A5075712076- HIV, Drug Use, Sexual Risk
- Opioid Use Disorder Treatment
- Forensic Toxicology and Drug Analysis
- COVID-19 and Mental Health
- Hepatitis B Virus Studies
- Hepatitis C virus research
- HIV/AIDS Research and Interventions
- Vaccine Coverage and Hesitancy
- Health Policy Implementation Science
- Health Systems, Economic Evaluations, Quality of Life
- Mental Health Treatment and Access
- Mental Health and Psychiatry
- Chronic Disease Management Strategies
- HIV-related health complications and treatments
- Food Security and Health in Diverse Populations
- HIV/AIDS drug development and treatment
- COVID-19 Clinical Research Studies
- Pharmacological Effects and Toxicity Studies
- Primary Care and Health Outcomes
- Homelessness and Social Issues
- Healthcare cost, quality, practices
- Research in Social Sciences
- Delphi Technique in Research
- Sex work and related issues
- Psychiatric care and mental health services
UK Health Security Agency
2022-2023
Public Health England
2020-2021
University of Oxford
2019
Abstract Background and aims Mortality drug treatment data suggest that the median age of people who inject drugs is increasing. We aimed to describe changes in characteristics injecting United Kingdom (UK). Design Repeat cross‐sectional surveys modelling. Setting Low‐threshold services such as needle syringe programmes. Participants A total 79 900 recently injected psychoactive Kingdom, recruited part Unlinked Anonymous Monitoring Survey (England, Wales, Northern Ireland, 1990–2019) Needle...
Abstract Direct‐acting antiviral (DAA) therapy for anybody with viraemic HCV infection has been scaled‐up in England since 2017. To assess early impacts, we investigated trends in, and factors associated with, viraemia among people who inject drugs (PWID). We also examined self‐reported treatment access. Bio‐behavioural data from an annual, national surveillance survey of PWID (2011–2018) estimated prevalence antibody‐positive PWID. Multivariable logistic regression identified...
Abstract Introduction People who inject drugs are at high risk of blood‐borne infections. We describe the epidemiology HIV among people in England, Wales, and Northern Ireland (EW&NI) since 1981. Methods National surveillance data were used to trends diagnoses (1981–2019), prevalence (1990–2019), behaviours (1990–2019) aged ≥15 years EW&NI. care treatment uptake assessed those attending 2019. Results Over past four decades, EW&NI remained low (range: 0.64%–1.81%). Overall, 4978...
This study explores trends in sex work among people who inject drugs (PWID) by gender and the relationship between adverse health outcomes including overdose, injection-site, blood-borne virus (BBV) infections.The Unlinked Anonymous Monitoring Survey of PWID is an annual cross-sectional survey that monitors BBV prevalence behaviours, transactional sex, recruited through specialist services England, Wales, Northern Ireland.Trends (2011-2021) were described. Data analysed to assess differences...
Crack use is higher in the United Kingdom (UK) than other European countries. a stimulant with short half-life, requiring frequent injection to maintain its euphoric effects, thus increasing risk of blood borne viruses (BBVs) and skin soft tissue infections (SSTIs). We assessed trends prevalence current crack among people who inject drugs (PWID) investigated harms factors associated use.We used data from annual Unlinked Anonymous Monitoring Survey PWID, which recruits have ever injected...
Diagnosis-related groups (DRGs) are under consideration as a way to pay hospitals for psychiatric care. Yet DRGs account only 3% of the variation in how long patients stay hospital. This nearly random means that psychiatrists may be working payment system will have little relation clinical reality. The authors identify important flaws current and describe an alternative approach promises reflect reality much more accurately.
Hepatitis C virus (HCV) transmission in the UK is driven by injecting drug use. We explore HCV testing uptake amongst people who inject drugs (PWID) England, Wales and Northern Ireland, identify factors associated with i) ever having an test have injected drugs, ii) recently (within current or previous year) currently (reported within last year).We analysed data from 2019 'Unlinked Anonymous Monitoring Survey' of PWID, using logistic regression.Of 3,127 2,065 reported year. Most (86.7%) PWID...
Potential conflict of interest: Nothing to report. Background Hepatitis C virus (HCV) is a bloodborne viral infection the liver that, if untreated, can cause cirrhosis, failure, and cancer. In 2019, Public Health England (PHE) estimated that 89,000 people are chronically infected with HCV in England, many drawn from marginalized underserved groups society, such as experiencing homelessness.1 response global coronavirus disease 2019 (COVID‐19) pandemic, national restrictions on movement...
Aim: Needle and syringe (NS) provision is a proven intervention for reducing harms associated with injecting drug use, such as infections, but impact coverage-dependent. We characterised people who injected drugs (PWID) in England Wales had insufficient NS the past month to meet their requirements.Methods: This study utilised 2017–2019 data from annual Unlinked Anonymous Monitoring (UAM) Survey of PWID recruited through specialist services. Logistic regression was used identify factors...
The adverse effects of anti-retroviral drugs should be considered by both medical and psychiatric clinicians for mental health problems in HIV positive patients. This case report describes the development complications a patient recently commenced on protease inhibitors which then seemingly improved with switch to an integrase inhibitor.
Will the new Health Research Authority (HRA) framework go far enough? Dr Emily Phipps, Professor Sian Griffiths of The Chinese University Hong Kong, and Mark Sheehan Nuffield Department Population Health, Oxford University, consider challenges facing HRA in addressing research into public health interventions on both an individual a population level.IntroductionIn 2013, functions National Service (NHS) England moved to local government as part reforms under Social Care Act 2012.[1] In this...
Abstract Background People who inject drugs (PWID) are at increased health risk in a pandemic due to their greater susceptibility severe disease and as consequence of the restrictions put place halt spread infection. Harm reduction (HR) services, which aim reduce negative effects drug use on health, likely be diminished pandemic. However, innovative HR interventions messaging may also develop response such crisis. It is vital understand most effective ways deliver situations so that guidance...