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AJPH First Look, published online ahead of print Feb 28, 2008
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April 2008, Vol 98, No. 4 | American Journal of Public Health 650-660
© 2008 American Public Health Association
DOI: 10.2105/AJPH.2007.111534

research-article

"Rice Is Essential but Tiresome; You Should Get Some Noodles": Doi Moi and the Political Economy of Men’s Extramarital Sexual Relations and Marital HIV Risk in Hanoi, Vietnam

Harriet M Phinney, PhD, MPH

At the time of the study, the author was with the Anthropology Department, University of Washington, Seattle. At the study’s completion she was with the Department of Anthropology, Seattle University, Seattle.

Correspondence: Requests for reprints should be sent to Harriet M. Phinney, Department of Anthropology, Seattle University, PO Box 222000, Seattle, WA 98122-1090 (e-mail: phinneyh{at}seattleu.edu).

ABSTRACT

Research from around the world has suggested that married women’s greatest risk for contracting HIV is from having sexual intercourse with their husbands. On the basis of 6 months of ethnographic research in Hanoi, Vietnam, I argue that the contemporary nature of the HIV epidemic in Hanoi is shaped by 3 interrelated policies implemented in 1986 as part of the government’s new economic policy, Doi Moi (Renovation). Together, these policies structure men’s opportunities for extramarital sexual relations and encourage wives to acquiesce to their husbands’ sexual infidelity, putting both at risk of HIV. I propose 4 structural intervention strategies that address the policies that contribute to men’s opportunities for extramarital liaisons and to marital HIV risk.




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Home page
 Am. J. Public HealthHome page
S. Mills
THE POLITICAL ECONOMY OF MEN'S HIV RISK IN VIETNAM AND INTERVENTION CHOICES
Am J Public Health, October 1, 2008; 98(10): 1734 - 1735.
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