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Concepts of health and wellbeing have long been conceived as relevant to leisure, recreation and rejuvenation. These are now conceived as being necessary and useful as potential measures of success in community development and in that subset of leisure and recreation pursuits that is designated as tourism at a destination. The paper aims to discuss this issue.

A post-modern approach to development of community and markers of sustainable development more-or-less correspond to sustainable development goals (there are 17) that often overlay the concepts of good health and wellbeing that concern all stakeholders.

This paper encompasses best practice experiences from two case studies conducted in a tourism “hot spot” in the environs of the first National Park established in Derbyshire in the UK. There is some urgency about this topic as resources for community development are increasingly under pressure from local, central government and the expectation is now that local communities take full responsibility for that development. An inter-disciplinary approach using concepts of health and wellbeing is recommended.

Wellbeing may demand a greater allocation of scarce resources in an era of self-determination, bottom-up and locally sourced community aspiring to become, or remain, a destination of choice. Two case studies’ outcomes in this development are presented with a special focus on creation of a repository for the know-how and know what of the learning acquired.

The purpose of this study aimed to assess factors associated with the intention to take pre-exposure prophylaxis (PrEP) among Thai young men who have sex with men (YMSM) and transgender women (TGW) in Bangkok.

The study surveyed 350 sexually active Thai YMSM and TGW aged between 18 and 24 years registered with a nongovernmental organization (NGO) working with the MSM community. Data were collected using snowball sampling from four venues. Participants completed a self-administered questionnaire. Logistic regression was used to evaluate factors associated with the intention to take PrEP daily.

The results showed that of all those surveyed, n = 310 (88%) participated. The median age was 21 years. In all, 18% of participants had heard about PrEP, and 36% correctly identified that PrEP is used for prevention. After receiving information, 31% intended to take daily PrEP and the Voluntary Counseling and Testing (VCT) rate was 35.5%. Factors significantly associated with intention to take daily PrEP were history of HIV testing (adjusted odds ratio (AOR), 2.3, 95% CI, 1.3–4.1), and high perceived behavioral control of PrEP adherence scores (AOR 3.0, 95% CI, 1.8–5.2).

This study showed that intention to take and knowledge of daily PrEP among YMSM and TGW was low. Promoting health education to YMSM and TGW about PrEP and MSM-friendly VCT services are needed to effectively implement PrEP in HIV prevention programs.