Sources of HIV-prevention information for individuals at high risk.

OBJECTIVES: To identify the best methods of reaching individuals at high risk with HIV-prevention messages. METHODS: Data were collected from 827 men who have sex with men, injection drug users, sex workers, HIV+ individuals, heterosexuals, migrant workers, and perinatal women. RESULTS: Over 70% of participants were exposed to HIV-prevention messages, but sources of exposure varied by risk group. CONCLUSIONS: Most methods examined were effective means of communicating prevention messages. As multifaceted approaches to intervention allow for more comprehensive dissemination, interventions can be tailored to the targeted risk group by using sources shown most effective for each group.

Labor force participation and fertility: a study of married women in Bangladesh.

PIP: Most researchers support the notion that a direct negative relationship exists between married women's labor force participation and fertility behavior, yet female employment shows no consistent, general relationship with declining fertility at individual and societal levels. Specific conditions under which employment lowers fertility are therefore explored for the case of Bangladesh. The economic, sociological, and world-system theoretical approaches to the relationship and empirical studies in developing countries including Bangladesh are reviewed. 1975-76 Bangladesh Fertility Survey data on births, deaths, nuptiality, and family planning knowledge and practice for 5772 currently married women of 6513 ever married women under 50 sampled are subjected to multivariate analysis for the study. Analysis revealed that women's modern and traditional occupation as well as higher and secondary education significantly lower their fertility, and that higher age, Islamic religion, use of modern contraceptives, and husband's occupation in transitional and modern sectors have significant positive effects on fertility. The correlation between higher fertility and contraceptive use may be due to women's delay in practicing family planning until reaching desired parity and/or high infant mortality driving women to cease practice in order to replace lost offspring. Future research should be conducted with larger samples and also consider occupations of both husbands and wives. Societal attitudes about women's education should be reformed in support of opening rural schools for women. With 90% of women residing in rural areas and women with traditional occupations having lower fertility, more traditional sector opportunities for women in cottage industry and agriculture production are also recommended, and would help balance skewed urban growth and hypertrophication of the tertiary sector. Finally, motivational efforts should be focused upon encouraging younger instead of older married couples to limit fertility.^ieng