title: "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.
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.
authors.affiliation: Department of Anthropology, Seattle University, PO Box 222000, Seattle, WA 98122-1090, USA. phinneyh@seattleu.edu
authors.forename: Harriet M
authors.initials: HM
authors.lastname: Phinney
mesh_terms: D000328:Adult; D005114:Extramarital Relations; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000635:transmission*; D006291:Health Policy / Q000331:legislation & jurisprudence*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008393:Marriage / Q000706:statistics & numerical data / Q000639:trends; D011634:Public Health; D018570:Risk Assessment; D012307:Risk Factors; D012309:Risk-Taking; D011477:Sex Work; D012725:Sexual Behavior; D012747:Sexual Partners; D014744:Vietnam / Q000453:epidemiology