Despite the easygoing image propagated by tourist boards, gays and their advocates agree that Jamaica is by far the most hostile island toward homosexuals in the already conservative Caribbean. They say gays, especially those in poor communities, suffer frequent abuse. But they have little recourse because of rampant anti-gay stigma and a sodomy law banning sex between men in Jamaica and 10 other former British colonies in the Caribbean.

Hostility toward gays has reached such a level that four months ago, gay advocates in New York City launched a short-lived boycott against Jamaica at the site of the Stonewall Inn, where demonstrations launched the gay-rights movement in 1969. In its 2008 report, the U.S. State Department also notes that gays have faced death and arson threats, and are hesitant to report incidents against them because of fear.

The dread of homosexuality is so all-encompassing that many Jamaican men refuse to get digital rectal examinations for prostate cancer, even those whose disease is advanced, said Dr. Trevor Tulloch of St. Andrews Hospital.