A5053667343- Substance Abuse Treatment and Outcomes
- Alcohol Consumption and Health Effects
- Urban Transport and Accessibility
- Homelessness and Social Issues
- Health disparities and outcomes
- Health Policy Implementation Science
- Community Health and Development
- Global Public Health Policies and Epidemiology
- Smoking Behavior and Cessation
- Urban Green Space and Health
- Prenatal Substance Exposure Effects
- Mental Health Treatment and Access
- Traffic and Road Safety
- Mindfulness and Compassion Interventions
- Cancer, Lipids, and Metabolism
- Obesity, Physical Activity, Diet
- COVID-19 and Mental Health
- Child and Adolescent Psychosocial and Emotional Development
- Mental Health and Patient Involvement
- Noise Effects and Management
- Metabolism, Diabetes, and Cancer
- Colorectal Cancer Screening and Detection
- Behavioral Health and Interventions
- Alcoholism and Thiamine Deficiency
- Emergency and Acute Care Studies
University College London
2011-2025
Institute of Alcohol Studies
2019-2025
King's College London
2015-2024
The Warwick–Edinburgh Mental Well-being Scale (WEMWBS), 14 positively worded statements, is a validated instrument to measure mental wellbeing on population level. Less known about the distribution of shorter seven-item version (SWEMWBS) or its performance as an wellbeing. Using Health Survey for England 2010–2013 (n = 27,169 adults aged 16+, nationally representative population), age- and sex-specific norms were estimated using means percentiles. Criterion validity was examined using: (1)...
There is consistent evidence that individuals in higher socioeconomic status groups are more likely to report exceeding recommended drinking limits, but those lower experience alcohol-related harm. This has been called the 'alcohol harm paradox'. Such studies typically use standard cut-offs define heavy drinking, which exceeded by a large proportion of adults. Our study pools data from six years (2008-2013) population-based Health Survey for England test whether distribution extreme levels...
Under-reporting of alcohol consumption is widespread; surveys typically capture 40-60% sales. However the population distribution under-reporting not well understood. Mixed-methods study to identify factors associated with under-reporting, using nationally-representative Health Survey for England (HSE) 2011 (overall response rate 66%). Comparison retrospective computer-assisted personal interview and seven-day drinking diary (n = 3,774 adults 18+, 50% women, 69%) responses exceeding those...
Background: This study predicts the implications of under-reporting alcohol consumption in England for above Government drinking thresholds. Methods: Two nationally representative samples private households were used: General LiFestyle survey (GLF) and Health Survey (HSE) 2008. Participants 9608 adults with self-reported on heaviest day last week 12 490 average weekly (GLF). Alcohol both surveys was revised to account three hypothetical scenarios. The prevalence more than UK guidelines 21/14...
Urban transport infrastructure and motorised road traffic contribute to the physical or psychological separation of neighbourhoods, with possible effects on health wellbeing local residents. This issue, known as "community severance", has been approached by researchers from a range disciplines, which have different ways constructing scientific knowledge. The objective this paper is build bridges between these approaches provide basis for integration issue into public policy. A framework...
The COVID-19 pandemic led to changes in alcohol consumption England. Evidence suggests that one-fifth one-third of adults increased their consumption, while a similar proportion reported consuming less. Heavier drinkers the most and there was 20% increase alcohol-specific deaths England 2020 compared with 2019, trend continuing through 2021 2022. This study aimed quantify future health, healthcare, economic impacts observed during pandemic. used validated microsimulation model health...
Background Previous studies have shown heavier drinkers are less likely to respond surveys and require extended efforts recruit. This study applies the continuum of resistance model explore how survey estimates alcohol consumption may be affected by non-response bias in three consecutive years a general population England. Methods Using Health Survey for England (HSE) 2011–13, number contact attempts (1–6 7+) were explored socio-demographic drinking characteristics. The odds more than...
Background Several studies have found participants pour more than 1 standard drink or unit as their usual glass. This is the first study to measure actual and perceived amounts of alcohol in a self‐defined glass wines spirits general population. Methods Participants were convenience sample adults who drinks for other people ( n = 283, 54% women) at 6 sites S outh E ast ngland. The survey was face comprised self‐completion questionnaire pouring task. Estimation accuracy, categorised correct...
Abstract Introduction To gain a better understanding of the complex and independent associations between different measures socioeconomic position (SEP) smoking in England. Aims Methods Between March 2013 January 2019 data were collected from 120 496 adults aged 16+ England taking part Smoking Toolkit Study. Of these, 18.04% (n = 21 720) current smokers. Six indicators SEP measured: social grade, employment status, educational qualifications, home car ownership income. Models constructed...
To estimate and compare the optimal cut-off score of Alcohol Use Disorders Identification Test (AUDIT) AUDIT-C in identifying at-risk alcohol consumption, heavy episodic use, ICD-10 abuse dependence adolescents attending ED England. Opportunistic cross-sectional survey. 10 emergency departments across Adolescents (n = 5377) aged between their 10th 18th birthday who attended December 2012 May 2013. Scores on AUDIT AUDIT-C. At-risk consumption monthly past 3 months were derived using time-line...
Background Acamprosate is an effective and cost-effective medication for alcohol relapse prevention but poor adherence can limit its full benefit. Effective interventions to support acamprosate are therefore needed. Objectives To determine the effectiveness of Medication Management, with without Contingency compared Standard Support alone in enhancing impact on abstinence reduced consumption. Design Multicentre, three-arm, parallel-group, randomised controlled clinical trial. Setting...
Adolescence is a critical developmental stage when young people make lifestyle choices that have the potential to impact on their current and future health social wellbeing. The relationship between substance use criminal activity complex but there clear evidence prevalence of problematic far higher among adolescent offenders than general population. Adolescent are marginalized vulnerable population who significantly more likely experience inequalities in later life non-offending peers....
Background: This study examined changes in population-level co-use of cannabis and alcohol before 12 months after nonmedical legalization Canada, relative to the United States that had previously legalized not (US legal illegal states, respectively). Methods: Data are from waves 1 2 International Cannabis Policy Study, collected 2018 (before) 2019 (12 Canada). Respondents aged 16–65 years Canada ( n = 25,313) US 25,189) 19,626) states completed an online survey. Changes between compared...
Background Alcohol consumption and related harm increase steeply from the ages of 12–20 years. Adolescents in UK are among heaviest drinkers Europe. Excessive drinking adolescents is associated with increased risk accidents, injuries, self-harm, unprotected or regretted sex, violence disorder, poisoning accidental death. However, there lack clear evidence for most clinically effective cost-effective screening brief interventions reducing preventing alcohol attending emergency departments...
Introduction Drinking has adverse impacts on health, well-being, education and social outcomes for adolescents. Adolescents in England are among the heaviest drinkers Europe. Recently, proportion of adolescents who drink alcohol fallen, although consumption those do actually increased. This trial seeks to investigate how effective efficient an brief intervention is with 11–15 years olds encourage lower consumption. Methods analysis individually randomised two-armed incorporating a control...