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首页> 外文期刊>Qualitative health research >A syndemic analysis of alcohol use and sexual risk behavior among tourism employees in Sosua, Dominican Republic.
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A syndemic analysis of alcohol use and sexual risk behavior among tourism employees in Sosua, Dominican Republic.

机译：多米尼加共和国索苏阿州旅游业员工饮酒与性危险行为的综合分析。

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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 Sosua, 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.
机译：多米尼加共和国的艾滋病毒感染率和饮酒率很高。不幸的是，很少有研究集中在这两种健康结果之间协同作用的更广泛来源上。我们使用共同体理论来论证，在加勒比海旅游空间的文化和经济背景下，最好地分析酒精消费和性风险行为，这将在看似独立的结果之间产生协同作用。我们在多米尼加共和国索苏阿州的酒精服务场所对32名从事旅游业的男女进行了抽样调查。受访者将饮酒描述为旅游工作的隐含要求，促进酒精消费的旅游业商业惯例以及酒精与性商业之间的相互联系。与游客建立关系的需要，加上过量饮酒，导致人们感觉不到性控制，参与者认为这可能会妨碍使用避孕套。干预措施应吸收有关旅游区社会背景的知识，以减轻造成当地人感染艾滋病毒和饮酒的环境因素。

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