鉴了旅游理论和对在多米尼加共和国两个受欢迎的旅游区工作的男性旅游工作者的民族志研究，以探讨旅游逃避主义是否为理解旅游空间内的健康脆弱性提供了见解。
