A Syndemic Analysis of Alcohol Use and Sexual Risk Behavior Among Tourism Employees in Sosúa, Dominican Republic
Identifieur interne : 003E85 ( Main/Exploration ); précédent : 003E84; suivant : 003E86A Syndemic Analysis of Alcohol Use and Sexual Risk Behavior Among Tourism Employees in Sosúa, Dominican Republic
Auteurs : Mark B. Padilla [États-Unis] ; Vincent Guilamo-Ramos [États-Unis] ; Ramona Godbole [États-Unis]Source :
- Qualitative Health Research [ 1049-7323 ] ; 2011.
Abstract
The Dominican Republic has high rates of HIV infection and alcohol consumption. Unfortunately, little research has been focused on the broader sources of the synergy between these two health outcomes. We draw on syndemic theory to argue that alcohol consumption and sexual risk behavior are best analyzed within the context of culture and economy in Caribbean tourism spaces, which produce a synergy between apparently independent outcomes. We sampled 32 men and women working in the tourism industry at alcohol-serving establishments in Sosúa, Dominican Republic. Interviewees described alcohol consumption as an implicit requirement of tourism work, tourism industry business practices that foster alcohol consumption, and an intertwining relationship between alcohol and sexual commerce. The need to establish relationships with tourists, combined with the overconsumption of alcohol, contributed to a perceived loss of sexual control, which participants felt could impede condom use. Interventions should incorporate knowledge of the social context of tourism areas to mitigate the contextual factors that contribute to HIV infection and alcohol consumption among locals.
Url:
DOI: 10.1177/1049732311419865
PubMed: 21859907
PubMed Central: 3322414
Affiliations:
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Padilla</name><affiliation wicri:level="2"><nlm:aff id="A1">University of Michigan, Ann Arbor, Michigan, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Michigan, Ann Arbor, Michigan</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Guilamo Ramos, Vincent" sort="Guilamo Ramos, Vincent" uniqKey="Guilamo Ramos V" first="Vincent" last="Guilamo-Ramos">Vincent Guilamo-Ramos</name><affiliation wicri:level="2"><nlm:aff id="A2">New York University, New York, New York, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>New York University, New York, New York</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Godbole, Ramona" sort="Godbole, Ramona" uniqKey="Godbole R" first="Ramona" last="Godbole">Ramona Godbole</name><affiliation wicri:level="2"><nlm:aff id="A3">Johns Hopkins University, Baltimore, Maryland, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Johns Hopkins University, Baltimore, Maryland</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author></analytic><series><title level="j">Qualitative Health Research</title><idno type="ISSN">1049-7323</idno><idno type="eISSN">1049-7323</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">The Dominican Republic has high rates of HIV infection and alcohol consumption. Unfortunately, little research has been focused on the broader sources of the synergy between these two health outcomes. We draw on syndemic theory to argue that alcohol consumption and sexual risk behavior are best analyzed within the context of culture and economy in Caribbean tourism spaces, which produce a synergy between apparently independent outcomes. We sampled 32 men and women working in the tourism industry at alcohol-serving establishments in Sosúa, Dominican Republic. Interviewees described alcohol consumption as an implicit requirement of tourism work, tourism industry business practices that foster alcohol consumption, and an intertwining relationship between alcohol and sexual commerce. The need to establish relationships with tourists, combined with the overconsumption of alcohol, contributed to a perceived loss of sexual control, which participants felt could impede condom use. Interventions should incorporate knowledge of the social context of tourism areas to mitigate the contextual factors that contribute to HIV infection and alcohol consumption among locals.</p></div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Maryland</li><li>Michigan</li><li>État de New York</li></region></list><tree><country name="États-Unis"><region name="Michigan"><name sortKey="Padilla, Mark B" sort="Padilla, Mark B" uniqKey="Padilla M" first="Mark B." last="Padilla">Mark B. Padilla</name></region><name sortKey="Godbole, Ramona" sort="Godbole, Ramona" uniqKey="Godbole R" first="Ramona" last="Godbole">Ramona Godbole</name><name sortKey="Guilamo Ramos, Vincent" sort="Guilamo Ramos, Vincent" uniqKey="Guilamo Ramos V" first="Vincent" last="Guilamo-Ramos">Vincent Guilamo-Ramos</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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