Cultural factors influencing HIV Risk Behavior among Dominicans in New York City

M. Shedlin, S. Deren

Hispanics in the United States have disproportionately high rates of HIV. The existence of ethnically and culturally diverse Hispanic communities indicate that qualitative research on HIV-related attitudes and behaviors within subgroups is needed to develop successful interventions. Findings from interviews with 20 Dominicans involved with drug-related or prostitution-related activities in New York City are presented in terms of predominant cultural influences and specific issues regarding prostitution, drug use, and HIV/AIDS. Several directions for interventions in the Dominican community are indicated, e.g.,outreach efforts sensitive to the stigmatization of behaviors such as needle use and homosexuality, and the encouragement of prostitutes to use condoms with their partners as well as clients. Additional information regarding such are as as contraception, family planning, and drugtreatment services is needed within this community. A knowledge of cultural norms can serve as a foundation tor these intervention and education efforts.