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0.3. Utilidad de la investigación

1.2.6. Matemática en los cursos de programación

T&T’s culture is one that stigmatises expressions of sexuality. Many persons generally appear shy, reserved or embarrassed about addressing anything about sex regardless of age, gender, and socioeconomic status. This may include talking about sex, sexuality, sexual health concerns, and opinions regarding sexual orientation or expressions of sensuality. Even if encouraged to engage in discussion, it is still difficult as society has put a cultural stigma on sexuality. It is more taboo for older age groups than younger generations, but this may be partially due to ageist influences such as the media and politics. There is, however, one exception, Carnival. Trinbagonians in large numbers embrace and openly enjoy some aspects of their sexuality during the Carnival season.

Carnival and Sexuality

Trinidad & Tobago (T&T) is renowned for its major cultural tourism event, the pre-Lenten Carnival.66 From a historical perspective, during the pre-Lenten events from Christian

traditions, debauchery, extravagance, hedonism, and sexual excess were celebrated in dance, masquerading, and feasting for a last time. Carnival emerged as it coupled with Christian influences and European practices of hosting a public masquerade ball before

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lent to openly enjoy exposing and breaking social, racial, and sexual taboos.67 It was originally about costumed characters, music and dance expressing irony, socio-political

commentary, and pleasure mostly by middle-class Europeans.68 However, when slavery

was abolished, more African ‘creoles’ began to have their own backyard masquerade balls, and the festival changed to include more ridicule and derisions of the European plantation owners, where they mocked and imitated their masters’ behaviour.67,68 It was an

opportunity for the creoles to liberate themselves openly from mental, physical, and sexual servitude and oppression which they demonstrated through dance, costuming, and the characters played.67 However, the concept of carnival has evolved beyond its historical

reference to a cultural festivity. 69 This transition was noticeable when Trinidad & Tobago

became independent from the British in 1962.70 This change in governance conveyed a

new sense of national pride and T&T identity and patriotism, which was celebrated and

became a mainstay onwards from the very first carnival as an independent nation in 1963.70

This new outlook on carnival encouraged a series of changes including the birth of new events showcasing local talents in song, dance, arts, and costume design as the festival

evolved.67 The carnival of today has become a more commercialised version with some

historical remnants. It has evolved into a major tourist attraction and income earning opportunity for business community and the tourism sector. The face of carnival has evolved over time. Now smaller segments of traditional ‘Ole mas’, with character-playing and mocking socio-political commentary mostly depicted in song (calypso), are overshadowed by the majority of masqueraders now participating in ‘Pretty Mas.’ ‘Pretty mas’ consists of large groups of people in similar more sensual costumes engaging in hypersexualized dancing including gyrating of their hips (referred to in T&T as ‘wineing’).71 Only during this season participants of various ethnicities and age groups

engage in taboo behaviours (including visitors) as it is virtually a national culturally acceptable opportunity to liberate ones inhibitions and violate societal norms of sexuality from dress code, dance, song, even to risky sexual behaviour.71 In fact, the carnival

experience was described as a form of expression ‘carnivalesque’ by Bhatkin in 1968, as frank and free, and an opportunity to express liberty from norms of etiquette and decency that are usually imposed, and he described the dress code or lack thereof as an opportunity

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taboos occurs at the beginning of the Lenten period. This signals the end of the Carnival season and the return to traditional social codes and conservatism.

Evidence shows that the popular sociocultural Carnival experience is related to increased irresponsibility of unsafe sexual behaviour, as it appears to occur more frequent during this season.66 The risky sexualised behaviour may be on account of the mentality of

freedom of sexual expression as it is traditionally discouraged and only socially permitted during the limited Carnival season. Every year, there has been an overall increase in the population growth rate associated with the sexual activities prevalent during the festivities. An estimated 15% increase in the number of live births is noted every November and

December.67 These seasonal births termed the “Carnival baby” have been a long-standing

joke in T&T for decades.73 Additionally, a rise in the incidence of sex tourism and HIV/AIDS also is reported to be visible during this period.73 The Family Planning

Association of Trinidad and Tobago (FPATT) and external organisations such as the Population Services International-Caribbean (PSI) conduct numerous behaviour change campaigns on STI and pregnancy prevention to curb the rise in STIs and unwanted pregnancies during carnival.73 Most of these STI prevention interventions are youth-

focused despite the fact that middle-aged and older adults also participate in Carnival, and they are equally vulnerable and participate in similar high-risk behaviours. The patterns of behaviours exhibited during Carnival may contribute to the HIV/AIDS epidemic and increased prevalence of STIs in all age groups, especially in MARPs and older adults,

which suffer from underreporting.74

Risky Sexual Behaviour (Perspectives about Unprotected Sex)

In addition to the sexualised behaviours associated with Carnival, there are social worldviews about unprotected sex. Unprotected sex was standard within presumed monogamous relationships, based on interplay of mostly trust, but also age, appearance, and relationship status.75,76 Infidelity which might result in unprotected sex, was often justified because the act was unexpected and spontaneous, and because the partner

appeared ‘clean’.75,77 However, the issue of using protection (condom use) had become

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epidemic in the early 1980s. As a result, heterosexuals with this flawed perception are less likely to use condoms to avoid perceived stigma and discrimination.77 In T&T, it is very

difficult to purchase condoms without feeling embarrassed. Condoms are usually shelved behind the cash register and can only be purchased by asking the cashier or pharmacist. This may discourage persons in a population that is already very guarded about sex and, even more so, for those persons who are intimidated by asking for contraception publicly. Irrespective of the reason, unprotected sex encourages an increased risk of STD transmission. This behaviour is even more prominent after alcohol consumption and during the Carnival season after which a spike in unwanted pregnancies, abortions, and STDs occurs in all age groups.

Sexuality Related Laws

Homosexuality

The multicultural and multi-ethnic society of T&T adopts various global religious doctrines which largely endorse heterosexuality as the norm for sexual orientation and is likely the reason why alternative sexualities are deemed unconventional.78 People who have other sexual identities or behaviours may suffer psycho-social discomfort and be victims of homophobia.78,79 In T&T, unlike some countries, including other Caribbean

islands like Jamaica, there is no overt homophobia, but there is de facto moral code—an

unspoken, understood culture of prejudice.80 However, because the religious and cultural

influences indirectly create and promote homophobia, laws of the land have been established based on these dominant sociocultural and religious norms. The national

criminal code in T&T up to September 19th, 2018, prohibited sex between two people of

the same sex.80 Section 13 of the Trinidad and Tobago Sexual Offences Act 1986

(Strengthened in 2000) criminalised "buggery", offering a sentence of an average of 25

years.Also,Section 16 of the same act, on “serious indecency,” stipulated that a person

who was sexually intimate with a person of the same sex without having intercourse was

liable to imprisonment for up to five years.81 However, Trinidad and Tobago made legal

history in the Caribbean rolling back these long-standing homophobic laws. In March 2017, an LGBT activist took the government of Trinidad and Tobago to court, filing a lawsuit to strike down the “buggery law”-section 13, that criminalised anal sex, as the

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activist presented that it was unconstitutional because it violated his right to privacy, liberty, and freedom of expression. On September 20, 2018, sections 13 and 16 of the Sexual Offences Act were modified, making it legal for consenting adults to engage in such activities.82 Sections 13 and 16 now read:83

 “13. (1) A person who commits the offence of buggery is liable on conviction to

imprisonment for twenty-five years.

 (2) In this section buggery means sexual intercourse without consent per anum by

a male person with a male person or a male person with a female person.

 16. (1) A person who commits an act of serious indecency on or towards another

is liable on conviction to imprisonment for five years.

Commercial Sex

Other national sex related laws that silently influence Trinbagonians worldview of sexuality include those pertaining to commercial and transactional sex. “Sex work” and

“sex workers” are not legal terms in any Caribbean country.84 The most common terms

used in sex related laws are prostitution and prostitutes. Prostitution was recently defined as “the offering of the body by a person of either sex for the purpose of arousing or gratifying the sexual desire of another for payment in return.”85 Sexual intercourse is not a requirement to be categorised as prostitution as this may include pornography, exotic or lap dancing, stripping, internet sexual services, and escort, gigolo or “rent-a-dread” services.85 Since the term prostitution globally carries stigma mostly to degrade women, it

has been replaced with the concept of “sex work”. “Commercial sex workers are defined as men or women who provide sexual services in exchange for money as their main method of income” or in exchange for goods or services with someone not intended for any further relationship.” 85,86,87 In the English-speaking Caribbean, almost all activities for

female and male sex workers are criminalised.88 T&T labels prostitutes and those

organising prostitution or living on the remunerations of prostitution as “prohibited

immigrants” or “prohibited aliens”.89 These laws are intended to refuse such persons with

intent or found participating in such activity entry into the country and define them as ineligible for the grant of immigrant status.90 These activities exist but are kept hidden as a result of these laws. Some services such as exotic dancing and stripping are becoming

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more visible and popular with younger generations at nightclubs and bars and special events including bachelor/bachelorette parties. However, as these are all generally taboo, it is difficult for MARPs to attend to or receive sexual health services (even though free of charge) primarily due to fear of stigma and discrimination and legal implications. NGOs usually must devise special means of targeting MARPs in hidden or undisclosed locations to carry out STI health-related interventions due to their fear of being discovered.91 Another aspect of sex work includes transactional sex which is also not a legal term but

identifies all sexual activities that are exchanged for “wants” and “needs.”92 These may

include anything from cash, food, goods (gifts, clothes, shoes) as a form of seasonal, part time, or full-time prostitution.85,92 It is chiefly “sex for financial gain, social status,

consumerism and style.”91 This type of interaction affects the population of interest in this

research because it involves young girls engaging in sexual activities with older men referred to as “Sugar Daddies” and young boys who engage with older women referred to

as “Sugar mummies or cougars.”85 In both genders, sex is exchanged for economic benefit,

financial support including access to education, or to improve their standard of living.93

These interactions are not hidden like commercial sex work but are still considered taboo. Though there are many moral codes dictating sexual behaviours in T&T, being able to have a good sexual health-related quality of life (HRQoL) could be of benefit into the older ages of this population. However, as we age, sexual functioning is also impacted not only by sociocultural practices, but also by other lifestyle choices including one’s health. 1.3.1.2.3 Epidemiology of T&T

The country is undergoing a demographic transition (see Figure 3, population pyramid) characterised by a decrease in fertility rates as the population growth rate has declined – 0.13%.60,94 This transition has highlighted an increase in the middle-aged and older age

group (45yr.+) as they contribute to 34% [more than the world’s average for this age group] of the entire population (see Table 1).57

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Figure 3: Population pyramid for Trinidad & Tobago

Source: CIA- World Fact Book-Trinidad & Tobago 201860

Table 1: Middle-aged and older population in Trinidad & Tobago in 2017

Age group (years) 45–49 50–54 55–59 60–64 65+

Estimated number of persons 98,185 89,062 74,793 59,911 121,590

Percentage of total population 7% 7% 6% 5% 9%

Total population = 1,372,598

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The life expectancy in T&T for males is 70.2 years, and for females it is 76.2 years.60,59 In

2012, healthy expectancy in both sexes was 10 year(s) lower than overall life expectancy at birth. These lost years of healthy life expectancy (YLL) represents 10 equivalent year(s) of full health lost through years lived with morbidity and disability.95 There is evidence of an epidemiological transition in T&T (and most of the Caribbean except for Haiti) in increased rates of deaths and disability in non-communicable diseases (NCDs) when

compared with previous decades which reflect higher prevalence of infectious diseases.96

In 2012, 14% of the population was over the age of 60 and the primary causes of morbidity in this group was chronic NCDs.60,95