With iOS 4.0 Apple introduced two new technologies to the iOS platform: Grand Central Dispatch, and blocks. Simply put, it is to multi-threaded programming what fire is to a barbecue. Sure you can do without it, but the end result is much better.
Despite all this, developers still seem to avoid using it. Some of the reasons for this, off the top of my head, could be backwards-compatibility for older versions of iOS, unfamiliarity with the funky syntax it uses, or simply a lack of practice. The biggest thing I find however is a general misunderstanding about the importance of multi-threading among new developers, which was made worse by the difficulty of dealing with threads before blocks and GCD was released.
Fortunately there’s no reason to avoid multi-threaded programming in iOS, but before I dive into the specifics I’d like to point out just how important it is to use an asynchronous approach to development on iOS, or any mobile platform in general.