Public Health

Current Awareness

Sexual assault has lasting effects on teenagers’ mental health and education.
NIHR Evidence; 2022.
(The mental and physical health symptoms reported in this study were higher than in the general population. Young people who had been involved with social services, or who had mental health problems before the assault had worse mental health problems and worse school attendance afterwards. Sexual assault can therefore increase health inequalities in this already vulnerable group.)

Autistic people’s healthcare information strategy for England.
NHS England; 2022.
(This document sets out an initial strategy for the development of information about the health of, and health care received by people with autism in England, from sources already collected or being established. It proposes the development of three dashboards, setting out statistics for: autism diagnosis services and transition from child to adult services; long-term health conditions, healthcare use and mortality for autistic people; more intensive inputs from mental health services.)

Suicide prevention – priorities in the next decade.
(Consultant psychiatrist JS Bamrah speaks to Professor Louis Appleby, who leads the National Suicide Prevention Strategy for England and directs the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. The webinar will cover current suicide prevention priorities, tying in with the recently announced suicide prevention strategy from the UK Government, before answering questions from the chair and audience. The event is open to BMA members and non-members.)

Food poverty: households, food banks and free school meals
House of Commons Library; 2022.
(There is no widely accepted definition of ‘food poverty’. However, a household can broadly be defined as experiencing food poverty or ‘household food insecurity’ if they cannot (or are uncertain about whether they can) acquire “an adequate quality or sufficient quantity of food in socially acceptable ways”. The increase in the cost of living has increased household food insecurity.)

Public Health

Current awareness updates

Campaigning to eliminate drink spiking.
Stamp Out Spiking UK; 2022.
[This campaign offers anti-drink spiking resources and solutions that help people to stay safe, with a mission to raise awareness and promote personal safety issues, by providing people with information and a practical means of protecting themselves, and ultimately, to stamp out drink spiking.]

Delivering safe, face-to-face adult day care.
Social Care Institute for Excellence (SCIE); 2022.
[Supporting care managers, social workers, commissioners and providers, with activities. The latest updates to the guidance include: Infection control and testing; vaccination information; and changes to restrictions due to Omicron.]

Recent increase in group B meningococcal disease among teenagers and young adults.
UK Health Security Agency (UKHSA); 2022.
[Teenagers and young adults are urged to look out for symptoms and check that they have received all routine vaccinations. Recent data and analysis shows that in autumn 2021 there was an increase in the number of cases of meningococcal disease in teenagers and young adults, mainly caused by group B meningococcal disease (MenB) – with the majority among university students.]

Focusing on men’s health: it’s time for a national strategy.
Baker P. British Journal of Nursing 2022;31(1):50-51.
[It is surely time for a men’s health strategy in the UK. Or, rather, a strategy for each of the UK’s nations. Seven other countries—including our nearest neighbour, Ireland—already have men’s health strategies or policies. The UK Government has also signed up to World Health Organization (WHO) Europe’s regional men’s health strategy (WHO Regional Office for Europe, 2018). A Women’s Health Plan for Scotland was published in August and a women’s health strategy for England is being developed.]

Stop Abuse Together.
Cabinet Office; 2022.
[Tool to help parents, carers, teachers or other professionals working with children, to spot the potential signs of child sexual abuse and where to go for support. This website brings together advice and resources to help you keep the children in your life safe.]

Public Health

Current awareness updates

Alcohol is one of the biggest risk factors for breast cancer.
World Health Organization (WHO); 2021.
[Alcohol is classified as a Group 1 human carcinogen by IARC. It is causally linked to 7 types of cancer. Besides female breast cancer, it increases the risk of developing oral cavity (mouth), pharynx (throat), oesophagus (gullet), liver, larynx (voice box) and colorectum (large intestine and rectum) cancers. There is no safe level of alcohol consumption. The risk of breast cancer increases with each unit of alcohol consumed per day.]

Myalgic encephalomyelitis (or encephalopathy)/chronic fatigue syndrome: diagnosis and management.
National Institute for Health and Care Excellence (NICE); 2021.
[This guideline covers diagnosing and managing myalgic encephalomyelitis (or encephalopathy)/chronic fatigue syndrome (ME/CFS) in children, young people and adults. It aims to improve awareness and understanding about ME/CFS and when to suspect it, so that people are diagnosed earlier. It includes recommendations on diagnosis, assessment and care planning, safeguarding, access to care and managing ME/CFS and its symptoms.]

Eligible for a free flu vaccine this winter? Don’t wait, book it.
UK Health Security Agency (UKHSA); 2021.
[With flu and COVID-19 expected to be in wide circulation together this winter, UK Health Security Agency is urging more people than ever to get their free flu vaccine, if they are eligible. In this blog the UK Health Security Agency answers some common questions about this year’s flu season.]

The use of wearables and health apps and the willingness to share self-collected data among older adults.
Seifert A. Aging and Health Research 2021;1(3):100032.
[The aim of this study was to examine the extent to which older adults utilize mobile health tracking tools in everyday life and their willingness to share the collected health-related data with doctors, health insurance companies, or research institutions. 75.0% of the participants used at least one mobile device; 22.9% used health-related apps. Participants were more often willing to share their data with doctors than with health insurance companies or researchers.]

Changes in childhood experimentation with, and exposure to, tobacco and e-cigarettes and perceived smoking norms: a repeated cross-sectional study of 10–11 year olds’ in Wales.
BMC Public Health; 2021.
[Children’s experimentation with and exposure to tobacco, and their perceptions of smoking as a normative behaviour, have continued to decline alongside growth in exposure to e-cigarettes. Although a large majority of pupils reported they minded people smoking around them, there was some evidence of diminishing disapproval of secondhand smoke since 2007.]

Understanding Sexual Aggression in UK Male University Students: An Empirical Assessment of Prevalence and Psychological Risk Factors.
Sexual Abuse; 2021.
[University-based sexual aggression is an international public health issue; however, to date, there have been no formal assessments of the prevalence or psychological indicators associated with the proabuse behaviors of the most common perpetrators at UK universities: heterosexual male students.]

Patients as team members: Factors affecting involvement in treatment decisions from the perspective of patients with a chronic condition.
Health Expectations; 2021.
[From the patients’ perspective, this study shows that there is no one-size-fits-all approach to involving patients more actively in their healthcare journey. Strategies aiming to enhance active patient involvement among patients with a chronic condition should consider this diversity in perspectives among these patients.]

Lead exposure in children: surveillance reports (from 2021).
UK Health Security Agency (UKHSA); 2021.
[Results of laboratory-based surveillance of elevated blood lead concentrations in children in England.]

Seasonal flu vaccine uptake in children of school age: monthly data, 2021 to 2022.
UK Health Security Agency (UKHSA); 2021.
[Cumulative vaccine uptake data for the childhood seasonal flu programme in England.]

Review: Physical activity interventions for the mental health and well-being of adolescents – a systematic review. [Abstract]
Hale GE. Child and Adolescent Mental Health 2021;26(4):357-368.
[Rates of physical activity decline throughout adolescence, and evidence indicates that this has an adverse impact on psychological health. This paper aims to synthesise available evidence for physical activity interventions on the mental health and well-being of young people (11-19 years) from the general population.]

Telehealth interventions: remote monitoring and consultations for people with chronic obstructive pulmonary disease (COPD). [Abstract]
Janjua S. Cochrane Database of Systematic Reviews 2021;7:CD013196.
[BACKGROUND: Face-to-face visits with health professionals can be hindered by severity of COPD or frailty, and by people living at a distance from their healthcare provider and having limited access to services. Telehealth technologies aimed at providing health care remotely through monitoring and consultations could help to improve health outcomes of people with COPD.]

Strategies to improve smoking cessation rates in primary care. [Abstract]
Lindson N. Cochrane Database of Systematic Reviews 2021;9:CD011556.
[OBJECTIVES: To assess the effectiveness of strategies intended to increase the success of smoking cessation interventions in primary care settings. To assess whether any effect that these interventions have on smoking cessation may be due to increased implementation by healthcare providers.]

Living with dementia: my life, my goals.
Alzheimer’s Society; 2021.
[A new self-help guide for people living with dementia. The guide helps people with dementia achieve their goals step-by step. It was created by researchers from the GREAT trial in collaboration with people living with dementia.]

Sexual safety on mental health wards

Care Quality Commission, September 2018
Care Quality Commission report based on an analysis of nearly 60,000 reports that found 1,120 sexual incidents involving patients, staff, visitors and others described in 919 reports – some of which included multiple incidents. More than a third of the incidents (457) could be categorised as sexual assault or sexual harassment of patients or staff.  Providers and people who use services told the CQC:

  1. People who use services do not always feel that they are kept safe from unwanted sexual behaviour
  2. Clinical leaders of mental health services do not always know what is good practice in promoting the sexual safety of people using the service and of their staff
  3. Many staff do not have the skills to promote sexual safety or to respond appropriately to incidents
  4. The ward environment does not always promote the sexual safety of people using the service
  5. Staff may under-report incidents and reports may not reflect the true impact on the person who is affected
  6. Joint-working with other agencies such as the police does not always work well in practice

Click here to view the full report.