Graham Hart
Biographic Data
| ID | 104255 |
|---|---|
| NAME | Graham Hart |
| GIVEN NAMES | Graham |
| FAMILY NAME | Hart |
| SIGNATURE | HART G |
| AFFILIATIONS | MRC/CSO Social and Public Health Sciences Unit |
| ORCID | 0000-0001-9676-6577 |
| VERIFIED | Yes |
| TOTAL WORKS | 74 |
| TOTAL CITATIONS | 301 |
| AUTHOR COUNT | 73 |
| EDITOR COUNT | 1 |
| FIRST PUBLICATION YEAR | 1975 |
| LATEST PUBLICATION YEAR | 2020 |
| H-INDEX | 8 |
Missing men with tuberculosis
Tuberculosis (TB) is treatable but is the leading infectious cause of death worldwide, with men over-represented in some key aspects of the disease burden. Men’s TB epidemiological scenario occurs within a wider public health and historical context, including their prior sidelining in health discussions. Differences are however noticeable in how some Western countries and high TB and HIV burden low and middle-income countries (LMIC) including in …
Non-Disclosure of HIV Status and Associations with Psychological Factors, ART Non-Adherence, and Viral Load Non-Suppression Among People Living with HIV in the UK
Disclosure of HIV status to family, friends, and a stable partner may be linked to improved health outcomes for people living with HIV. This study assessed whether non-disclosure is associated with psychological symptoms, non-adherence to antiretroviral therapy (ART), and viral load (VL) non-suppression. A total of 3258 HIV-diagnosed individuals in the UK completed the confidential ASTRA study questionnaire (2011-2012). Participants reported whet…
‘For a mere cough, men must just chew Conjex , gain strength, and continue working’
BACKGROUND: Delay by men in seeking healthcare results in their higher mortality while on HIV or tuberculosis (TB) treatment and contributes to ongoing community-level disease transmission before going on treatment. OBJECTIVE: To understand masculinity's role in delay in healthcare seeking for men, with a focus on TB-suggestive symptoms. DESIGN: Data were collected between March 2011 and March 2012 in low-income suburbs in urban Blantyre using fo…
Examining the potential public health benefit of offering STI testing to men in amateur football clubs
Relative to young men in the general population, football club members who completed the SPORTSMART survey reported greater sexual risk behaviour but similar STI/HIV risk perception and STI testing history. Offering STI testing in amateur football clubs may therefore widen access to STI testing and health promotion messages for men at higher STI risk, which, given the minority currently testing and the popularity of football in England, should yi…
Health-related quality-of-life of people with HIV in the era of combination antiretroviral treatment
BACKGROUND: Combination antiretroviral therapy has substantially increased life-expectancy in people living with HIV, but the effects of chronic infection on health-related quality of life (HRQoL) are unclear. We aimed to compare HRQoL in people with HIV and the general population. METHODS: We merged two UK cross-sectional surveys: the ASTRA study, which recruited participants aged 18 years or older with HIV from eight outpatient clinics in the U…
Recreational drug use, polydrug use, and sexual behaviour in HIV-diagnosed men who have sex with men in the UK
BACKGROUND: Recreational drug use in men who have sex with men (MSM) is of concern because it might be linked to the transmission of HIV and other sexually transmitted infections. Evidence about drug use in HIV-diagnosed MSM in the UK is limited by representativeness of the study populations. We describe patterns of drug use and associations with sexual behaviours in HIV-diagnosed MSM in the UK. METHODS: We used data from the cross-sectional ASTR…
Control, struggle, and emergent masculinities
Facilitating men to seek care early is an urgent public health imperative, given the contexts of high HIV/AIDS prevalence but increasingly available treatment, and the role of care-seeking delay in TB transmission. Men's struggles trying to achieve ideal images seem to influence their engagement with their health. Ambiguous views regarding some key masculinity representations and the embrace of less harmful masculinities raise questions about som…
Oliver Cromwell, iconoclasm and Ely cathedral
Journal Article Oliver Cromwell, iconoclasm and Ely cathedral Get access Graham Hart Graham Hart University of Essex Search for other works by this author on: Oxford Academic Google Scholar Historical Research, Volume 87, Issue 236, May 2014, Pages 370–376, https://doi.org/10.1111/1468-2281.12036 Published: 13 April 2014
Chlamydia screening in England
A combination of explicit and implicit drivers underpinned the Programme's establishment. This combination may explain why there was widespread support for its introduction and why implementation of the NCSP was inconsistent. The potential to improve young people's sexual health more comprehensively should be made explicit in future planning of the NCSP
A novel tool to assess community norms and attitudes to multiple and concurrent sexual partnering in rural Zimbabwe
Concurrent sexual partnerships are important in understanding the evolution and maintenance of the HIV heterosexual epidemic in sub-Saharan Africa. While it is possible to measure individual attitudes around sensitive behaviours through questionnaire surveys, studies suggest that responses may be subject to social desirability bias and may not reflect community norms. This study used a novel tool to collect data on community norms relating to the…
Willingness to Participate in Future HIV Prevention Studies Among Gay and Bisexual Men in Scotland, UK
This article examines willingness to participate in future HIV prevention research among gay and bisexual men in Scotland, UK. Anonymous, self-complete questionnaires and OrasureTM oral fluid samples were collected in commercial gay venues. 1,320 men were eligible for inclusion. 78.2% reported willingness to participate in future HIV prevention research; 64.6% for an HIV vaccine, 57.4% for a behaviour change study, and 53.0% for a rectal microbic…
Knowledge of Chlamydia trachomatis among men and women approached to participate in community-based screening, Scotland, UK
Despite scientific gains in understanding chlamydia infection, public understanding remains limited. Greater efforts are required to translate scientific evidence to the public. An improvement in knowledge may maximise gains from interventions to improve detection
Contact with HIV prevention services highest in gay and bisexual men at greatest risk
Men at highest risk, and those likely to be in contact with sexual health services, are those who report most contact with a range of current HIV prevention activities. Offering combination prevention, including outreach by peer health workers, increased uptake of sexual health services delivering behavioural and biomedical interventions, and supported by social marketing to ensure continued community engagement and support, could be the way forw…
Understanding social and cultural influences on the relationships and sexual experiences of young British Pakistanis in London
Background and aim Health services should take account of cultural and faith diversity. Pakistanis are the UKs second largest ethnic group and one of the largest Muslim communities. However, relative to other ethnic minority groups, there is a paucity of sexual health research among this group. Using community-based qualitative research we explored the social and cultural influences on sexual attitudes and experiences of young Pakistanis in East …
The sexual attitudes and lifestyles of London's Eastern Europeans (Sallee Project)
The SALLEE project has benefited from using quantitative research to provide generalisable data on a range of variables and qualitative research to add in-depth understanding and interpretation. The social mapping exercise successfully located a large number of CEE migrants for the community sample and is recommended for other migrant populations, especially when little or no official data are available for this purpose. The project has collected…
The average Scottish man has a cigarette hanging out of his mouth, lying there with a portion of chips’
Men's apparent resistance to recommended health practices and their engagement with 'high-risk' behaviours has been associated with an increased risk of morbidity or mortality. Recent work has highlighted the need to think critically about the health-promoting behaviours that men appear reluctant to engage in, as well as examining those they embrace, and explore the gendered meanings that men attribute to their beliefs and behaviours. This articl…
HIV prevention while the bulldozers roll
Where Young MSM Meet Their First Sexual Partner
Young women under 16 years with experience of sexual intercourse
Background: The UK has the highest rate of teenage pregnancies in western Europe. Although there is a large body of literature focusing on predictors of conception among this age group, almost all the work compares those young women who have become pregnant with their peers, regardless of whether or not their peers have experienced sexual intercourse. Objective: To compare 16-year-old young women who have become pregnant with their peers who also…
Sex and the Internet
Access to the Internet has increased dramatically over the past decade as has its use for meeting sexual partners (e-dating), particularly among gay men. Between June 2002 and January 2004, 128 gay/bisexual men living in London were interviewed one-to-one about their experience of e-dating, sexual risk and HIV prevention. The men were recruited both online (through the Internet) and offline (in clinics and the community); 32 men were HIV-positive…
E-dating, identity and HIV prevention
This paper addresses how London gay men use the internet to meet sexual partners, or for e-dating. Based on qualitative interviews conducted face-to-face or via the internet, this research develops an account of how information technologies mediate the negotiation of identity and risk in connection with sexual practice. E-dating itself is a bricolage, or heterogeneous DIY practice of internet-based-communication (IBC). A central aspect of IBC is …
Gay men who look for sex on the Internet
OBJECTIVE: To examine whether the excess risk for HIV and sexually transmitted infection (STI) seen among gay men who look for sex through the Internet occurs with men they meet online (through the Internet) rather than offline (in bars, clubs, etc). METHODS: In 2002-2003, 4225 London gay men were surveyed in an HIV treatment clinic, HIV testing clinic, gyms and on UK Internet sites (gaydar and gay.com). All men completed a self-administered ques…
It's caveman stuff, but that is to a certain extent how guys still operate
Aids
Gay men, HIV/AIDS and social research - an Antipodean perspective, Gary Dowsett et al AIDS, the media and health policy, Virginia Berridge sexual risk among amphetamine misusers - prospects for change, Hilary Klee HIV/AIDS knowledge and migrant workers, Mary Haour-Knipe, Sofi Ospina et al the importance of gay community in the prevention of HIV transmission - a study of Australian man who have sex with men, Susan Kippax et al alcohol use and unsa…
The sexual and reproductive health of young people in Adjumani district, Uganda
This qualitative study of young people and health care workers in Adjumani, northern Uganda, found that young people are generally very knowledgeable about STD spread and prevention as well as methods for prevention of pregnancy. Health workers are the most important category of people providing information on sexual and reproductive health (SRH) for young people. However, many health workers are conservative with regard to adolescent sexuality. …
It's caveman stuff, but that is to a certain extent how guys still operate
Research note
In this research note we begin to develop ideas drawn from studies concerned with the social context of sex work, and contribute to the literature on the sociology of risk, by investi- gating the social organisation and conditions of work of a group of female sex workers whose work has not so far been described in any detail - fiat-working women. These are preliminary findings from an ongoing empirical study comparing occupational risk of violenc…
After the euphoria
This paper focuses on the relationship of HIV medical technologies to current styles of medical practice and highlights issues posed by the technologies for those working and/or living with HIV. The paper examines HIV anti-retroviral combination therapies and associated tests from the perspective of their prescribers. The prescribers were interviewed during the later part of 2002 at three London HIV clinics. Their comments, considered in light of…
Female control of sexuality
Constructing Sexual Health
This article outlines the importance of conceptualizing 'sexual health' as a pluralistic and context-bound phenomenon. It explores gay men's sexual decision making in the particular context of public parks. Twenty gay men from Glasgow, Scotland, took part in semi-structured, in-depth interviews. Interpretative Phenomenological Analysis (IPA) was employed to analyse transcripts for recurrent themes-these represent shared understandings across part…
E-dating, identity and HIV prevention
This paper addresses how London gay men use the internet to meet sexual partners, or for e-dating. Based on qualitative interviews conducted face-to-face or via the internet, this research develops an account of how information technologies mediate the negotiation of identity and risk in connection with sexual practice. E-dating itself is a bricolage, or heterogeneous DIY practice of internet-based-communication (IBC). A central aspect of IBC is …
Relapse' to unsafe sexual behaviour among gay men
Recent studies of gay male sexual behaviour have employed a concept new to the literature in the area. Men who appeared to have adopted safer sex behaviours and are now having 'unsafe' sex in relation to possible infection with HIV are described as having 'relapsed'. In this paper we critically evaluate this concept. Firstly we undertake a methodological critique, looking in some detail at studies which have used 'relapse'. We then provide a conc…
The HIV test and sexual behaviour in a sample of homosexually active men
HIV prevention while the bulldozers roll
Young women under 16 years with experience of sexual intercourse
Background: The UK has the highest rate of teenage pregnancies in western Europe. Although there is a large body of literature focusing on predictors of conception among this age group, almost all the work compares those young women who have become pregnant with their peers, regardless of whether or not their peers have experienced sexual intercourse. Objective: To compare 16-year-old young women who have become pregnant with their peers who also…
Screening and the Construction of Scepticism
Screening for disease is an integral component of UK preventative health policy, and there are proposals to introduce a screening programme for the sexually transmitted infection Chlamydia trachomatis. In recent years, however, debates over screening have been characterized by increasing scepticism about the individual benefits of participating in such initiatives. This article explores factors that may contribute to this scepticism, in the conte…
Induced abortion trends in South Australia, 1970-84
Following legislative amendments extending the grounds for abortion in South Australia the abortion rate rose from 6.0/1000 in 1970, to 9.9/1000 in 1971, to 13.2/1000 in 1984. However, rates differ widely by marital status among young women, the age pattern varies markedly for different marital status groups, and trends over time differ for different age/marital status groups. Collection of detailed age and marital status data on every live birth…
Sexual behavior in a war environment
As registrar at the First Australian Field Hospital, the author investigated the sexual behavior of Australian troops in Vietnam by questionnaire studies of 488 consecutive venereal disease clinic attenders and 230 soldiers of similar rank randomly selected from the troop population. Masturbation was the most frequent practice for 27% of soldiers, intercourse for 68%, and fellatio for 3.5%; whereas cunnilingus, anal intercourse and homosexual beh…
Sexual behavior in a war environment
As registrar at the First Australian Field Hospital, the author investigated the sexual behavior of Australian troops in Vietnam by questionnaire studies of 488 consecutive venereal disease clinic attenders and 230 soldiers of similar rank randomly selected from the troop population. Masturbation was the most frequent practice for 27% of soldiers, intercourse for 68%, and fellatio for 3.5%; whereas cunnilingus, anal intercourse and homosexual beh…
The role of treponemal tests in therapeutic decision making
As part of process evaluation of a syphilis control program, the predictability of serologic tests was assessed by reviewing the primary care case records (containing serology findings on 5,643 sera) of all individuals in six aboriginal communities. The direct relationship of predictability to positivity of treponemal test was influenced by the Venereal Disease Research Laboratory (VDRL) titre and when results were stratified by this variable, an…
Predictive value of serologic tests
An analysis of serologic tests for treponemal disease performed in Australian aboriginal communities is used to illustrate factors influencing the predictive value positive of serologic tests. Simple extrapolation of predictive value estimates, from prevalence, sensitivity, and specificity data, is complicated by variation of specificity between strata of a population, and the weighting of true positive and false positive results produced by the …
Change of Focus
Placing Children with Aids
Induced abortion trends in South Australia, 1970-84
Following legislative amendments extending the grounds for abortion in South Australia the abortion rate rose from 6.0/1000 in 1970, to 9.9/1000 in 1971, to 13.2/1000 in 1984. However, rates differ widely by marital status among young women, the age pattern varies markedly for different marital status groups, and trends over time differ for different age/marital status groups. Collection of detailed age and marital status data on every live birth…
An appraisal of HIV antibody test counselling of injecting drug users
One-hundred and nine injecting drug users entering a methadone detoxification programme underwent HIV antibody test counselling. Approximately 80% of men and women were concerned because of sharing injection equipment ('works') in the previous year, although other reasons for considering an HIV antibody test, such as sexual contact with drug users and concern for sexual partners, was also given. Two-thirds of both men and women decided to be test…
Needle-Exchange in central London
Despite a large number of needle-exchange schemes in the U.K., there are few accounts of how particular agencies attract injecting drug users. This paper describes a busy scheme in London, the take-up of services by clients, and the operating philosophy of the staff. From November 1987 to October 1988 The Exchange saw a mean of 257 clients per month, making an average three visits per client each month. An average of 8,950 needles and syringes we…
Gay men, social support and HIV disease
As part of a large study of the effects of HIV and AIDS on gay male sexual behaviour, we investigated the extent to which gay men in the UK have access to social support and informal care at times of illness. The study sample (n = 502) demonstrated high levels of willingness to disclose sexuality to others, sociability and social integration. Over 90% reported that they had access to people whom they could turn for practical help at times of temp…
Aids care—into the 1990's
Drug users—epidemiology
San Francisco conference review
Aids–ten years on
Aids
The HIV test and sexual behaviour in a sample of homosexually active men
Aids
The sexual behaviour of bisexual men in relation to HIV transmission
Relatively little is known about the behaviour of bisexual men which may help in assessing their role in HIV transmission. A sample of 60 behaviourally bisexual men were asked about their sexual behaviour with male and female partners and their perceptions of risk of HIV infection. Only a minority of men engaged in unprotected anal sex with their male partners while two thirds had unprotected vaginal sex with their female partners. This asymmetri…
Aids
This book brings together specially selected papers addressing themes discussed at the Eighth Conference on the Social Aspects of AIDS held in London in late 1995
Relapse' to unsafe sexual behaviour among gay men
Recent studies of gay male sexual behaviour have employed a concept new to the literature in the area. Men who appeared to have adopted safer sex behaviours and are now having 'unsafe' sex in relation to possible infection with HIV are described as having 'relapsed'. In this paper we critically evaluate this concept. Firstly we undertake a methodological critique, looking in some detail at studies which have used 'relapse'. We then provide a conc…
Travel, migration and HIV
This is a review of recent publications on the subject of travel (taken in its widest sense) and HIV/AIDS. As with all epidemics caused by transmissible pathogens, AIDS has been seen in many countries as an imported problem. What this perspective fails to recognize is that with the explosion of international travel in the past thirty years it is virtually impossible to prevent the spread of infectious disease across international frontiers. Here …
Aids
Aids, Drugs and Sexual Risk (Book)
Henry duckett, journal publisher
Regular partners and risky behaviour
Studies in both the UK and the USA continue to show that gay and bisexual men put themselves at risk of exposure to HIV through unprotected intercourse, most often with regular partners. As part of a larger study of homosexually active men, 310 men who had had unprotected anal intercourse with a man in the previous year were asked to describe the last occasion on which this had happened. The majority of men had had unprotected intercourse with a …
Gay men's accounts of unsafe sex
This paper provides a qualitative analysis of the explanations given by a sample of 78 gay men in England of the most recent occasion on which they engaged in anal intercourse without a condom. Explanations are analysed and interpreted from the sociological perspective of 'accounts': that is, they are not viewed as exact descriptions of the 'real' motives for behaviour but are seen as a powerful resource that can illuminate the knowledge, assumpt…
Medicine (57 works) · Psychology (43 works) · Sociology (37 works) · Family medicine (30 works) · Adolescent Sexual and Reproductive Health (28 works) · HIV/AIDS Research and Interventions (25 works) · Environmental health (23 works) · Demography (21 works) · Social Psychology (20 works) · HIV, Drug Use, Sexual Risk (19 works)