A5033009437- Adolescent Sexual and Reproductive Health
- Reproductive tract infections research
- HIV/AIDS Research and Interventions
- Syphilis Diagnosis and Treatment
- Dermatological diseases and infestations
- HIV, Drug Use, Sexual Risk
- Primary Care and Health Outcomes
- Global Maternal and Child Health
- Cultural Competency in Health Care
- Reproductive Health and Contraception
- Healthcare Systems and Technology
- Geriatric Care and Nursing Homes
- Chronic Disease Management Strategies
- Ethics in Clinical Research
- Sex work and related issues
- Health Systems, Economic Evaluations, Quality of Life
- Health disparities and outcomes
- Health Policy Implementation Science
- Clinical practice guidelines implementation
- Employment and Welfare Studies
- Attachment and Relationship Dynamics
- Zoonotic diseases and public health
- Genital Health and Disease
- LGBTQ Health, Identity, and Policy
- Vaccine Coverage and Hesitancy
University of Sussex
1998-2025
Brighton and Sussex Medical School
2016-2025
University of Kent
2023-2025
UK Health Security Agency
2023-2024
Center for Health and Gender Equity
2024
University of Brighton
2013-2023
University College London
2011-2021
London School of Hygiene & Tropical Medicine
2019-2021
Public Health England
2014-2021
National Institute for Health Research
2017-2021
What to prescribe for a patient in general practice when the choice of treatments has limited evidence base? <b>Tjeerd-Pieter van Staa and colleagues</b> argue that using electronic health records enter patients into randomised trials real time could provide answer
Background Pragmatic trials compare the effects of different decisions in usual clinical practice. Objectives To develop and evaluate methods to implement simple pragmatic using routinely collected electronic health records (EHRs) recruiting patients at point care; identify barriers facilitators for general practitioners (GPs) experiences trial participants. Design Two exemplar randomised (Retropro eLung) with qualitative evaluations. Setting Four hundred fifty-nine English Scottish...
Scabies outbreaks in residential and nursing care homes for elderly people are common, subject to diagnostic delay, hard control. We studied clinical features, epidemiology, outcomes of the UK between 2014 2015.We did a prospective observational study southeast England that reported scabies Public Health health protection teams. An outbreak was defined as two or more cases (in either residents staff) at single home. All patients who provided informed consent were included; with dementia...
Over the years, genitourinary clinic has been known as VD clinic, special eponymous and STD clinic. The specialty that dares not speak its name is now called medicine in Britain venereology other countries European Union. Previously viewed a “Cinderella specialty,” it past 15 years invited to ball, so speak. After appearance of AIDS, control sexually transmitted diseases became principal target government's Health Nation strategy. This brought expansion reorganisation specialty, which...
SUMMARY Scabies is an important public health problem in residential care homes. Delayed diagnosis contributes to outbreaks, which may be prolonged and difficult control. We investigated factors influencing outbreak recognition, treatment, staff experiences of control, identifying areas for intervention. carried out a semi-structured survey managers, affected residents seven homes reporting suspected scabies outbreaks southern England over 6-month period. Attack rates ranged from 2% 50%,...
There is little evidence about the prevalence of absence sexual attraction, or characteristics people reporting this, often labelled asexuals. We examine this using data from two probability surveys British general population, conducted in 1990–1991 and 2000–2001. Interviewers administered face-to-face self-completion questionnaires to aged 16–44 years (N = 13,765 1990–1991; N 12,110 2000–2001). The proportion that had never experienced attraction was 0.4% (95% CI: 0.3–0.5%) 2000–2001, with...
Background Use of routinely collected patient data for research and service planning is an explicit policy the UK National Health Service government. Much clinical information recorded in free-text letters, reports notes. These text are generally lost to research, due increased privacy risk compared with structured data. We conducted a citizens’ jury which asked members public whether their medical should be shared benefit, inform ethical policy. Methods Eighteen citizens took part over 3...
<h3>Abstract</h3> <b>Objectives</b> To describe the views of British public on use personal medical data by National Cancer Registry without individual consent, and to assess relative importance attached privacy in relation health uses identifiable data. <b>Design</b> Cross sectional, face interview survey. <b>Setting</b> England, Wales, Scotland. <b>Participants</b> 2872 respondents, 97% those who took part Office for Statistics9 omnibus survey, a national multistage probability sample,...
To quantify the contribution of patient delay, provider and diversion between services to delayed access genitourinary medicine (GUM) clinics. describe factors associated with their STI transmission.Cross-sectional survey 3184 consecutive new patients attending four GUM clinics purposively selected from across England represent different types population. Patients completed a short written questionnaire that collected data on sociodemographics, access, health-seeking behaviour....
Background Sexually transmitted infection (STI) risk is determined both by partner numbers and partnership characteristics. Studies describing only recent partnership(s) overestimate long-term partnerships underestimate the contribution of casual to STI transmission in populations. We describe all heterosexual past year terms type, age geographical mixing how these characteristics relate condom use. Methods Probability sample survey 11 161 men women aged 16–44 resident Britain, 1999–2001....
Primary care databases are a major source of data for epidemiological and health services research. However, most studies based on coded information, ignoring information stored in free text. Using the early presentation rheumatoid arthritis (RA) as an exemplar, our objective was to estimate extent hidden within text, using keyword search. We examined electronic records (EHRs) 6,387 patients from UK, aged 30 years older, with first diagnosis RA between 2005 2008. listed indicators which were...
Identifying dementia early in time, using real world data, is a public health challenge. As only two-thirds of people with now ultimately receive formal diagnosis United Kingdom systems and many it late the disease process, there ample room for improvement. The policy UK government National Health Service (NHS) to increase rates timely diagnosis. We used data from general practice (GP) patient records create machine-learning model identify patients who have or are developing dementia, but...