A preliminary evaluation of a community-based campaign to increase awareness of concurrency and HIV transmission in African American and African-Born communities

Understanding the reading habit and attitudes among the rural community in low literacy rate areas in Malaysia

Purpose

The purpose of this paper is to investigate the reading habit and attitude among rural communities in the low literacy rate areas in Malaysia.

Design/methodology/approach

Multi-stage cluster and simple random sampling were employed and 400 respondents who live nearby the rural library were selected.

Findings

Moderate levels of reading attitude were obtained from the result of the study, in which several variables produced a significant relationship in the reading attitude (education level, household income and time spent in reading).

Practical implications

Better understanding on the reading habit and attitude among rural communities could produce better information on the service provision towards the establishment of rural libraries in low literacy rate areas in Malaysia. This would also increase the utilisation of reading sources and services provided.

Originality/value

The paper provides better understanding on the reading habit and attitude among the rural communities in the low literacy rate areas in using the facilities provided by the rural libraries. The findings may be useful to the rural literacy and library development community in the developing countries.

Changing Attitudes About Concurrency Among Young African Americans: Results of a Radio Campaign

We created and evaluated an 8-month campaign of provocative radio ads to change attitudes about concurrent (overlapping) sexual partnerships among young African Americans. We created a concurrency attitude scale and compared its score distributions in independent samples of African Americans, ages 18-34 years, interviewed by telephone before (n = 678) and after (n = 479) the campaign. Pre- and post-campaign samples reflected similar response rates (pre: 32.6%; post: 31.8%) and distributions of personal characteristics. Reported exposure to concurrency messages was greater after the campaign (pre: 6.3%, post: 30.9%), and mean scores indicated less acceptance of concurrency (pre: 3.40 [95% CI 3.23, 3.57]; post: 2.62 [2.46, 2.78]). Score differences were not a function of differences in composition of the samples (adjusted means: pre: 3.37 [3.21, 3.53]; post: 2.62 [2.47, 2.76]). Findings demonstrate that a carefully targeted, intensive mass media campaign can change attitudes about concurrency, which should facilitate behavior change.

Concurrency and Other Sexual Risk Behaviors Among Black Young Adults in a Southeastern City

Black Americans continue to have higher rates of HIV disease than other races/ethnicities. Conventional individual-level risk behaviors do not fully account for these racial/ethnic disparities. Sexual concurrency may help explain them. Respondent-driven sampling (RDS) was used to enroll 508 sexually active 18- to 30-year-old Black men and women in Durham, North Carolina in a cross-sectional survey on HIV-related topics. Consistent condom use was low for all participants, especially with steady partners. Concurrent partnerships in the past 6 months were relatively common for both men (38%) and women (25%). In general, men involved in concurrent relationships engaged in more risk behaviors than other men (e.g., inconsistent condom use and alcohol and drug use). A majority of concurrent partnerships involved steady partners. HIV-prevention programs should address the risks of concurrency and factors that discourage condom use, especially with steady partners with whom condom use is particularly low.