Ngoc Son Nguyen. Exploring sexuality of older people in an urban area of Thai Binh province contemporary Vietnam. Master's Degree(Health Social Science ). Mahidol University. : Mahidol University, 2008.
Exploring sexuality of older people in an urban area of Thai Binh province contemporary Vietnam
Abstract:
Sexuality plays a crucial role in improving peoples quality of life and sense of
well-being regardless of their age. The myths that older people are uninterested in sex
or sexually inactive are popular and reinforced in daily life, leading older people to
refrain from meeting their sexual needs and becoming vulnerable to sexual health
problems. This research aims to explain sexuality and existing social and sexual
discourses of older people and to describe how they cope with sexual health problems.
A postmodern feminist perspective was employed in the study. Community mapping,
key-informant interviews, participant and non-participant observation and in-depth
interviews with 11 older people aged between 54 and 76 were conducted over 4
months of ethnographic research in a community in an urban area of Thai Binh
province, Vietnam.
The findings showed that dramatic changes in the social and cultural context
in the Doi moi renovation period in 1986 had a profound impact on older peoples
lives, leading to dramatic influence on their sexual lives. However, the sexuality of
older people is still influenced by dominant sexual discourses implying that sex is
limited to people with youth, health, and attractive bodies, representing a marked
contrast to decayed, unhealthy, and old bodies. These perceptions lead older people to
struggle between the moral and respectable images of being sexually inactive and the
immoral people and unrespectable images of being sexually active. Gender discourses
also play a role in influencing older peoples sexual lives. Some of the sexually active
older male respondents faced depression because of their concerns about sexual
dysfunction and not being able to fulfill masculinity. Some older women reported a
difficult choice between painful sex and fulfilling their roles as wives while others
enjoyed their sexual lives. A diversity of sexual pleasures, expressions and partners in
older people was also found in the study. Reluctance to use condoms due to total trust
in the clean bodies of their partners among older men may put them at risk of
contracting STIs and HIV/AIDS through extra-marital sex. The research has
implications for policy makers, planners and implementers in the provision of
culturally sensitive and context-specific sexual health care services to enhance the
quality of sexual life for older people