Bob Erens

Bob Erens
London School of Hygiene and Tropical Medicine | LSHTM · Department of Health Services Research and Policy

About

147
Publications
38,389
Reads
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10,627
Citations
Introduction
Additional affiliations
August 2015 - present
University College London
Position
  • Honorary Senior Research Associate
February 2011 - present
London School of Hygiene and Tropical Medicine
Position
  • Deputy Director, Policy Innovation Research Unit
October 2010 - July 2015
University College London
Position
  • Principal Research Fellow

Publications

Publications (147)
Article
Full-text available
While debate on how best to pay for social care in England continues, information about public attitudes on this issue is limited. We asked representative samples of the public whether care costs for older people should be met by the state, met by the service user or shared between state and user. We used an online survey of people aged 18–75 ( n =...
Article
Full-text available
Background Hot weather leads to increased illness and deaths. The Heatwave Plan for England (HWP) aims to protect the population by raising awareness of the dangers of hot weather, especially for those most vulnerable. Individuals at increased risk to the effects of heat include older adults, particularly 75+, and those with specific chronic condit...
Article
Full-text available
Background This paper presents the results of the first UK-wide survey of National Health Service (NHS) general practitioners (GPs) and practice managers (PMs) designed to explore the service improvement activities being undertaken in practices, and the factors that facilitated or obstructed that work. The research was prompted by growing policy an...
Article
Full-text available
There is ongoing debate about how the funding system for social care of older people in England should best be reformed. We investigated how public attitudes to individual and state responsibility for paying for social care in later life vary with demographic and socio-economic characteristics. Four vignettes of individuals in need of home care or...
Preprint
Full-text available
Background Hot weather leads to increased illness and deaths. The Heatwave Plan for England (HWP) aims to protect the population by raising awareness of the dangers of hot weather, especially for those most vulnerable. Individuals at increased risk to the effects of heat include older adults, particularly 75+, and those with specific chronic condit...
Article
Full-text available
Background: In health research, population estimates are generally obtained from probability-based surveys. In market research surveys are frequently conducted from volunteer web panels. Propensity score adjustment (PSA) is often used at analysis to try to remove bias in the web survey, but empirical evidence of its effectiveness is mixed. We asse...
Article
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Purpose All areas in England are expected by National Health Service (NHS) England to develop integrated care systems (ICSs) by April 2021. ICSs bring together primary, secondary and community health services, and involve local authorities and the voluntary sector. ICSs build on previous pilots, including the Integrated Care Pioneers in 25 areas fr...
Article
Full-text available
Background Men and women are increasingly likely to stay sexually active into later life, but research shows that sexual activity and satisfaction decrease with increasing age. Ill health and medical treatments may affect sexual activity but there is little research on why some older people with a health problem affecting their sexual activity are...
Article
It is increasingly common for respondents to complete web surveys using mobile devices (smartphones and tablets) rather than personal computers/laptops (PCs). Evidence of the impact of the use of mobile devices on response and data quality shows mixed results and is only available for general population surveys. We looked at response quality for a...
Article
Full-text available
Improving the quality of general practice services has risen in priority as primary care has taken on an increasingly important role in National Health Service policy. In 2015 the Royal College of General Practitioners issued a guide to quality improvement (RCGP, 2015) and a new on-line resource in early 2017 called Quality Now (http://www.rcgp.org...
Article
Full-text available
Background Sexual orientation encompasses three dimensions: sexual identity, attraction and behaviour. There is increasing demand for data on sexual orientation to meet equality legislation, monitor potential inequalities and address public health needs. We present estimates of all three dimensions and their overlap in British men and women, and co...
Data
Sexual attraction and experience among men and women aged 16–74 years, Britain, 2010–12. (DOCX)
Data
Sexual identity, same-sex attraction and recent opposite-sex sex among men and women reporting same-sex sex ever, by recency of same-sex sex and age, Britain, 2010–12. (DOCX)
Article
Full-text available
Background: The Cold Weather Plan (CWP) for England was launched by the Department of Health in 2011 to prevent avoidable harm to health by cold weather by enabling individuals to prepare and respond appropriately. This study sought the views of local decision makers involved in the implementation of the CWP in the winter of 2012/13 to establish t...
Article
Full-text available
Purpose Integrating health and social care is a priority in England, although there is little evidence that previous initiatives have reduced hospital admissions or costs. In total, 25 Integrated Care Pioneers have been established to drive change “at scale and pace”. The early phases of the evaluation (April 2014-June 2016) aimed to identify their...
Conference Paper
Introduction Sexual orientation encompasses three dimensions: sexual identity, attraction and behaviour. Many health and policy surveys and inequality monitoring activities collect data only on identity, while STI risk is primarily driven by behaviour. We present estimates of all three dimensions and examine the extent of their overlap, for men and...
Article
Background: The Friends and Family Test (FFT) was introduced into general practices in England in 2015 to provide staff with information on patients' views of their experience of care. Aim: To examine the views of practice staff and patients of the FFT, how the results are used, and to recommend improvements. Design and setting: A qualitative...
Article
Full-text available
Objectives: Breakdown of marriage and cohabitation is common in Western countries and is costly for individuals and society. Most research on reasons for breakdown has focused on marriages ending in divorce and/or have used data unrepresentative of the population. We present prevalence estimates of, and differences in, reported reasons for recent...
Article
Background In 2000, a 10-year Teenage Pregnancy Strategy was launched in England to reduce conceptions in women younger than 18 years and social exclusion in young parents. We used routinely collected data and data from Britain's National Surveys of Sexual Attitudes and Lifestyles (Natsal) to examine progress towards these goals. Methods In this ob...
Article
In 2000, a 10-year Teenage Pregnancy Strategy was launched in England to reduce conceptions in women younger than 18 years and social exclusion in young parents. We used routinely collected data and data from Britain's National Surveys of Sexual Attitudes and Lifestyles (Natsal) to examine progress towards these goals. In this observational study...
Article
Full-text available
Objective To examine sociodemographic and behavioural differences between men who have sex with men (MSM) participating in recent UK convenience surveys and a national probability sample survey. Methods We compared 148 MSM aged 18–64 years interviewed for Britain's third National Survey of Sexual Attitudes and Lifestyles (Natsal-3) undertaken in 20...
Article
Full-text available
Interviewer-administered surveys are an important method of collecting population-level epidemiological data, but suffer from declining response rates and increasing costs. Web surveys offer more rapid data collection and lower costs. There are concerns, however, about data quality from web surveys. Previous research has largely focused on selectio...
Article
Objectives: To inform development of Public Health England's Cold Weather Plan (CWP) by characterizing pre-existing relationships between wintertime weather and mortality and morbidity outcomes, and identification of groups most at risk. Study design: Time-series regression analysis and episode analysis of daily mortality, emergency hospital adm...
Article
To determine the conditions under which the Cold Weather Plan (CWP) for England is likely to prove cost-effective in order to inform the development of the CWP in the short term before direct data on costs and benefits can be collected. Mathematical modelling study undertaken in the absence of direct epidemiological evidence on the effect of the...
Article
Introduction Convenience samples of MSM are typically skewed towards gay-identified and community-attached men who do not necessarily represent all MSM, a key population for STI/HIV transmission. Comparing convenience samples with a probability sample of MSM enables us to assess their representativeness. Methods We compared 148 MSM in Britain’s thi...
Article
Full-text available
Objectives: Including questions about sexual health in the annual Health Survey for England (HSE) provides opportunities for regular measurement of key public health indicators, augmenting Britain's decennial National Survey of Sexual Attitudes and Lifestyles (Natsal). However, contextual and methodological differences may limit comparability of t...
Article
Full-text available
To investigate patients' experiences of the choice of general practitioner (GP) practice pilot. Mixed-method, cross-sectional study. Patients in the UK National Health Service (NHS) register with a general practice responsible for their primary medical care and practices set geographic boundaries. In 2012/2013, 43 volunteer general practices in...
Article
This interim report is intended to provide a description of (roughly) the first twelve months of Pioneer development, drawing out some of the similarities and differences between the sites, the barriers they are encountering in their ambitious attempts to integrate health and social care services, and the approaches they are taking to overcome thes...
Article
Full-text available
Nonprobability Web surveys using volunteer panels can provide a relatively cheap and quick alternative to traditional health and epidemiological surveys. However, concerns have been raised about their representativeness. The aim was to compare results from different Web panels with a population-based probability sample survey (n=8969 aged 18-44 yea...
Article
Full-text available
Men who pay for sex (MPS) are considered a bridging population for sexually transmitted infections (STI). However, the extent, characteristics and role of MPS in transmission is poorly understood. We investigate these questions using data from Britain's third National Survey of Sexual Attitudes and Lifestyles (Natsal-3). We performed complex survey...
Article
Full-text available
In October 2014, the UK government will widen patient choice of general practitioner through the voluntary removal of general practice boundaries in the English NHS. This policy change follows a 12-month pilot period where volunteer GP practices accepted patients from outside their geographic boundaries. This paper uses evidence from the Choice of...
Article
There have been growing concerns that general practitioner (GP) services in England, which are based on registration with a single practice located near the patient's home, are not sufficiently convenient for patients. To inform the decision as to whether to change registration rules allowing patients to register 'out-of-area' and to estimate the d...
Article
The choice of general practice pilot began in April 2012 for 12 months and allowed patients to choose to seek care from any volunteer general practice in four volunteer Primary Care Trust (PCT) areas of the country (Westminster, Salford, Manchester and Nottingham City) without being restricted by practice boundaries. Patients could either register...
Article
Full-text available
Data from the first two National Surveys of Sexual Attitudes and Lifestyles, carried out in 1990-1991 (Natsal-1) and 1999-2001 (Natsal-2), have been extensively used to inform sexual health policy in Britain over the past two decades. Natsal-3 was carried out from September 2010 to August 2012 in order to provide up-to-date measures of sexual lifes...
Article
Full-text available
Britain's second National Survey of Sexual Attitudes and Lifestyles (Natsal-2) was conducted in 1999-2001 and the third (Natsal-3) was conducted in 2010-2012 to update prevalence estimates of sexual behaviours and assess changes over time. We investigated whether there was a change in reporting bias between these two cross-sectional surveys. We ana...
Article
Full-text available
Sexual behaviour and relationships are key components of wellbeing and are affected by social norms, attitudes, and health. We present data on sexual behaviours and attitudes in Britain (England, Scotland, and Wales) from the three National Surveys of Sexual Attitudes and Lifestyles (Natsal). We used a multistage, clustered, and stratified probabil...
Article
Full-text available
Population-based estimates of prevalence, risk distribution, and intervention uptake inform delivery of control programmes for sexually transmitted infections (STIs). We undertook the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3) after implementation of national sexual health strategies, and describe the epidemiology of four S...
Article
Full-text available
Unplanned pregnancy is a key public health indicator. This paper describes the prevalence of unplanned pregnancy, and associated factors, in a general population sample in Britain. METHODS A probability sample survey of 15162 men and women aged 16-74 years in Britain, including 5686 women aged 16-44 years, was carried out between 2010 and 2012. We...
Article
Full-text available
Despite its importance to sexual health and well-being, sexual function is given little attention in sexual health policy. Population-based studies are needed to understand sexual function across the life course. Methods: During 2010-2012, we undertook a probability sample survey of 15,162 men and women aged 16-74 resident in Britain. We assessed t...
Article
Full-text available
Physical and mental health could greatly affect sexual activity and fulfilment, but the nature of associations at a population level is poorly understood. We used data from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3) to explore associations between health and sexual lifestyles in Britain (England, Scotland, and Wales). M...
Article
Full-text available
Sexual violence is increasingly recognised as a public health issue. Information about prevalence, associated factors and consequences for health in the British population is lacking. Methods We undertook a probability sample survey of 15,162 women and men aged 16-74 resident in Britain. We asked participants about their experience of sex against t...
Article
Full-text available
To address the large wintertime health burden in England, the Department of Health introduced a Cold Weather Plan (CWP) in 2011, which provides advice to relevant organisations and the general public on actions that should be taken to protect vulnerable individuals during cold weather. The Department of Health commissioned the Policy Innovation Res...
Conference Paper
Background Surveys play an important role in providing public health data for researchers and policy-makers. Traditional interviewer-administered surveys are subject to declining response rates and increasing costs. With the spread of the internet among the general population, web surveys potentially provide a cost-effective alternative mode. Volun...
Conference Paper
Background Surveys play an important role in providing public health data for researchers and policy-makers. Traditional modes of survey data collection are subject to declining response rates and increasing costs. With the spread of the internet among the population, web surveys potentially provide a cost-effective alternative mode. Volunteer web...
Article
Full-text available
In order to fill this gap in evidence, PIRU was commissioned by the Department of Health to carry out a systematic review of the effectiveness of non-pharmacological treatments or therapies for managing neuropsychiatric and challenging behaviours in patients with dementia. Given the vast literature on this topic, PIRU carried out an ‘overview’ of r...
Article
Full-text available
Background The Third British National Survey of Sexual Attitudes & Lifestyles (Natsal 3) builds upon groundbreaking research undertaken for Natsal 1 and Natsal 2 in 1990 and 2000, respectively. Natsal 3 aims to interview 15 000 men and women aged 16–74 years during 2010–2012. However, the first pilot (Pilot 1) for Natsal 3 achieved a response rate...
Article
Full-text available
We compare attitudes, experiences of learning about sex and first intercourse among Indians (n = 393) and Pakistanis (n = 365) using a probability survey of Britain's general population aged 16-44 years conducted during 1999-2001 (n = 12,110). Higher proportions of Pakistanis (64.6%) and Indians (28.1%) reported religion as 'very important' versus...
Article
Full-text available
This study provides analysis of a representative national sample of Internet gamblers. Using participant data from the 2007 British Gambling Prevalence Survey (n = 9003 adults aged 16years and over), all participants who had gambled online, bet online, and/or who had used a betting exchange in the last 12months (6% of the total sample) were compare...
Article
Full-text available
There is a need for local level health data for local government and health bodies, for health surveillance and planning and monitoring of policies and interventions. The Health Survey for England (HSE) is a nationally-representative survey of the English population living in private households, but sub-national analyses can be performed only at a...
Data
Appendix: Non-response weighting and propensity score matching. The supplementary file provides additional material about the methods used to generate non-response weights and more details on propensity score matching. This information is provided for those wishing to know more about the method or to see the detailed results of the regression for m...
Article
Full-text available
Health-related data at local level could be provided by supplementing national health surveys with local boosts. Self-completion surveys are less costly than interviews, enabling larger samples to be achieved for a given cost. However, even when the same questions are asked with the same wording, responses to survey questions may vary by mode of da...
Article
Using data from the 2007 British Gambling Prevalence Survey, relationships were explored between gambling variables and each of the three key indices of a person's social position, controlling for age and sex. Personal income was found to be positively and linearly related to gambling prevalence, to number of gambling activities engaged in, and to...
Article
This article describes a new initiative, the Survey Resources Network (SRN). The SRN is funded by the Economic and Social Research Council (ESRC), initially for a period of three years, which began in November 2008, but with an expectation that funding will be renewed. The SRN provides training opportunities and practical resources for survey resea...
Article
Data from the 2007 British Gambling Prevalence Survey were used to examine the psychometric properties of the two problem gambling scales used in the survey: the Canadian Problem Gambling Severity Index (PGSI) and a DSM-IV-based scale. Analysis was based on those who reported any gambling in the past 12 months (between 5483 and 5528 participants fo...
Article
Previous research has shown an association between gambling, alcohol and cigarette smoking. Co-occurrence of problem gambling with other behavioural and psychological disorders can exacerbate, or be exacerbated by, problem gambling. Using participant data from the 2007 British Gambling Prevalence Survey (n = 9003 adults aged 16 years and above), se...
Article
This study provides the first analysis ever made of a representative national sample of Internet gamblers. Using participant data from the 2007 British Gambling Prevalence Survey (n = 9,003 adults aged 16 years and over), all participants who had gambled online, bet online, and/or used a betting exchange in the last 12 months (n = 476) were compare...