The Dominican Republic’s HIV epidemic is disproportionately concentrated in former sugarcane plantations (bateyes), predominantly inhabited by Haitian immigrants and their families. While prevalence rates are four-times the national average in these communities, little research has assessed batey adolescents’ HIV-related knowledge, attitudes, and communication. Structured interviews were conducted with 140 adolescents (66 females; 74 males; mean age=13.8 years) in six communities in the north coast province of Puerto Plata. Youth demonstrated low levels of knowledge, attitudes, and communication related to HIV/AIDS. Evidence-based prevention programs must particularly target 12-14 year-old batey adolescents who require greater understanding, skills, support, and communication in order to reduce their risk of HIV infection. Particular emphasis should be placed on promoting partner reduction, though