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首页> 外文期刊>Health policy and planning >Examining the policy climate for HIV prevention in the Caribbean tourism sector: A qualitative study of policy makers in the Dominican Republic
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Examining the policy climate for HIV prevention in the Caribbean tourism sector: A qualitative study of policy makers in the Dominican Republic

机译：审查加勒比旅游部门艾滋病毒预防政策气候：多米尼加共和国政策制定者的定性研究

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Background The Caribbean has the highest prevalence rates of HIV/AIDS outside sub-Saharan Africa, and a broad literature suggests an ecological association between tourism areas and sexual vulnerability. Tourism employees have been shown to engage in high rates of sexual risk behaviours. Nevertheless, no large-scale or sustained HIV prevention interventions have been conducted within the tourism industry. Policy barriers and resources are under-studied.Methods In order to identify the policy barriers and resources for HIV prevention in the tourism sector, our research used a participatory approach involving a multisectoral coalition of representatives from the tourism industry, government, public health and civil society in the Dominican Republic. We conducted 39 in-depth semi-structured interviews with policy makers throughout the country focusing on: prior experiences with HIV prevention policies and programmes in the tourism sector; barriers and resources for such policies and programmes; and future priorities and recommendations.Results Findings suggest perceptions among policy makers of barriers related to the mobile nature of tourism employees; the lack of centralized funding; fear of the 'image problem' associated with HIV; and the lack of multisectoral policy dialogue and collaboration. Nevertheless, prior short-term experiences and changing attitudes among some private sector tourism representatives suggest emerging opportunities for policy change.Conclusion We argue that the time is ripe for dialogue across the public-private divide in order to develop regulatory mechanisms, joint responsibilities and centralized funding sources to ensure a sustainable response to the HIV-tourism linkage. Policy priorities should focus on incorporating HIV prevention as a component of occupational health; reinforcing workers' health care rights as guaranteed by existing law; using private sector tourism representatives who support HIV prevention as positive role models for national campaigns; and disseminating a notion of 'investment' in safer tourism environments as a means to positively influence tourist demand.
机译：背景技术加勒比地区撒哈拉以外非洲以外的艾滋病毒/艾滋病的普及率最高，广泛的文献表明旅游区与性脆弱性之间的生态协会。旅游员工已被证明可以从事高率的性风险行为。尽管如此，旅游业没有大规模或持续的艾滋病毒预防干预措施。研究了政策障碍和资源。对于在旅游部门确定艾滋病毒预防的政策障碍和资源，我们的研究采用了涉及来自旅游业，政府，公共卫生和民用的多部门联盟的参与式方法在多米尼加共和国的社会。我们在全国各地的政策制定者进行了39次深入的半结构性访谈，重点是：在旅游部门的艾滋病毒预防政策和方案的事先经验;此类政策和计划的障碍和资源;和未来的优先事项和建议。结果调查结果表明，与旅游员工的移动性质有关的障碍政策制定者之间的看法;缺乏集中资金;害怕与艾滋病毒相关的“图像问题”;以及缺乏多部门政策对话和合作。尽管如此，在一些私营部门旅游代表之间的短期经验和改变态度方面表明了政策变革的新兴机会。结论我们认为，在公共私人鸿沟中的对话时，时间旨在成熟，以制定监管机制，共同责任和集中资金来源，以确保对艾滋病毒旅游联动的可持续反应。政策优先事项应专注于将艾滋病毒预防纳入职业健康的组成部分;加强工人的保健权利，由现有法保证;利用支持艾滋病毒预防的私营部门旅游代表作为国家竞选的积极榜样;并在更安全的旅游环境中传播“投资”的概念，作为积极影响旅游需求的手段。

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  • 来源
    《Health policy and planning》 |2012年第3期|共11页
  • 作者

    PadillaM.B.; ReyesA.M.; ConnollyM.; NatsuiS.; PuelloA.; ChapmanH.;

  • 作者单位

    Department of Health Behavior and Health Education School of Public Health University of Michigan;

    Department of Health Behavior and Health Education School of Public Health University of Michigan;

    School of Medicine University of Michigan Ann Arbor MI United States;

    School of Health Sciences Universidad Autónoma de Santo Domingo Dominican Republic;

    School of Medicine Universidad Iberoamericana (UNIBE) Santo Domingo Dominican Republic;

    Department of Health Behavior and Health Education School of Public Health University of Michigan;

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  • 正文语种 eng
  • 中图分类 方针、政策及其阐述;
  • 关键词

    Caribbean; Dominican Republic; HIV/AIDS; public-private partnership; tourism;

    机译：加勒比地区;多米尼加共和国;艾滋病毒/艾滋病;公私伙伴关系;旅游;

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