Nigel Sherriff

University of Brighton · School of Health Sciences

Objective To investigate different types of parent–child conversations associated with young people’s (13–17 years) alcohol-related risk behaviours. Design Secondary analysis of the 2016 Drinkaware Monitor Survey. This survey employed a cross-sectional design and collected data using self-completion questionnaires. Setting UK-wide. Participants...

Objectives: Lesbian, gay, bisexual, trans and intersex (LGBTI) people experience health inequalities and barriers to accessing healthcare at a greater rate than the general population. This paper aims to present the Health4LGBTI training course for healthcare workers and the results of its pilot implementation. Methods: Funded by the European Pa...

Background: The term "community health worker" (CHW) can apply to a wide range of individuals providing health services and support for diverse populations. Very little is known about the role of CHWs in Europe working in nonclinical settings who promote sexual health and prevent HIV and other sexually transmitted infections (STIs) among gay, bise...

Background: The health inequalities experienced by lesbian, gay, bisexual, trans and intersex (LGBTI) people are well documented with several reviews of global research summarizing key inequalities. These reviews also show how the health-care needs of LGBTI people are often poorly understood whilst suggesting that targeted initiatives to reduce in...

Background: Relationship status is an important factor associated with condomless anal intercourse (CAI) amongst men who have sex with men (MSM). Methods: A multi-centre bio-behavioural survey with MSM was conducted in 13 European cities (n = 4901) exploring factors associated with CAI via bivariate and multivariate multilevel logistic regressio...

Objective: We aimed to evaluate the usability and acceptability of a co-designed mobile health (mHealth) application (PrEP-EmERGE) within a digital health pathway to support HIV pre-exposure prophylaxis (PrEP). Methods: This was a cross-sectional study to evaluate the usability and acceptability of the PrEP-EmERGE app. Data were collected via an...

Background ‘PrEP-EmERGE’ is a co-designed digital health innovation that supports HIV-PrEP users via a novel digital-health pathway and mobile-health application. Method A cross sectional study using a mixed-methods approach evaluating the usability and acceptability of the PrEP-EmERGE app. Data were collected via an online survey sent to all acti...

Background: In Japan, most new HIV cases are reported amongst men who have sex with men (MSM); thus, there is an urgent need for further widespread testing of MSM. The use of Digital Vending Machines (DVM) in the UK offering HIV test kits targeting MSM show promising results. Digital Vending Machines could be useful to promote and increase the upta...

Background Living in a cold home and being fuel poor can contribute to adverse physical and mental health. Energy efficiency interventions are considered the simplest ways of tackling fuel poverty and preventing associated negative health, wellbeing, and socio-economic consequences. The overall aim of the current study was to provide a greater unde...

Background Living in a cold home and being fuel poor can contribute to adverse physical and mental health. Energy efficiency interventions are considered the simplest ways of tackling fuel poverty and preventing associated negative health, wellbeing, and socio-economic consequences. The overall aim of the current study was to provide a greater unde...

Little is known about Community Health Workers (CHWs) who work in non-clinical settings to provide sexual health support around HIV, viral hepatitis, and other sexually transmitted infections (STIs) to men who have sex with men (MSM) in Europe and neighbouring countries. This article describes for the first time, who CHWs are, and how they contribu...

Comparative European data using Second Generation Surveillance System (SGSS) are scarce among gay, bisexual and other men who have sex with men. This study evaluated the implementation of Sialon II, a bio-behavioural HIV research combined with targeted HIV prevention in 13 European cities conducted in collaboration with community partners. A mixed-...

Objectives This paper aims to estimate the percentage of European men who have sex with men (MSM) who may benefit from pre-exposure prophylaxis (PrEP), applying the three most widely used HIV risk indices for MSM (MSM Risk Index, Menza score, San Diego Early Test (SDET) score) and drawing on a large-scale multisite bio-behavioural survey (Sialon II...

Introduction Dual point-of-care tests (POCTs) for detecting antibodies to HIV and syphilis have been developed for use with venous whole blood, serum/plasma or finger-prick capillary whole blood. Several tests are commercially available showing encouraging performance compared with ‘gold-standard’ reference tests in laboratory-based studies. Howeve...

Background A recent EU funded pilot project to reduce the health inequalities of lesbian, gay, bisexual, trans and intersex (LGBTI) people has drawn attention to the barriers faced by LGBTI people when they access healthcare. Methods A component of a larger Health4LGBTI study will be presented where rapid-reviews were undertaken in 27 EU Member St...

Data for MSM continue to show a high risk of acquiring HIV-STIs. Within this population, outness seems to have an impact on both risk-taking and on health seeking behaviors. The objective of this study was to assess the relationship between socio-demographic, behavioral characteristics, testing behaviors, and outness level among MSM using data from...

Lesbian, gay, bisexual, trans and intersex (LGBTI) people experience significant healthcare inequalities and barriers to healthcare services. Contextualised within six Member States of the European Union (EU), this paper discusses efforts to identify and explore the nature of barriers to healthcare as part of Health4LGBTI, a 2-year pilot project fu...

UNSTRUCTURED Background: The term Community Health Worker (CHW) can apply to a wide range of individuals providing health services and support for diverse populations. Very little is known about the role of CHWs in Europe who work in non-clinical settings and who promote sexual health and prevent HIV/STI among gay, bisexual and other men who have s...

The gradient in health inequalities reflects a relationship between health and social circumstance demonstrating that health worsens as you move down the socioeconomic scale. Norway’s Public Health Act (PHA) specifically aims to tackle the gradient by addressing the social determinants of health. In this article, we draw on data from 2 studies that...

Introduction: The HIV epidemic represents an impor- tant public health issue in Europe particularly among men who have sex with men (MSM). Global AIDS Monitoring indicators (GAM) have been widely and jointly promoted as a set of crucial standardised items to be adopted for monitoring and responding to the epidemic. Methods: The Sialon II study, imp...

Introduction: The HIV epidemic represents an important public health issue in Europe particularly among men who have sex with men (MSM). Global AIDS Monitoring indicators (GAM) have been widely and jointly promoted as a set of crucial standardised items to be adopted for monitoring and responding to the epidemic. Methods: The Sialon II study, impl...

Background: Lesbian, gay, bisexual, trans and intersex (LGBTI) people experience significant health inequalities. Located within a European Commission funded pilot project, this paper presents a review of the health inequalities faced by LGBTI people and the barriers health professionals encounter when providing care. Methods: A narrative synthe...

Summary: Lesbian, Gay, Bisexual, Trans, and Intersex (LGBTI) people commonly experience a range of health and social inequalities. Such inequalities are unfair, preventable and fundamentally incompatible with public health and human rights principles. This article draws on the European Commission’s Health4LGBTI pilot to highlight some of the inequa...

The term ‘resilience’ is pervasive in narratives of young people’s emotional well-being. However, the meaning it has for those it describes is perhaps less well understood. Resilience was investigated as part of an engagement exercise into health improvement commissioning in educational contexts in the South East of England. One hundred and nine yo...

Background: Reducing the number of people with undiagnosed HIV infection is a major goal of HIV control and prevention efforts in Europe and elsewhere. We analysed data from a large multi-city European bio-behavioural survey conducted among Men who have Sex with Men (MSM) for previously undiagnosed HIV infections, and aimed to characterise undiagn...

Background: There is an increasing awareness that parents can play an important role in shaping their children’s attitudes towards alcohol and use of alcohol. However, there has been little research exploring the conversations parents have with their children about alcohol. The present study aims to address this gap by exploring conversations betwe...

Background: Substance use has been consistently reported to be more prevalent amongst Men who have Sex with Men (MSM) compared to the general population. Substance use, in particular polydrug use, has been found to be influenced by social and contextual factors and to increase the risk of unprotected intercourse among MSM. The objective of this ana...

Background Knowledge of HIV status can be important in reducing the risk of HIV exposure. In a European sample of men-who-have-sex-with-men (MSM), we aimed to identify factors associated with HIV serostatus disclosure to the most recent anal intercourse (AI) partner. We also aimed to describe the impact of HIV serostatus disclosure on HIV exposure...

There is increasing awareness of the role that parents can have in the development of their children’s drinking behaviour. The Centre for Health Research at the University of Brighton was funded by Drinkaware to understand how parental conversations can help reduce alcohol-harm amongst their 15- 17 year old children. As such, this study aimed to un...

Within the MSM population, men who have sex with both men and women (MSMW) are identified as a high-risk group both worldwide and in Europe. In a multi-centred bio-behavioural cross-sectional study, we aimed to assess the relationship(s) between socio-demographic factors, stigma, sexual behavioural patterns, test seeking behaviour and sero-status a...

Aims and objectives: To explore the experiences, views and preferences of young people aged 11-19 years regarding school-based sexual health and school nursing to inform commissioning and delivery for one local authority area in England during 2015. Background: Promoting sexual health for young people remains a challenging, even controversial, b...

Back in the 2015 winter edition of this newsletter, the then ongoing SIALON II study was reported which was in the process of conducting a bio-behavioural Survey among gay, bisexual and other Men who have Sex with Men (MSM) in 13 European cities including Brighton [1]. Adopting a Second Generation Surveillance System (SGSS) approach, the study repr...

Within lesbian, gay, bisexual and transgender (LGBT) research there is increasing health-related scholarship on trans lives, with a growing awareness of the impact of health inequalities on trans well-being. The aim of the paper is to provide greater understanding of transgender young people’s views of what is needed to promote their emotional well...

Amidst growing concerns that the UK has amongst the lowest rates of breastfeeding in the world, this workshop provided a forum to consider why and how fathers can be customarily engaged to support breastfeeding. The workshop presented a new model of father support to promote breastfeeding, and provided an informal space to consider the ‘F-word’, th...

Due to the potential sensitivity of a bio-behavioural survey on MSM institutions and gay communities in each country were involved in the project from the outset informing all aspects of the project planning, development, implementation, and evaluation. Additional stakeholders and experts were also involved technically and to advise on ethical issu...

In this Chapter, an overview of the main results from the Sialon II survey is presented and discussed. The discussion considers both methodological issues as well as main insights from the study results. Finally, some comparisons between the former Sialon I and Sialon II project surveys are outlined.

As a reminder from Chapter Two, the Sialon II project was undertaken within a Europe wide situation of rising HIV infections among MSM in many countries as indicated by both ECDC and the wider scientific literature. To respond effectively to the HIV epidemic(s), meaningful interventions of sufficient scale and intensity that target MSM specifically...

The document “City Profiles – Recommendations on HIV prevention gaps and opportunities for Health Promotion among Men who have Sex with Men” has been produced as a supplement to the survey report “Sialon II – Report on bio-behavioural survey” which can be downloaded from the following website www.sialon.eu. Therefore, the present document should be...

Background Globally, the HIV epidemic continues to represent a pressing public health issue in Europe and elsewhere. There is an emerging and progressively urgent need to harmonise HIV and STI behavioural surveillance among MSM across European countries through the adoption of common indicators, as well as the development of trend analysis in order...

Aim Whilst considerable attention has been paid to describing and measuring health inequalities, relatively little attention has been paid to ways to effectively reduce health inequalities within and among populations. This article presents a conceptual framework for capacity building to assist stakeholders at the regional level within Europe to ma...

Poster represent findings from the following research: Sherriff, N.S., Coleman, L., and Cocking, C. (2015). Engaging young people to inform health improvement commissioning in East Sussex. Interim report to East Sussex County Council, Brighton: University of Brighton.

In the UK and Japan, there is concern regarding rising rates of annual new HIV infections among Men who have Sex with Men (MSM).Whilst in the UK and Europe, gay businesses are increasingly recognized as being important settings through which to deliver HIV prevention and health promotion interventions to target vulnerable populations; in Japan such...

https://theconversation.com/making-gay-business-the-frontline-in-the-fight-against-hiv-36450

https://theconversation.com/men-have-an-influential-role-to-play-in-breastfeeding-but-are-sidelined-instead-36449

SIALON II has been running in Brighton since 2011 and is due to finish in early 2015. Coordinated in Europe by Dr Massimo Mirandola of the Regional Coordination Centre for European Project Management (CReMPE) in Verona, Italy, SIALON is a multi-partner cross-sectional survey engaging over 6,000 MSM in 13 European cities including Barcelona (Spain),...

The Centre for Health Research at the University of Brighton was commissioned by East Sussex County Council to: 1) conduct engagement and participation activities with young people across the county, and; 2) support and contextualise the engagement activities by conducting a targeted literature review and synthesis of relevant UK and international...

Focus groups have become an important method in qualitative psychological research and are also used widely in evaluation studies. However, there has been a surprising lack of attention in the literature in terms of exploring the entire process of conducting focus groups with young people on potentially psychologically sensitive issues such as sexu...

Research shows that fathers can have a considerable influence on a mother's decision to initiate and continue with breastfeeding. Despite this, many health professionals and broader care services (including maternity services) fail to engage meaningfully and systematically with fathers in supporting breastfeeding. Although the importance of the fat...

This paper seeks to introduce and analyse the development of the Gradient Evaluation Framework (GEF) to facilitate evaluation of policy actions for their current or future use in terms of their 'gradient friendliness'. In particular, this means their potential to level-up the gradient in health inequalities by addressing the social determinants of...

Focus groups have become an important method in qualitative psychological research and are also used widely in evaluation studies. However, there has been a surprising lack of attention in the literature in terms of exploring the entire process of conducting focus groups with young people on potentially psychologically sensitive issues such as sexu...

Fathers remain a valuable yet ‘untapped’ resource for breastfeeding mothers, as well as for health professionals (and lay people) who may be supporting breastfeeding in both clinical and community settings. This article summarises the research into why fathers should be included in public services intended for the family, including maternity servic...

The authors of this report were commissioned to provide an independent analysis of the data generated from the Better Beginnings formal public consultation (14th January 2014 to 8th April 2014 inclusive). The analysts were not involved in the consultation process itself or the collection of any data. This ensures their independence but also means t...

Focus groups have become an important method in qualitative psychological research and are also used widely in evaluation studies. However, there has been a surprising lack of attention in the literature in terms of exploring the entire process of conducting focus groups with young people on potentially psychologically sensitive issues such as sexu...

Objective: Empirical evidence demonstrates that fathers have a strong influence on a mother's decision to initiate and continue breast feeding. However, no clear delineation of what behaviours and attributes constitute father support or differentiate it from other kinds of support is provided in the current literature. The purpose of this study wa...

The social identity approach (SIA) is one of the most influential theories of group processes and intergroup relations worldwide. However, we argue that the dominance of (post)positivist research methods in SIA work limits the extent to which it enables an understanding of the complexities of intergroup relations in schools. Drawing on qualitative...

Aims: 'Gay' businesses can be important settings through which to deliver health promotion interventions to vulnerable populations, such as men who have sex with men (MSM) regarding HIV prevention. This article draws on data from the European Everywhere project, which represents the first scheme to develop and pre-test a common framework for HIV/S...