Protecting paradise: tourism and AIDS in the Dominican republic

This study summarizes results from six data collection instruments administ ered to tourists, hotel workers, and commercial sex workers (CSWs) in the D ominican 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 t he prevalence of HIV to be a factor when making their travel plans, and tha t most did not consider themselves at greater risk of becoming infected whi le on holiday than when they were at home. This study determined that the s pread 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 wer e 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 en gage in sexual encounters with multiple Dominican CSWs and hotel employees. These encounters represent a risk to the health and economic development o f 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 po tential social and economic impact of HIV/AIDS in the D.R., prevention mess ages need to reach a number of groups which have not yet been adequately ta rgeted. These groups include tourists, with a special emphasis on 'sex tour ists', and hotel employees, with a special emphasis on entertainment staff.