Does Mass-Media Public Communication Campaign Normalize Discussion, Attitude and Behavior about Condom Use among Married Men in India?
Dipak Suryawanshi1, Sangram Kishor Patel2*, Rajatashuvra Adhikary2 and Shalini Bharat1
1School of Health Systems Studies, Tata Institute of Social Sciences, Mumbai, India.
2HIV and AIDS Program, Population Council, New Delhi, India.
- *Corresponding Author:
- Sangram Kishor Patel
Senior Program Officer
Population Council, 142
Golf Links, New Delhi 110003, India
Tel: +91- 11-41743410
Fax: +91-11- 24645060
E-mail: [email protected]; [email protected]
Received Date: June 29, 2016; Accepted Date: July 08, 2016; Published Date: July 15, 2016
Citation: Suryawanshi D, Patel SK, Adhikary R, Bharat S (2016) Does Mass-Media Public Communication Campaign Normalize Discussion, Attitude and Behavior about Condom Use among Married Men in India? J AIDS Clin Res 7:599. doi:10.4172/2155-6113.1000599
Copyright: © 2016 Suryawanshi D, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: ‘Condom’ is a stigmatized topic in India. Open discussion about its use and promotion are considered inappropriate. This study examines the association between exposure to public service announcements (PSA) around condoms and discussion, attitude and behavioral intentions about condom use among married men by their age and socio-economic status. Methods: A sub-sample of monogamous married men (N=2502) was obtained from 2009 BBC World Service Trust’s condom normalization survey among men in four high HIV prevalence states in India. The multiple logistic regression models were used to analyze the association of exposure to PSA around condoms with discussion, attitudes and behavioral intentions about condom and its usage. Result: More than half married men (55%) were younger (<=35 years), having better socio-economic status (educated above secondary levels and employed) (55%) and exposed to condom PSA (64%). Exposure to PSA was associated with greater likelihood to seek condom information (AOR: 1.33; p=0.010), positive attitude (AOR: 1.24; p=0.008), higher self-efficacy (AOR: 1.53; p=0.006) in using and, last time condom use (AOR: 2.15; p=0.023) among better SES group; with positive caring attitude (AOR: 1.27; p=0.010), ease in purchasing condom (AOR: 2.04, p=0.009) among older (35+ years) men, and with last time condom use among younger men (AOR: 1.85; p=0.037). Conclusion: The findings of the study highlight an important contention that linkage between mass-media campaigns and promotion of condom normalization through discussion, seeking information and intention to use and its usage goes beyond as a behavior change strategy to include dimensions of age, educational attainment and economic status. The effectiveness of mass media campaigns for normalizing condom discussion is largely mediated by demographic and socio-economic variables. Future campaigns need to address these variables to be more effective.