Navigation Links
Lack of HIV prevention for male sex workers in the Caribbean could fuel AIDS epidemic
Date:10/11/2007

ANN ARBOR, Mich.---Male sex tourists, largely from the United States and Europe, may be fueling an HIV/AIDS epidemic in the Caribbean, and efforts to stop the epidemic will be severely hampered unless HIV prevention dollars are diverted to help male prostitutes, a new study suggests.

Additionally, the study should serve as call to action for the tourism industry to implement HIV/AIDS prevention programs for tourists and tourism employees, said assistant professor Mark Padilla of the University of Michigan School of Public Health.

The Caribbean is second only to sub-Saharan Africa in HIV/AIDS cases. The disease has been described as primarily heterosexual, Padilla said. However, Padilla's book shows that sexual contact between Caribbean male sex workers and male tourists may be a much larger contributor to the HIV/AIDS epidemic there than previously thought.

Currently, prevention dollars in the Caribbean serve primarily heterosexuals, and this particular population of male sex workers who have sex with tourists is largely neglected. That population of male prostitutes grows larger as the traditional, agricultural jobs dry up. Funding comes from a variety of sources: governments, multilateral organizations such as the World Health Organization, and private foundations.

The Caribbean has become increasingly dependent on money from tourism, and young men have fewer options for making a living. Most male sex tourists in the study were from North America and Europe, Padilla said. The local men who served these tourists also had sexual encounters with female tourists, but Padilla's study did not directly examine that issue.

"Many men are unemployed from rural areas, and they immigrate to tourism areas," Padilla said. "Very few identify themselves as sex workers, and most have other income from tourism. Because of social stigma, these men often do not communicate with female partners about their involvement in sex work," which means the risk for HIV may be high among women.

The problem of why the bisexually behaving men do not come forth and are not reached by prevention programs is complicated, Padilla said. In Latin American culture, homosexuality is so stigmatized that men who engage in homosexual sex for money cannot speak out without becoming social pariahs. Many of them are married, but do not tell their wives about the prostitution or homosexual behavior. Many of these men do not use condoms consistently, especially with female partners, the study found.

Padilla said the tourism industry needs to be held at least partly responsible for providing a safer environment. Many of those tourism companies are based in the United States, he said.

"The tourism industry needs to prioritize HIV prevention in any initiative they begin," he said. They should not be able to establish these massive tourism conglomerates without HIV/AIDS prevention and intervention programs.

"They need to be aware that they are contributing to a sex economy that they are indirectly supporting, and to take responsibility to provide HIV prevention for these individuals," Padilla said.

Travelers can also lobby the industries directly, Padilla said. "You can have an impact on the HIV epidemic simply by stating directly to your travel agency that you prefer a place with HIV prevention as a part of its company strategy." While there is little public information on the HIV prevention efforts of tourism companies, such questions by tourists may lead to greater attention to this issue.


'/>"/>

Contact: Laura Bailey
baileylm@umich.edu
734-764-1552
University of Michigan
Source:Eurekalert

Related medicine news :

1. Prevention is better than cure
2. Prevention of cataracts
3. Prevention of Prostate Cancer
4. Foods Rich In Flavonoids Effective In Prevention Of Cough
5. Cabbage, cauliflower might contribute to cancer prevention
6. Aspirin and Warfarin Are Equally Effective for Stroke Prevention
7. Awakening call for fall prevention
8. Balanced diet important in cancer prevention
9. Simple Stroke Prevention is Best
10. Prevention of Rickets
11. Prevention of Vision Loss
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:4/30/2016)... ... April 30, 2016 , ... Orlando-based Maximized Living has selected Dr. Nick ... in Rio. Under the care of Maximized Living doctors at the London Olympics ... showing, Maximized Living is sending the largest contingent of elite chiropractors to Rio to ...
(Date:4/29/2016)... ... 29, 2016 , ... Memorial Healthcare System Graduate Medical ... (ACGME) that it has received accreditation for its residency program on Physical Medicine ... that Memorial is currently pursuing, including Pediatrics and Internal Medicine. This accreditation allows ...
(Date:4/29/2016)... ... April 29, 2016 , ... Dr. Bernie ... best seller "LOVE, MEDICINE and MIRACLES") addresses touchy topics related to Death live ... thereafter . Dr. Bernie Siegel, author of a plethora of essential books-to-read ...
(Date:4/29/2016)... ... April 29, 2016 , ... Spine Team Texas, a ... proud to announce one of their physicians has been invited to be a featured ... ACOFP) Family Practice Review conference on April 30, 2016. , Dr. R. Scott ...
(Date:4/29/2016)... ... ... Melanoma is the deadliest type of skin cancer. Although only about 1 percent of skin ... More than 10,000 people are expected to die of melanoma this year. The risk increases ... of the most commonly diagnosed cancers in young women. A recent breakthrough in genetic studies ...
Breaking Medicine News(10 mins):
(Date:4/28/2016)... Dr. ... und Stephen Schmidt werden Teil ... ein führender Anbieter cloudbasierter Softwarelösungen für den ... neue Führungskräfte zum Team Sicherheit und Pharmakovigilanz ... Erfahrungen mitbringen.  Dies wird die Geschäftseinheit Sicherheit ...
(Date:4/28/2016)... April 28, 2016 , Net Sales of ... basis over the prior year period, and an increase of ... , Diluted EPS for the first quarter were $0.52 reported, ... $2.00 adjusted, an increase of 29.9% over the prior year ... adjusted earnings guidance for 2016 Zimmer Biomet Holdings, ...
(Date:4/28/2016)... , April 28, 2016   Acsis , ... announced that leading IT market research and advisory firm ... in the IDC MarketScape: Worldwide Pharmaceutical Track and Trace ... The report provides an assessment of the capabilities and ... and trace software market. Logo - ...
Breaking Medicine Technology: