- Adolescent Sexual and Reproductive Health
- Sex work and related issues
- HIV/AIDS Research and Interventions
- Mental Health and Patient Involvement
- Behavioral Health and Interventions
- Mobile Health and mHealth Applications
- Gender Roles and Identity Studies
- Reproductive Health and Contraception
- Child and Adolescent Health
- Intimate Partner and Family Violence
- Community Health and Development
- Health Services Management and Policy
- Healthcare Systems and Challenges
- Sexuality, Behavior, and Technology
- Reproductive tract infections research
- demographic modeling and climate adaptation
- COVID-19 and healthcare impacts
- Migration, Health and Trauma
- Survey Methodology and Nonresponse
- Sexual function and dysfunction studies
- Intergenerational Family Dynamics and Caregiving
- Social Media in Health Education
- Computational and Text Analysis Methods
- Focus Groups and Qualitative Methods
- Burn Injury Management and Outcomes
University College London
2008-2023
Faculty (United Kingdom)
2023
London School of Hygiene & Tropical Medicine
2010-2020
Public Health England
2020
National Institute for Health Research
2020
Mortimer Market Centre
2007-2019
Royal Hallamshire Hospital
2010
Sheffield Teaching Hospitals NHS Foundation Trust
2010
University of Bristol
2010
UCL Australia
2009
BackgroundSexual health entails the absence of disease and ability to lead a pleasurable safe sex life. In Britain, ethnic inequalities in diagnoses sexually transmitted infections (STI) persist; however, reasons for these inequalities, variations other markers sexual health, remain poorly understood. We investigated differences hypothesised explanatory factors such as socioeconomic factors, substance use, depression, behaviours, whether they explained (reported STI diagnoses, attendance at...
Increasing condom use to prevent sexually transmitted infections is a key public health goal. Interventions are more likely be effective if they theory- and evidence-based. The Behaviour Change Wheel (BCW) provides framework for intervention development. To provide an example of how the BCW was used develop increase in heterosexual men (the MenSS website), steps development process were followed, incorporating evidence from research literature views experts target population. Capability...
Sexually transmitted infections (STI) are a major public health problem. Condoms provide effective protection but there many barriers to use. Face-to-face promotion interventions resource-intensive and show mixed results. Interactive digital may suitable alternative, allowing private access personally tailored behaviour change support. We have developed an interactive intervention (the Men's Safer Sex (MenSS) website) which aims increase condom use in men. describe the protocol for pilot...
Background This report details the development of Men’s Safer Sex website and results a feasibility randomised controlled trial (RCT), health economic assessment qualitative evaluation. Objectives (1) Develop to address barriers condom use; (2) determine best design for an online RCT; (3) inform methods collecting analysing data; (4) assess Sexual Quality Life (SQoL) questionnaire European Life-5 Dimensions, three-level version (EQ-5D-3L) calculate quality-adjusted life-years (QALYs); (5)...
Traditionally, genitourinary medicine (GUM) and contraceptive services have been provided separately. Providing these on one site, as a one-stop shop, has suggested way of improving access to care. There is little evidence about the acceptability such an approach. We aimed assess different shop models (a young people's, all ages (mainstream) general practice service) sexual health provision among community groups.Between April December 2005, 19 semi-structured interviews 14 focus groups were...
BackgroundIn the UK, black Caribbean and African populations experience disproportionately high rates of sexually transmitted infections (STIs) HIV. Often studies do not differentiate between these notwithstanding differences in STI epidemiology sociodemographics.
Objectives: Young black women are disproportionately affected by sexually transmitted infections (STI) in the UK, but effective interventions to address this lacking. The Brent Project explored nature and context of sexual risk-taking young people inform translation an clinic-based STI reduction intervention (Project SAFE) from USA UK. Methods: One-to-one in-depth interviews (n = 37) group discussions 10) were conducted among men aged 15–27 years different ethnic backgrounds recruited youth...
Background: Health promotion and risk reduction are essential components of sexual health care. However, it can be difficult to prioritize these within busy clinical services. Digital interventions may provide a new method for supporting these. Objective: The MenSS (Men's Safer Sex) website is an interactive digital intervention developed by multidisciplinary team, which aims improve condom use in men who have sex with women (MSW). This paper describes the content this intervention,...
Abstract Background Partner concurrency, (having sexual partnerships overlapping in time), especially when condoms are not used, can facilitate sexually transmitted infections (STI) transmission. In Britain, STI diagnoses rates and the reporting of concurrency higher among black Caribbeans than other ethnic groups. We explored attitudes towards, drivers, characteristics, contexts concurrent partnerships, their implications for risk England. Methods Purposive sampling, by sex age-groups, was...
Objectives We aimed to determine the feasibility of an online randomised controlled trial (RCT) Men’s Safer Sex website, measuring condom use and sexually transmitted infection (STI). Methods For this study 159 men aged ≥16 with female sexual partners recent condomless sex or suspected STI were recruited from three UK health clinics. Participants intervention website plus usual clinic care ( n = 84), only 75). Online outcome data solicited at 3, 6, 12 months. Results Men enrolled via tablet...
Newspapers are recognised as a major source of factual information. The media representation issues related to teenage pregnancy is important policy makers and those delivering interventions. This particularly so in relation which may be seen sensitive by the public, such sex relationship education (SRE). Despite general recognition importance communicating there an absence satisfactory tools with evaluate newspaper reports, field SRE. In this paper we present systematic examination articles...
Objectives Ethnic differences in partnership types and sexual mixing patterns may contribute to elevated STI diagnosis rates among England’s Black Caribbean (BC) population. We examined the between BC White British/Irish (WBI) health clinic (SHC) attendees’ reported partnerships mixing, whether these could explain ethnic inequalities STI, focusing on attendees reporting only opposite-sex partners (past year). Methods surveyed at 16 SHCs across England (May September 2016), linked their...
Little evidence is available on the extent to which one-stop shops address users' sexual health needs and they identify additional users may not have identified. As part of One-Stop Shop Evaluation, a questionnaire was designed compare reasons for visits reported outcomes at shop with experiences in separate genitourinary medicine (GUM) contraceptive clinics.The difference proportions those attending control sites services sexually transmitted infection (STI)-related reason who were...
In England, people of Black Caribbean (BC) ethnicity are disproportionately affected by sexually transmitted infections (STI). We examined whether differences in sexual healthcare behaviours contribute to these inequalities.We purposively selected 16 health clinics across England with high proportions attendees BC ethnicity. During May-September 2016, at (of all ethnicities) completed an online survey that collected data on service use and behaviour. individually linked routinely-collected...
High rates of sexually transmitted infections (STIs) and unplanned pregnancy amongst young people in England emphasize the need to explore innovative ways delivering sexual health information. The National Teenage Pregnancy Strategy for Sexual Health HIV advocate better education. latter states: Information on is often uncoordinated or poorly targeted. It not consistently accessible doesnt make enough use new media technology. Internet a practical tool increasing awareness. sites can be...