Julie Fox
Biographic Data
| ID | 4416304 |
|---|---|
| NAME | Julie Fox |
| GIVEN NAMES | Julie |
| FAMILY NAME | Fox |
| SIGNATURE | FOX J |
| AFFILIATIONS | King's College London |
| ORCID | 0000-0002-0583-8019 |
| VERIFIED | Yes |
| TOTAL WORKS | 15 |
| TOTAL CITATIONS | 5 |
| AUTHOR COUNT | 15 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2016 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
Who is a mobile man ‘at risk’? Masculinity, work-related mobility, and HIV-related risks in Uganda and South Africa
Men who move for work (e.g., taxi drivers, fishermen, labourers) are often described as a homogeneous group at equal risk of HIV acquisition. This framing often masks important differences between men. Using data from rapid ethnographic assessments and a baseline survey in two settings in South Africa and one in Uganda, we examine how sexual risk- taking among men who travel frequently for work is shaped by mobility. We describe the different mob…
Sexual risk and HIV prevention choices among men who are mobile for work
In preparation for a trial implementing oral and long-acting Pre-Exposure Prophylaxis [LA-PrEP] for mobile men in South Africa and Uganda, we conducted a rapid ethnographic assessment at each trial site between November 2023 and July 2024. We present findings from that assessment on men’s views on sexual risk and HIV prevention options which informed the trial. Each rapid ethnographic assessment took 15 days of continuous work in each community u…
Mapping Vaccination Mindsets among UK Residents of Black Ethnicities with HIV
Vaccine hesitancy is a leading threat to public health, but little is known about the beliefs and mindsets that drive vaccine hesitancy, especially among people of Black ethnicities. This study aimed to understand vaccine related beliefs and their relationship with SARS-CoV-2 vaccine uptake in UK residents of Black ethnicities living with HIV. Adults of self-reported Black ethnicities with HIV were recruited at 12 clinics in England. Participants…
What does a trans positive approach in schools look like to LGBTQ + young people
In December 2023, the UK government published non-statutory guidance for schools which states that schools have no duty to allow students to socially transition. Concerns have been raised that there has been no attempt to understand the perspectives and lived experiences of trans children in developing this guidance. To inform the production of a Trans Inclusion Toolkit, 274 LGBTQ+ young completed an online survey. The responses indicate that the…
The impact of the healing together programme for children and young people affected by domestic abuse
Behaviour changes following HIV diagnosis among men who have sex with men in the era of treatment as prevention
We described the longitudinal changes in sexual behaviour and associated factors among newly diagnosed with HIV men who have sex with men participating in a prospective observational study from a London HIV clinic (2015–2018). Participants self-completed questionnaires at baseline, months 3 and 12. Information collected included socio-demographic, sexual behaviour, health, lifestyle and social support. Trends in sexual behaviours over one year fo…
Hospital and community care costs for people newly diagnosed of living with HIV in London, UK
This study of people newly diagnosed of living with HIV (ND-PLHIV) calculated the use, cost and outcome of HIV services at a London HIV centre. ND-PLHIV were followed July 2017-October 2018. Hospital data included inpatient days (IP), outpatient (OP), dayward (DW) visits, tests and procedures, and anti-retroviral drugs (ARVs). Community services were recorded in daily diaries. Mean per patient-year (MPPY) use was multiplied by unit costs. 13.6 MP…
The 2022 State of Ohio Families
With nearly 80 million families residing in the United States, the health and well-being of families continue to be a popular area of inquiry and research, especially as the country experiences a variety of challenges as well as opportunities in a unique time in its history—socially, politically, and economically. Ohio, like many states, is experiencing changes in the demographic makeup of its population, changes in family formation, gaps in econ…
The potential effect of pre-exposure prophylaxis (PrEP) roll-out on sexual-risk behaviour among adolescents and young people in East and southern Africa
Pre-exposure prophylaxis (PrEP) is an HIV-prevention strategy recommended for those at high-risk of infection, including adolescents and young people (AYP). We explored how PrEP roll-out could influence sexual risk behaviour among AYP in East and southern Africa. Twenty-four group discussions and 60 in-depth interviews were conducted with AYP between 13 and 24 years old, recruited from community settings in Uganda, Zimbabwe and South Africa, from…
The association between severe menopausal symptoms and engagement with HIV care and treatment in women living with HIV
Using data from the PRIME Study, an observational study of the menopause in women living with HIV in England, we explored the association between menopausal symptoms and: (i) antiretroviral therapy (ART) adherence and (ii) HIV clinic attendance.We measured menopausal symptom severity with the Menopause Rating Scale (MRS, score ≥17 indicating severe symptoms), adherence with the CPCRA Antiretroviral Medication Adherence Self-Report Form, and ascer…
Exploring Perceived Barriers and Facilitators of PrEP Uptake among Young People in Uganda, Zimbabwe, and South Africa
Pre-exposure prophylaxis (PrEP) is an effective HIV prevention strategy. Few studies have explored adolescents and young people’s perspectives toward PrEP. We conducted 24 group discussions and 60 in-depth interviews with males and females aged 13–24 years in Uganda, Zimbabwe, and South Africa between September 2018 and February 2019. We used the framework approach to generate themes and key concepts for analysis following the social ecological m…
Association of HIV status with sexual function in women aged 45–60 in England
Increasing numbers of women living with HIV are reaching their midlife. We explore the association of HIV status with sexual function (SF) in women aged 45–60 using two national cross-sectional surveys: the third British National Survey of Sexual Attitudes and Lifestyles (“Natsal-3”) and “PRIME”, a survey of women living with HIV attending HIV clinics across England. Both studies asked the same questions about SF that take account not only sexual…
Risk of HIV transmission through condomless sex in serodifferent gay couples with the HIV-positive partner taking suppressive antiretroviral therapy (PARTNER)
BACKGROUND: The level of evidence for HIV transmission risk through condomless sex in serodifferent gay couples with the HIV-positive partner taking virally suppressive antiretroviral therapy (ART) is limited compared with the evidence available for transmission risk in heterosexual couples. The aim of the second phase of the PARTNER study (PARTNER2) was to provide precise estimates of transmission risk in gay serodifferent partnerships. METHODS:…
The Context of Sexual Risk Behaviour Among Men Who Have Sex with Men Seeking PrEP, and the Impact of PrEP on Sexual Behaviour
There are still important gaps in our understanding of how people will incorporate PrEP into their existing HIV prevention strategies. In this paper, we explore how PrEP use impacted existing sexual risk behaviours and risk reduction strategies using qualitative data from the PROUD study. From February 2014 to January 2016, we conducted 41 in-depth interviews with gay, bisexual and other men who have sex with men (GBMSM) enrolled in the PROUD PrE…
Pre-exposure prophylaxis to prevent the acquisition of HIV-1 infection (PROUD)
BACKGROUND: Randomised placebo-controlled trials have shown that daily oral pre-exposure prophylaxis (PrEP) with tenofovir-emtricitabine reduces the risk of HIV infection. However, this benefit could be counteracted by risk compensation in users of PrEP. We did the PROUD study to assess this effect. METHODS: PROUD is an open-label randomised trial done at 13 sexual health clinics in England. We enrolled HIV-negative gay and other men who have sex…
The 2022 State of Ohio Families
With nearly 80 million families residing in the United States, the health and well-being of families continue to be a popular area of inquiry and research, especially as the country experiences a variety of challenges as well as opportunities in a unique time in its history—socially, politically, and economically. Ohio, like many states, is experiencing changes in the demographic makeup of its population, changes in family formation, gaps in econ…
Exploring Perceived Barriers and Facilitators of PrEP Uptake among Young People in Uganda, Zimbabwe, and South Africa
Pre-exposure prophylaxis (PrEP) is an effective HIV prevention strategy. Few studies have explored adolescents and young people’s perspectives toward PrEP. We conducted 24 group discussions and 60 in-depth interviews with males and females aged 13–24 years in Uganda, Zimbabwe, and South Africa between September 2018 and February 2019. We used the framework approach to generate themes and key concepts for analysis following the social ecological m…
Pre-exposure prophylaxis to prevent the acquisition of HIV-1 infection (PROUD)
BACKGROUND: Randomised placebo-controlled trials have shown that daily oral pre-exposure prophylaxis (PrEP) with tenofovir-emtricitabine reduces the risk of HIV infection. However, this benefit could be counteracted by risk compensation in users of PrEP. We did the PROUD study to assess this effect. METHODS: PROUD is an open-label randomised trial done at 13 sexual health clinics in England. We enrolled HIV-negative gay and other men who have sex…
The Context of Sexual Risk Behaviour Among Men Who Have Sex with Men Seeking PrEP, and the Impact of PrEP on Sexual Behaviour
There are still important gaps in our understanding of how people will incorporate PrEP into their existing HIV prevention strategies. In this paper, we explore how PrEP use impacted existing sexual risk behaviours and risk reduction strategies using qualitative data from the PROUD study. From February 2014 to January 2016, we conducted 41 in-depth interviews with gay, bisexual and other men who have sex with men (GBMSM) enrolled in the PROUD PrE…
Risk of HIV transmission through condomless sex in serodifferent gay couples with the HIV-positive partner taking suppressive antiretroviral therapy (PARTNER)
BACKGROUND: The level of evidence for HIV transmission risk through condomless sex in serodifferent gay couples with the HIV-positive partner taking virally suppressive antiretroviral therapy (ART) is limited compared with the evidence available for transmission risk in heterosexual couples. The aim of the second phase of the PARTNER study (PARTNER2) was to provide precise estimates of transmission risk in gay serodifferent partnerships. METHODS:…
Association of HIV status with sexual function in women aged 45–60 in England
Increasing numbers of women living with HIV are reaching their midlife. We explore the association of HIV status with sexual function (SF) in women aged 45–60 using two national cross-sectional surveys: the third British National Survey of Sexual Attitudes and Lifestyles (“Natsal-3”) and “PRIME”, a survey of women living with HIV attending HIV clinics across England. Both studies asked the same questions about SF that take account not only sexual…
The association between severe menopausal symptoms and engagement with HIV care and treatment in women living with HIV
Using data from the PRIME Study, an observational study of the menopause in women living with HIV in England, we explored the association between menopausal symptoms and: (i) antiretroviral therapy (ART) adherence and (ii) HIV clinic attendance.We measured menopausal symptom severity with the Menopause Rating Scale (MRS, score ≥17 indicating severe symptoms), adherence with the CPCRA Antiretroviral Medication Adherence Self-Report Form, and ascer…
Exploring Perceived Barriers and Facilitators of PrEP Uptake among Young People in Uganda, Zimbabwe, and South Africa
Pre-exposure prophylaxis (PrEP) is an effective HIV prevention strategy. Few studies have explored adolescents and young people’s perspectives toward PrEP. We conducted 24 group discussions and 60 in-depth interviews with males and females aged 13–24 years in Uganda, Zimbabwe, and South Africa between September 2018 and February 2019. We used the framework approach to generate themes and key concepts for analysis following the social ecological m…
The potential effect of pre-exposure prophylaxis (PrEP) roll-out on sexual-risk behaviour among adolescents and young people in East and southern Africa
Pre-exposure prophylaxis (PrEP) is an HIV-prevention strategy recommended for those at high-risk of infection, including adolescents and young people (AYP). We explored how PrEP roll-out could influence sexual risk behaviour among AYP in East and southern Africa. Twenty-four group discussions and 60 in-depth interviews were conducted with AYP between 13 and 24 years old, recruited from community settings in Uganda, Zimbabwe and South Africa, from…
Hospital and community care costs for people newly diagnosed of living with HIV in London, UK
This study of people newly diagnosed of living with HIV (ND-PLHIV) calculated the use, cost and outcome of HIV services at a London HIV centre. ND-PLHIV were followed July 2017-October 2018. Hospital data included inpatient days (IP), outpatient (OP), dayward (DW) visits, tests and procedures, and anti-retroviral drugs (ARVs). Community services were recorded in daily diaries. Mean per patient-year (MPPY) use was multiplied by unit costs. 13.6 MP…
The 2022 State of Ohio Families
With nearly 80 million families residing in the United States, the health and well-being of families continue to be a popular area of inquiry and research, especially as the country experiences a variety of challenges as well as opportunities in a unique time in its history—socially, politically, and economically. Ohio, like many states, is experiencing changes in the demographic makeup of its population, changes in family formation, gaps in econ…
Behaviour changes following HIV diagnosis among men who have sex with men in the era of treatment as prevention
We described the longitudinal changes in sexual behaviour and associated factors among newly diagnosed with HIV men who have sex with men participating in a prospective observational study from a London HIV clinic (2015–2018). Participants self-completed questionnaires at baseline, months 3 and 12. Information collected included socio-demographic, sexual behaviour, health, lifestyle and social support. Trends in sexual behaviours over one year fo…
Sexual risk and HIV prevention choices among men who are mobile for work
In preparation for a trial implementing oral and long-acting Pre-Exposure Prophylaxis [LA-PrEP] for mobile men in South Africa and Uganda, we conducted a rapid ethnographic assessment at each trial site between November 2023 and July 2024. We present findings from that assessment on men’s views on sexual risk and HIV prevention options which informed the trial. Each rapid ethnographic assessment took 15 days of continuous work in each community u…
Mapping Vaccination Mindsets among UK Residents of Black Ethnicities with HIV
Vaccine hesitancy is a leading threat to public health, but little is known about the beliefs and mindsets that drive vaccine hesitancy, especially among people of Black ethnicities. This study aimed to understand vaccine related beliefs and their relationship with SARS-CoV-2 vaccine uptake in UK residents of Black ethnicities living with HIV. Adults of self-reported Black ethnicities with HIV were recruited at 12 clinics in England. Participants…
What does a trans positive approach in schools look like to LGBTQ + young people
In December 2023, the UK government published non-statutory guidance for schools which states that schools have no duty to allow students to socially transition. Concerns have been raised that there has been no attempt to understand the perspectives and lived experiences of trans children in developing this guidance. To inform the production of a Trans Inclusion Toolkit, 274 LGBTQ+ young completed an online survey. The responses indicate that the…
The impact of the healing together programme for children and young people affected by domestic abuse
Who is a mobile man ‘at risk’? Masculinity, work-related mobility, and HIV-related risks in Uganda and South Africa
Men who move for work (e.g., taxi drivers, fishermen, labourers) are often described as a homogeneous group at equal risk of HIV acquisition. This framing often masks important differences between men. Using data from rapid ethnographic assessments and a baseline survey in two settings in South Africa and one in Uganda, we examine how sexual risk- taking among men who travel frequently for work is shaped by mobility. We describe the different mob…
Medicine (11 works) · Family medicine (10 works) · HIV/AIDS Research and Interventions (9 works) · Demography (7 works) · Men who have sex with men (6 works) · Population (5 works) · Pre-exposure prophylaxis (5 works) · Psychology (5 works) · Sex work and related issues (5 works) · Adolescent Sexual and Reproductive Health (4 works)