ORCID Profile
0000-0003-2502-1177
Current Organisations
University of Tasmania
,
University of Nottingham
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Publisher: Elsevier BV
Date: 05-2017
Publisher: Elsevier BV
Date: 08-2015
Publisher: Elsevier BV
Date: 07-2022
Publisher: Elsevier BV
Date: 11-2018
Publisher: Wiley
Date: 30-06-2022
DOI: 10.1111/APT.17110
Abstract: Patients with active inflammatory bowel disease (IBD) and mental illnesses experience worse IBD outcomes. To describe the incidence of mental illnesses, including deliberate self‐harm, in IBD patients. A population‐based retrospective cohort study using IQVIA medical research data of a primary care database covering the whole UK, between January 1995 and January 2021. IBD patients of all ages were matched 4:1 by demographics and primary care practice to unexposed controls. Following exclusion of patients with mental ill health at study entry, adjusted hazard ratios (HR) of developing depression, anxiety, deliberate self‐harm, severe mental illness and insomnia were calculated using a Cox proportional hazards model. We included 48,799 incident IBD patients: 28,352 with ulcerative colitis and 20,447 with Crohn's disease. Incidence rate ratios of mental illness were higher in IBD patients than controls (all p 0.001): deliberate self‐harm 1.31 (95% CI 1.16–1.47), anxiety 1.17 (1.11–1.24), depression 1.36 (1.31–1.42) and insomnia 1.62 (1.54–1.69). Patients with Crohn's disease were more likely to develop deliberate self‐harm HR 1.51 (95% CI 1.28–1.78), anxiety 1.38 (1.16–1.65), depression 1.36 (1.26–1.47) and insomnia 1.74 (1.62–1.86). Patients with IBD are at increased risk of deliberate self‐harm (HR 1.20 [1.07–1.35]). The incidence rate ratios of mental illnesses were particularly high during the first year following IBD diagnosis: anxiety 1.28 (1.13–1.46), depression 1.62 (1.48–1.77) and insomnia 1.99 (1.78–2.21). Deliberate self‐harm, depression, anxiety and insomnia were more frequent among patients with IBD. IBD is independently associated with an increased risk of deliberate self‐harm.
Publisher: Wiley
Date: 20-10-2022
Abstract: The COVID‐19 pandemic is characterised by more than mass viral spread. Interviews with young adults in the Australian island‐state of Tasmania narrate how COVID‐19 is shared socially, economically, and biologically, but not equally. During the time interviews were done, border policies separated Tasmania from mass infections experienced elsewhere, giving us an opportunity to understand how separation does not equate with a lack of socio‐material and emotional impact from the pandemic. Recognising spatially erse impacts of the COVID‐19 pandemic means becoming more reflexively aware of the structural inequalities informing how it has been experienced, particularly in the early period of the pandemic. We warn against exclusionary narratives of the pandemic that do not value impacts on those without high physical risk or exposure to the virus. Responding to such exclusionary narratives involves promoting a form of hope that is reflexive, self‐aware, and critical. We develop on these aims by reference to the themes of COVID‐19 as a syndemic, the temporal narrative of a boom‐bust cycle, and COVID‐19 as a crisis in everyday life.
Publisher: Elsevier BV
Date: 2020
Publisher: Wiley
Date: 29-04-2021
DOI: 10.1002/ART.41593
Publisher: Elsevier BV
Date: 2015
Publisher: Elsevier BV
Date: 10-2020
Publisher: Elsevier BV
Date: 09-2016
Publisher: Public Library of Science (PLoS)
Date: 19-01-2012
Publisher: Elsevier BV
Date: 10-2020
Publisher: Elsevier BV
Date: 04-2016
DOI: 10.1016/J.HOC.2015.11.002
Abstract: Anemia is an important cause of health loss. We estimated levels and trends of nonfatal anemia burden for 23 distinct etiologies in 188 countries, 20 age groups, and both sexes from 1990 to 2013. All available population-level anemia data were collected and standardized. We estimated mean hemoglobin, prevalence of anemia by severity, quantitative disability owing to anemia, and underlying etiology for each population using the approach of the Global Burden of Disease, Injuries and Risk Factors 2013 Study. Anemia burden is high. Developing countries account for 89% of all anemia-related disability. Iron-deficiency anemia remains the dominant cause of anemia.
Publisher: Elsevier BV
Date: 07-2018
Publisher: Unpublished
Date: 2016
Publisher: Elsevier BV
Date: 07-2021
Publisher: Elsevier BV
Date: 10-2020
Publisher: Elsevier BV
Date: 08-2012
Publisher: Elsevier BV
Date: 11-2010
Publisher: Elsevier BV
Date: 2020
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 09-08-2011
DOI: 10.1002/HEP.24491
Publisher: Elsevier BV
Date: 08-2022
Publisher: Elsevier BV
Date: 09-2014
Publisher: Elsevier BV
Date: 10-2020
Publisher: BMJ
Date: 23-10-2012
DOI: 10.1136/GUTJNL-2012-303000
Abstract: To compare the incidence of six gastrointestinal cancers (colorectal, oesophageal, gastric, liver, gallbladder and pancreatic) among the six main 'non-White' ethnic groups in England (Indian, Pakistani, Bangladeshi, Black African, Black Caribbean and Chinese) to each other and to Whites. We analysed all 378 511 gastrointestinal cancer registrations from 2001-2007 in England. Ethnicity was obtained by linkage to the Hospital Episodes Statistics database and we used mid-year population estimates from 2001-2007. Incidence rate ratios adjusted for age, sex and income were calculated, comparing the six ethnic groups (and combined 'South Asian' and 'Black' groups) to Whites and to each other. There were significant differences in the incidence of all six cancers between the ethnic groups (all p<0.001). In general, the 'non-White' groups had a lower incidence of colorectal, oesophageal and pancreatic cancer compared to Whites and a higher incidence of liver and gallbladder cancer. Gastric cancer incidence was lower in South Asians but higher in Blacks and Chinese. There was strong evidence of differences in risk between Indians, Pakistanis and Bangladeshis for cancer of the oesophagus, stomach, liver and gallbladder (all p<0.001) and between Black Africans and Black Caribbeans for liver and gallbladder cancer (both p<0.001). The risk of gastrointestinal cancers varies greatly by in idual ethnic group, including within those groups that have traditionally been grouped together (South Asians and Blacks). Many of these differences are not readily explained by known risk factors and suggest that important, potentially modifiable causes of these cancers are still to be discovered.
Publisher: Elsevier BV
Date: 03-2020
Publisher: Elsevier BV
Date: 07-2022
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
Start Date: 2016
End Date: 2019
Funder: Australian Renewable Energy Agency
View Funded ActivityStart Date: 2015
End Date: 2015
Funder: Rural Industries Research & Development Corporation
View Funded Activity