The impact of genital warts: loss of quality of life and cost of treatment in eight sexual health clinics in the UK

BACKGROUND Behavioral mitigation strategies to slow the spread of COVID-19 have resulted in sweeping lifestyle changes, with short and long-term psychological, well-being, and quality of life implications. The Attitudes About COVID-19 and Health (ATTACH) study focuses on understanding attitudes and beliefs whilst considering the impact on mental and physical health and the influence of broader demographic and geographic factors on attitudes, beliefs, and mental health burden. OBJECTIVE In this assessment of our first wave of data collection, we provide baseline cohort descriptives of ATTACH study participants in the United Kingdom (UK), United States of America (USA), and Mexico. Additionally, we assess responses to daily poll questions related to COVID-19 and conduct a cross-sectional analysis of baseline assessments collected in the UK between June 26 and October 31, 2020. METHODS The ATTACH study uses smartphone-app technology and online survey data collection. Participants completed poll questions twice daily related to COVID-19 and a monthly survey assessing mental health, social isolation, physical health, and quality of life. Poll question responses were graphed using 95% Clopper-Pearson (exact) tests with 95% confidence intervals. Pearson correlations, hierarchical linear regression analyses, and generalized linear models assessed relationships, predictors of self-reported outcomes, and group differences, respectively. RESULTS By October 31, 2020, 1405, 80, and 90 participants had consented to participate in the UK, USA, and Mexico, respectively. Descriptive data for the UK daily poll questions indicated that participants were generally following social distancing measures, but worry and negative impacts on families increased as the pandemic progressed. Although participants generally reported feeling that the reasons for current measures had been made clear, there was low trust that the government was doing everything in its power to meet public needs. In the UK, 1282 participants also completed a monthly survey (95% white, 72% female, 21% key or essential workers). Nineteen percent of UK participants reported a pre-existing mental health disorder, 31% reported a pre-existing chronic medical illness, and 35% were over 65. Fifty-seven percent of participants reported being more sedentary since the pandemic began, and 41% reported reduced access to medical care. Those with poorer mental health outcomes lived in more deprived neighborhoods, in larger households (ps < .05), had more pre-existing mental health disorders and medical conditions, and were younger than 65 years (all ps < .001). CONCLUSIONS Communities who have been exposed to additional harm during the COVID-19 pandemic were experiencing worse mental outcomes. Factors including having a medical condition, or living in a deprived neighborhood or larger household were associated with heightened risk. Future longitudinal studies should investigate the link between COVID-19 exposure, mental health, and sociodemographic and residential characteristics.

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Validation of the English Version of the Scale for Psychosocial Factors in Food Allergy and the Relationship with Mental Health, Quality of Life, and Self-Efficacy

Journal of Allergy ◽

10.1155/2016/4850940 ◽

2016 ◽

Vol 2016 ◽

pp. 1-7 ◽

Cited By ~ 3

Author(s):

Rebecca C. Knibb ◽

Aaron Cortes ◽

Christopher Barnes ◽

Carol Stalker

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Food Allergy ◽

Psychosocial Factors ◽

Self Efficacy ◽

Holistic View ◽

Parental Quality ◽

The Uk ◽

The Impact

Background. The Scale for Psychosocial Factors in Food Allergy (SPS-FA) is based on the biopsychosocial model of health and was developed and validated in Chile to measure the interaction between psychological variables and allergy symptoms in the child. We sought to validate this scale in an English speaking population and explore its relationship with parental quality of life, self-efficacy, and mental health. Methods. Parents (n=434) from the general population in the UK, who had a child with a clinical diagnosis of food allergy, completed the SPS-FA and validated scales on food allergy specific parental quality of life (QoL), parental self-efficacy, and general mental health. Findings. The SPS-FA had good internal consistency (alphas = .61–.86). Higher scores on the SPS-FA significantly correlated with poorer parental QoL, self-efficacy, and mental health. All predictors explained 57% of the variance in SPS-FA scores with QoL as the biggest predictor (β=.52). Discussion. The SPS-FA is a valid scale for use in the UK and provides a holistic view of the impact of food allergy on the family. In conjunction with health-related QoL measures, it can be used by health care practitioners to target care for patients and evaluate psychological interventions for improvement of food allergy management.

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Men who have sex with men who do not access sexual health clinics nor disclose sexual orientation are unlikely to receive the HPV vaccine in the UK

Vaccine ◽

10.1016/j.vaccine.2018.06.075 ◽

2018 ◽

Vol 36 (33) ◽

pp. 5065-5070 ◽

Cited By ~ 6

Author(s):

Tom Nadarzynski ◽

Helen Smith ◽

Daniel Richardson ◽

Stephen Bremner ◽

Carrie Llewellyn

Keyword(s):

Sexual Orientation ◽

Sexual Health ◽

Hpv Vaccine ◽

Health Clinics ◽

Sex With Men ◽

Sexual Health Clinics ◽

The Uk ◽

To Receive

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Gynaecology and genitourinary medicine

Oxford Assess and Progress: Clinical Specialties ◽

10.1093/oso/9780198802907.003.0014 ◽

2018 ◽

Author(s):

Kevin Hayes

Keyword(s):

Quality Of Life ◽

Sexual Health ◽

Teenage Pregnancy ◽

Full Spectrum ◽

Sexually Transmitted ◽

Immunodeficiency Virus ◽

The Government ◽

The Uk ◽

Improve Access

Gynaecological practices are changing constantly, with more emphasis on management in primary care, conservative, rather than surgical, management of conditions, and an increase in sub-specialization such as gynaecological oncology and urogynaecology. This chapter reflects these changes and covers the commonest areas in this interesting field. Sexual health is a specialty in its own right. The number of cases of sexually transmitted infections are rising in the UK, despite efforts to raise awareness of safe sex, so knowledge of their presentations is important. The UK also has the highest rate of teenage pregnancy in Europe, and the Government has set targets to improve access to contraceptive advice for women. In recent years, astounding advances have been made in the treatment of human immunodeficiency virus (HIV) infection, and people with HIV can now expect to have a much better quality of life. Although this chapter primarily focuses on diseases affecting women, we have included questions on the sexual health of men to represent the full spectrum of sexual health practice.

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The patient’s experience of primary ciliary dyskinesia: a systematic review

Quality of Life Research ◽

10.1007/s11136-017-1564-y ◽

2017 ◽

Vol 26 (9) ◽

pp. 2265-2285 ◽

Cited By ~ 10

Author(s):

Laura Behan ◽

Bruna Rubbo ◽

Jane S. Lucas ◽

Audrey Dunn Galvin

Keyword(s):

Quality Of Life ◽

Primary Ciliary Dyskinesia ◽

Age Groups ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

The Uk ◽

The Impact ◽

Ciliary Dyskinesia

Abstract Background Primary ciliary dyskinesia (PCD) is a rare genetic disorder characterised by progressive sinopulmonary disease, with symptoms starting soon after birth. The aim of this study is to critically review, analyse, and synthesise the literature in order to understand the experiences of patients with primary ciliary dyskinesia (PCD) and the impact on health-related quality of life. Method MEDLINE, EBSCO, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO and EMBASE were searched according to the inclusion criteria. A qualitative analysis of 14 studies was conducted. Results Fourteen studies were included in the review, five with qualitative methodologies. Studies originated from the UK, USA, Italy, Denmark and Belgium, one study included a survey distributed internationally. Significant relationships were found between age and worsening of respiratory symptoms, physical, and mental domains of health-related quality of life, with a greater decline compared with reference populations. Variations between the UK and Italy were found for health-related quality of life and its correlation with time since diagnosis. PCD was found to have a physical impact in all age groups: patients found it difficult to keep up with others, and found energy levels were easily depleted compared to family or peers. In terms of social impact, symptoms lead to embarrassment and a sense of isolation, with patients concealing symptoms and/or their diagnosis. In turn, isolation was also linked with the lack of public and medical knowledge. In relation to emotional impact, anxiety was reported in a number of qualitative studies; patients were anxious about getting sick or when thinking about their future health. The burden of treatment and factors influencing adherence were also discussed in depth. Conclusion Health-related quality of life decreases with age in patients with PCD. For all age groups, PCD was found to greatly impact physical, emotional, social functioning, and treatment burden. More research is needed on the psychosocial impact of the illness, disease burden and its effect on quality of life.

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952 THE IMPACT OF PRIMARY BILIARY CIRRHOSIS (PBC) ON PERCEIVED QUALITY OF LIFE (QoL): THE UK-PBC NATIONAL STUDY

Journal of Hepatology ◽

10.1016/s0168-8278(13)60954-x ◽

2013 ◽

Vol 58 ◽

pp. S392

Author(s):

G. Mells ◽

G. Pells ◽

J. Newton ◽

A. Bathgate ◽

A. Burroughs ◽

...

Keyword(s):

Quality Of Life ◽

Primary Biliary Cirrhosis ◽

Perceived Quality ◽

National Study ◽

Biliary Cirrhosis ◽

Perceived Quality Of Life ◽

The Uk ◽

The Impact

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The impact of a dedicated physiotherapist clinic for children with dysfunctional breathing

ERJ Open Research ◽

10.1183/23120541.00103-2015 ◽

2016 ◽

Vol 2 (3) ◽

pp. 00103-2015 ◽

Cited By ~ 8

Author(s):

Nicola J. Barker ◽

Heather Elphick ◽

Mark L. Everard

Keyword(s):

Quality Of Life ◽

Long Term Effects ◽

Time Points ◽

Significant Difference ◽

Breathing Retraining ◽

Dysfunctional Breathing ◽

The Uk ◽

The Impact ◽

Time Point

Dysfunctional breathing is a significant cause of morbidity, adversely affecting an individual's quality of life. There is currently no data from paediatric centres on the impact of breathing retraining for dysfunctional breathing.Symptoms and quality of life were measured in 34 subjects referred sequentially for breathing retraining to the first dedicated paediatric dysfunctional breathing clinic in the UK. Data were obtained prior to the first intervention (time point 1), at discharge (time point 2) and by post 6 months later (time point 3).The mean (interquartile range) age of participants was 13.3 (9.1–16.3) years, with 52% female. Data were obtained at time points 2 and 3 in 23 and 13 subjects, respectively.Statistically significant improvements were observed in symptom scores, child quality of life and parental proxy quality of life between time points 1 and 2 (p<0.0001), while there was no significant difference in the data at time point 3 as compared with time point 2.This study suggests that physiotherapist-led breathing retraining offers significant benefit to young people with dysfunctional breathing which is maintained for at least 6 months after treatment is completed. Future studies will provide more information on the long-term effects of interventions for dysfunctional breathing.

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P112 How integrated are we? a bashh bccg survey of gum and sexual health clinics in the UK

Sexually Transmitted Infections ◽

10.1136/sextrans-2015-052126.155 ◽

2015 ◽

Vol 91 (Suppl 1) ◽

pp. A53.1-A53

Author(s):

Zana Ladipo ◽

Laura Mitchell ◽

Sasikala Rajamanoharan ◽

Mayur Chauhan ◽

Philip Kell

Keyword(s):

Sexual Health ◽

Health Clinics ◽

Sexual Health Clinics ◽

The Uk

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Impact on the Quality of Erections after Completing a Low-Intensity Extracorporeal Shock Wave Treatment Cycle on a Group of 710 Patients

Advances in Urology ◽

10.1155/2017/1843687 ◽

2017 ◽

Vol 2017 ◽

pp. 1-5 ◽

Cited By ~ 5

Author(s):

Héctor A. Corredor Ayala ◽

José Pablo Saffon Cuartas ◽

Diana Cerquera Cleves

Keyword(s):

Shock Wave ◽

Erectile Dysfunction ◽

Sexual Health ◽

Extracorporeal Shock Wave Therapy ◽

Shock Wave Therapy ◽

Low Intensity ◽

Health Clinics ◽

Extracorporeal Shock Wave ◽

Sexual Health Clinics

Objective. The aim of this study is to evaluate the response to low-intensity extracorporeal shock wave therapy in a group of patients with organic vascular erectile dysfunction. Materials and Methods. This is an observational retrospective study. The researchers reviewed 710 patients with a clinical diagnosis of organic vascular erectile dysfunction (ED) of more than 3-month duration from male sexual health clinics of the Boston Medical Group from 12 cities in Spain and 4 in Mexico. Patients received 5 outpatient shock wave therapy sessions. They were evaluated with the erection hardness score (EHS) before the first session (n = 710), at the end of the last session (n = 710), and one month after the last session (n = 412). Results. In the first examination, the EHS improved in 43.1% (306/710) of subjects compared to the baseline measurement and ability to penetrate increased from 26.8% to 44% (p<0.0001). In the second examination, the ability to penetrate was 37.9%, lower than in the first (p=0.042) but higher than the baseline (p=0.0001). Conclusions. The results suggest that the shock wave therapy with or without concomitant treatments improved the quality of erections in patients with erectile dysfunction treated in specialised male sexual health clinics. This trial is registered with NCT03237143.

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