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Objective: The prevalence of type 2 diabetes mellitus (T2DM) in Vietnam has doubled from 3% to 6% over the last decades, with potential consequences for persons with diabetes and their caregivers. This study aimed to assess caregiver burdens and factors associated with caregiver burden. Method: A cross-sectional study was conducted in 2019, using data from 1,241 informal caregivers (ICGs). Caregiver burden was scored from 0–32 using 8 questions from the Zarit Burden Interview (ZBI). Quantile regression analysis was used to identify factors associated with caregiver burden. Results: The median score of the ZBI was 7.0 (Q1-Q3: 2.0–10.0), indicating that the burden among caregiver of persons with T2DM is not high. Quantile regression showed that the higher the monthly income, the lower the burden among caregivers (50% quantile and 75% quantile of burden: -0.004). Lower educational level (25%Q: 4.0, 50%Q; 3.0, 75%Q: 2.16), being a farmer (25%Q: 2.0) and providing care to other people besides the person with T2DM (25%Q: 2.0, 50%Q; 2.54, 75%Q: 1.66) were associated with higher burden on caregivers. Conclusion: The study found that caregivers facing additional life stressors, such as low income or other caregiving responsibilities, reported higher levels of burden. These findings could inform the development of interventions targeted at supporting informal caregivers in rural areas in low- and middle-income countries. [ABSTRACT FROM AUTHOR]

"Single Mothers and the State's Embrace: Reproductive Agency in Vietnam" by Harriet M. Phinney is an ethnographic study that explores how single women in Vietnam turned the loss and devastation of the Second Indochina War into opportunities for reproductive inventiveness and new forms of family building. The book examines the practice of "asking for a child," where single women intentionally got pregnant out of wedlock, and how it challenged traditional gender norms and kinship systems. The author also analyzes the role of state legislation and discourses in supporting single motherhood and the changing reproductive strategies of the next generation of single women. Overall, the book provides a nuanced and thought-provoking account of the intersection between human agency and state power in the context of reproductive choices in Vietnam. [Extracted from the article]

This article asks: how can the concept of existential vulnerability help us to comprehend the human impact of chronic disease? Across the globe, the prevalence of chronic health conditions is rising dramatically, with wide-ranging consequences for human lives. Taking type II diabetes in northern Vietnam as its ethnographic case, this study explores how chronic health conditions are woven into everyday lives, altering subjectivities and social relations. Applying the notion of existential vulnerability as its analytical prism, the article explores three different dimensions of vulnerability: physical, emotional, and social. The analysis highlights the importance of a focus on social connectedness for comprehending the everyday impact of chronic disease and for the development of health care interventions in this domain. [ABSTRACT FROM AUTHOR]

Across the world, routine pregnancy care is expanding to include ultrasound imaging and other prenatal diagnostic technologies. Yet, despite their global proliferation, hardly any anthropological research has examined how such technologies are employed outside Euro-America. In this article, I investigate how pregnant women in Vietnam's capital, Hanoi, handle the hard choices that ultrasonographies confront them with when a fetal anomaly is detected and a decision must be made to either maintain or terminate the pregnancy. Whereas research conducted in North America, in consonance with the emphasis on individualism in advanced liberal societies, frames prenatal diagnosis in terms of individual 'moral pioneering,' I show how vietnamese women turn the choices they have to make into issues of collectivity, kinship, social belonging, and shared responsibility. The general argument advanced is that a comprehensive understanding of individual reproductive actions and intentions necessarily involves close consideration of local configurations of power, subjectivity, and citizenship. [Keywords: ultrasound, abortion, citizenship, subjectivity, Vietnam]

Abstract Background HIV testing for pregnant women is an important component for the success of prevention of mother-to-child transmission of HIV (PMTCT). A lack of antenatal HIV testing results in loss of benefits for HIV-infected mothers and their children. However, the provision of unnecessary repeat tests at a very late stage of pregnancy will reduce the beneficial effects of PMTCT and impose unnecessary costs for the individual woman as well as the health system. This study aims to assess the number and timing of antenatal HIV testing in a low-income setting where PMTCT programmes have been scaled up to reach first level health facilities. Methods A cross-sectional community-based study was conducted among 1108 recently delivered mothers through face-to-face interviews following a structured questionnaire that focused on socio-economic characteristics, experiences of antenatal care and HIV testing. Results The prevalence of women who lacked HIV testing among the study group was 10% while more than half of the women tested had had more than two tests during pregnancy. The following factors were associated with the lack of antenatal HIV test: having two children (aOR 2.1, 95% CI 1.3-3.4), living in a remote rural area (aOR 7.8, 95% CI 3.4-17.8), late antenatal care attendance (aOR 3.6, 95% CI 1.3-10.1) and not being informed about PMTCT at their first antenatal care visits (aOR 7.4, 95% CI 2.6-21.1). Among women who had multiple tests, 80% had the second test after 36 weeks of gestation. Women who had first ANC and first HIV testing at health facilities at primary level were more likely to be tested multiple times (OR 2.9 95% CI 1.9-4.3 and OR = 4.7 95% CI 3.5-6.4), respectively. Conclusions Not having an HIV test during pregnancy was associated with poor socio-economic characteristics among the women and with not receiving information about PMTCT at the first ANC visit. Multiple testing during pregnancy prevailed; the second tests were often provided at a late stage of gestation.

Endurance is a key term used by women in contemporary Vietnam to characterize the moral persistence that their marital lives demand. Accounting for women's endurance requires, as fieldwork in Hanoi indicates, ethnographic attention to how kinship can be temporally and spatially capricious, exceeding the immediately manifest. The concept of spectral kinship aims to capture these latent aspects of kinship and their groundings in people's imaginative lives. Defining relatedness as an imaginal accomplishment, an analytic of spectral kinship draws attention to aspects of social existence that are neither "real" nor "delusional" yet socially powerful nevertheless. Approaching Vietnamese women's endurance through the lens of spectral kinship highlights the invisible, imaginal efforts that women make to cope with the vulnerabilities and contingencies of kinship, thereby bringing into analysis crucial yet often undervalued forms of gendered kin‐work. [domestic distress, endurance, gender, imaginal, hauntology, kinship, spectrality, Vietnam] [ABSTRACT FROM AUTHOR]