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"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

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  • Phinney, H.M.

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.

Suggested Citation

  • Phinney, H.M., 2008. ""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," American Journal of Public Health, American Public Health Association, vol. 98(4), pages 650-660.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2007.111534_5
    DOI: 10.2105/AJPH.2007.111534
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    Cited by:

    1. Ly Huynh, 2022. "Vietnamese Women Rural Migrants’ Social Vulnerability Under the Lens of Hegemonic Masculinities and Confucianism," Journal of International Migration and Integration, Springer, vol. 23(4), pages 1855-1874, December.
    2. Hirsch, Jennifer S., 2014. "Labor migration, externalities and ethics: Theorizing the meso-level determinants of HIV vulnerability," Social Science & Medicine, Elsevier, vol. 100(C), pages 38-45.
    3. Huy Van Nguyen & Huong Thao Duong & Toan Thinh Vu, 2017. "Factors associated with job satisfaction among district hospital health workers in Northern Vietnam: a cross-sectional study," International Journal of Health Planning and Management, Wiley Blackwell, vol. 32(2), pages 163-179, April.

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