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Nguyen H.N.,San Jose State University | Hardesty M.,University of Chicago | Hong K.T.,Institute for Social Development Studies
Journal of Sex Research | Year: 2013

Mostly operating from a risk and risk-reduction paradigm, existing research on migrants in Vietnam tends to conceptualize sex and risky sexual behaviors as isolated life domains. This study begins to develop a contextually rich understanding of migrants' sex lives by examining the relationships among sex, work, and the constant pendulum-like migrating movements of 23 Vietnamese married migrants in Hanoi and Ho Chi Minh City. Using data from in-depth interviews, it was found that most participants had no sex in the city; this was followed by visits to the home village, where they had sex with their spouses as often as possible to make up for the "long drought" in the city. Within this sexual schema, sex came secondary, and even peripherally, to migrants' working lives; thus, exhaustion from work was cited by migrants as the overwhelming factor leading to their sexual problems. This study suggests that migrants' intimate lives are more strongly linked to their working lives than has previously been recognized, and that their sexual behaviors should be viewed in tandem with the hardships of their working lives. Copyright © The Society for the Scientific Study of Sexuality.

Hirsch J.S.,Columbia University | Giang L.M.,Hanoi Medical University | Parker R.G.,Columbia University | Duong L.B.,Institute for Social Development Studies
Journal of Health Politics, Policy and Law | Year: 2015

Drawing on the changing landscape of responses to HIV in Vietnam, this article describes the key players and analyzes the relationships between global players and local interests, including both the omnipresent state and an emerging civil society presence. We discuss the critical importance of timing for policy intervention and the role of health policy in shaping the broader social terrain. The interventions of external actors such as the US President's Emergency Plan for AIDS Relief (PEPFAR) and the Global Fund were instrumental in improving both policies and programs at a critical juncture, when the national responses to the epidemic had been ineffective. At the same time, those global interventions met resistance and led to unintended consequences, bothwelcome and unwelcome. Furthermore, the looming specter of donor withdrawal and the very gradually emerging national ownership raise many questions about capacity for scale-up and sustainability of the significant achievements to date. Further monitoring and in-depth analysis of the Vietnamese responses to the HIVepidemic in the next few years or so, we contend, have the potential to provide unique insights into the challenges faced by developing countries caught in the complex webs of health politics and policies at both the global and the national levels. © 2015 by Duke University Press.

Nguyen H.N.,San Jose State University | Hardesty M.,University of Chicago | Hong K.T.,Institute for Social Development Studies
Culture, Health and Sexuality | Year: 2011

Having emerged only recently due to fast urbanisation and globalisation, pendulum migrant labourers in Vietnam are economically, culturally and socially difficult to locate-though they are estimated to number in their millions. Defined by their frequent migration between village and city, pendulum migrant labourers occupy an extended period of liminality. Are they traditional villagers or liberal city people when it comes to sex? Does city life radically change their views on sexuality? Starting with the premise that living environments play a key role in structuring the practical and symbolic realities of sex, this paper explores how extended periods of circular migration between the village and city-living environments that differ markedly in terms of socioeconomic and cultural conditions-affect the sexual views and perspectives of Vietnamese pendulum migrant labourers. Analysis from in-depth interviews with 23 married pendulum migrant labourers revealed that even though they had been living the pendulum life for several years, they continued to identify themselves, sexually, as traditional villagers. Among labourers the link between sexuality and living environment was a matter of pragmatism-matching 'suitable' sexual behaviour to social, even if imagined, location-and of privilege or 'leagues' - matching behaviour and comportment to social pedigree. © 2011 Taylor & Francis.

Van Minh H.,Hanoi Medical University | Giang K.B.,Hanoi Medical University | Liem N.T.,Institute of Population | Palmer M.,University of Melbourne | And 2 more authors.
Global Public Health | Year: 2015

Disability is shown to be both a cause and a consequence of poverty. However, relatively little research has investigated the economic cost of living with a disability. This study reports the results of a study on the extra cost of living with disability in Vietnam in 2011. The study was carried out in eight cities/provinces in Vietnam, including Hanoi and Ho Chi Minh cities (two major metropolitan in Vietnam) and six provinces from each of the six socio-economic regions in Vietnam. Costs are estimated using the standard of living approach whereby the difference in incomes between people with disability and those without disability for a given standard of living serves as a proxy for the cost of living with disability. The extra cost of living with disability in Vietnam accounted for about 8.8–9.5% of annual household income, or valued about US$200–218. Communication difficulty was shown to result in highest additional cost of living with disability and self-care difficulty was shown to lead to the lowest levels of extra of living cost. The extra cost of living with disability increased as people had more severe impairment. Interventions to promote the economic security of livelihood for people with disabilities are needed. © 2014 Taylor & Francis.

Phinney H.M.,Seattle University | Khuat Thu Hong,Institute for Social Development Studies | Vu Thi Thanh Nhan,Institute for Social Development Studies | Nguyen Thi Phuong Thao,Institute for Social Development Studies | Hirsch J.S.,Columbia University
Critical Public Health | Year: 2014

This paper focuses on the interactions between medical professionals in Hanoi, Vietnam, and their HIV-positive patients who desire children. Drawing on ethnographic research, we argue that despite ongoing state and civil society efforts to reduce discrimination against people living with HIV (PLHIV), doctors do stigmatize patients who choose to reproduce, even if the patients are found to have carefully considered all associated risks. While the effects of the Social Evils Campaign linger, the doctors’ prejudicial stance towards PLHIV’s reproductive desires and risks also reflects the messages communicated by the more recent governmental campaign on Population Quality. The result of this stigmatization is a stratification of reproduction among the Vietnamese citizenry whereby PLHIV are considered obstacles to ‘the cleanliness of the race.’ © 2014, © 2014 Taylor & Francis.

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