Mike Allison, associate professor in the political science department at the University of Scranton in Pennsylvania, says: "Honduras is the country where you hear stories of pretty much entire communities, businesses, closing in the middle of the night and moving out because of threats from gangs."
One way out is to escape to the United States. Edgardo Rodríguez has twice tried to take his wife and four young children and flee to America. Both times he and his family were caught and returned by Mexican police to their leaking tin-roofed home in El Progreso, a city close to San Pedro Sula.
For Rodríguez, the final straw came with an attack on his brother.
He was visiting from out of town and therefore attracted the attentions of a drunk gang member, who followed him home and fired a barrage of bullets at the cramped family home.
But there is little chance of a third attempt at escape. He said that he had spent his savings and was in debt after spending $1,200 on their previous trips.
He has not had steady work in a year and is worried sick about his eldest daughter, Cindy, 11. Young "potheads", as he described them, had taken to blowing kisses at her in a chillingly suggestive threat.
His wife, Mabiy, said that she thanked God every morning that the family woke up alive. "I want a better future for my kids," she said. "What worries me is that the girls run the risk of being raped. And if they take my son and teach him how to take drugs, how to extort, if they teach him to go around selling drugs, then that is no life for him."