H Ward
Biographic Data
| ID | 21514 |
|---|---|
| NAME | H Ward |
| GIVEN NAMES | H |
| FAMILY NAME | Ward |
| SIGNATURE | WARD H |
| AFFILIATIONS | Imperial College London |
| ORCID | 0000-0001-8238-5036 |
| VERIFIED | Yes |
| TOTAL WORKS | 37 |
| TOTAL CITATIONS | 60 |
| AUTHOR COUNT | 37 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1997 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 5 |
Young People Navigating the Looping Effects of Long Covid: Exhausting Agency and the ‘Ongoing After’ of Pandemic
Seeing beyond the COVID‐19 pandemic as an extraordinary spectacle situated in the past, we draw on qualitative research with young people to trace experiences of Long Covid as ‘looping effects’ of entangling physical and social impacts which intersect with, and extend, those of pandemic. Navigating the capacity to do ordinary things becomes highly contingent, and exhausting work, in the face of Long Covid. The physical impacts of illness, includi…
“I Put a Lot of Emphasis on Work Because I Want to Keep My Job”: A Population‐Based Interview Study of Long Covid and Employment Changes in England
BACKGROUND: Long Covid is a complex condition characterised by persistent multisystemic symptoms following a Covid-19 infection, which can influence an individual's capability to sustain employment. However, there is limited evidence of how diverse presentations of long Covid can shape employment and what support strategies might be useful for different groups. AIM: To address this, we aimed to explore the experiences of employment changes among …
Challenges of Inclusion: A Population‐Based Interview Study of Long Covid
INTRODUCTION: People with long Covid report a wide range of symptoms and inconsistent responses when seeking clinical diagnosis and support. Much of the qualitative research on long Covid has been based on people attending specialist clinical services or who have accessed support groups. We aimed to understand the varied experiences of persistent symptoms following Covid-19 and the impact on the lives of people affected. METHODS: Qualitative inte…
Co-designing interventions with multiple stakeholders to address barriers and promote equitable access to HIV Pre-Exposure Prophylaxis (PrEP) in Black women in England
This study highlights the importance of co-designing interventions with Black women to address multi-level barriers to PrEP access. It underscores the need for community education, healthcare system reforms, and the inclusion of Black women in decision-making processes to reduce PrEP equity gaps. The co-designed interventions provided a tailored, context-specific strategy that could improve PrEP uptake among Black women in England
Reciprocity, moral accounting work and the limitations of the concept of altruism: Motives for participation in a UK epidemiological cohort study
The assumption that research participation should be altruistically motivated is an underlying tenet of contemporary research ethics. In recent years, there has also been growing empirical interest in the role of altruism in non-clinical research, based on a desire to improve study recruitment and retention rates in longitudinal studies, observational studies and biobanks. Drawing on a survey with 241 respondents taking part in a UK epidemiologic…
Change, Adversity, and Adaptation: Young People’s Experience of the Covid-19 Pandemic Expressed through Artwork and Semi-Structured Interviews
This study explores how young people's mental health was affected by the COVID-19 pandemic using artwork and semi-structured interviews. The mental health impacts of the pandemic are important to understand so that policy and practice professionals can support those affected, prepare and respond to future crises, and support young people who are isolated and restricted in other contexts. Co-designed participatory art workshops and interviews were…
Introduction. Political arithmetic: Old and new
The articles in this Special Issue arose from a workshop in June 2021 (https://peoplelikeyou.ac.uk/activities/people-like-you-a-new-political-arithmetic/) which considered whether we might understand the enormous variety of calculations we encounter today as a political arithmetic. Our proposal was that the term provides a powerful way to understand the political nature of calculations of economic and social value. In this introduction we showcas…
Design and Implementation of a National Program to Monitor the Prevalence of Sars-CoV-2 IgG Antibodies in England Using Self-Testing: The React-2 Study
Data System. The UK Department of Health and Social Care funded the REal-time Assessment of Community Transmission-2 (REACT-2) study to estimate community prevalence of SARS-CoV-2 IgG (immunoglobulin G) antibodies in England. Data Collection/Processing. We obtained random cross-sectional samples of adults from the National Health Service (NHS) patient list (near-universal coverage). We sent participants a lateral flow immunoassay (LFIA) self-test…
Design and Implementation of a National Sars-CoV-2 Monitoring Program in England: React-1 Study
Data System. The REal-time Assessment of Community Transmission-1 (REACT-1) Study was funded by the Department of Health and Social Care in England to provide reliable and timely estimates of prevalence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection over time, by person and place. Data Collection/Processing. The study team (researchers from Imperial College London and its logistics partner Ipsos) wrote to named individu…
Population Monitoring of Sars-CoV-2 Infections via Random Sampling During the Covid-19 Pandemic
A s the COVID-19 pandemic took hold in early 2020, most countries were poorly equipped to deal with it.Despite the entreaties of the World Health Organization to "test, test, test," 1 few countries had the infrastructure, test equipment, laboratories, or resources to implement wide-scale testing.With the growing realization that severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection could be transmitted by those with mild symptoms…
Personalization: A New Political Arithmetic
Scholarship on the history of political arithmetic highlights its significance for classical liberalism, a political philosophy in which subjects perceive themselves as autonomous individuals in an abstract system called society. This society and its component individuals became intelligible and governable in a deluge of printed numbers, assisted by the development of statistics, the emergence of a common space of measurement, and the calculation…
In the picture’: Perspectives on living and working with cancer
We explored working and living with cancer at a large research-intensive National Health Service hospital breast cancer service and adjoining non-governmental organisation (NGO). The project had three elements that were largely autonomous in practice but conceptually integrated through a focus on personalised cancer medicine. Di Sherlock held conversations with staff and patients from which she produced a collection of poems, Written Portraits At…
Personalising clinical pathways in a London breast cancer service
Using interview and observational data from a busy and research-intensive breast cancer service in the United Kingdom, we discuss recent developments in personalised medicine. Specifically, we show how clinical and research practices meet in clinical pathways that are reconfigured in response to changing approaches of diagnosing, monitoring, treating and understanding cancers. Clinical pathways are increasingly sensitive to changes in evidence de…
Health, Lifestyle, and Psycho-Social Determinants of Poor Sleep Quality During the Early Phase of the Covid-19 Pandemic: A Focus on UK Older Adults Deemed Clinically Extremely Vulnerable
Background: Several studies have assessed the impact of COVID-19-related lockdowns on sleep quality across global populations. However, no study to date has specifically assessed at-risk populations, particularly those at highest risk of complications from coronavirus infection deemed “clinically-extremely-vulnerable-(COVID-19CEV)” (as defined by Public Health England). Methods: In this cross-sectional study, we surveyed 5,558 adults aged ≥50 yea…
Past-futures in experimental care: Breast cancer and HIV medicine
Cambrosio et al. (2018. “Extending Experimentation: Oncology’s Fading Boundary Between Research and Care.” New Genetics and Society 37 (3): 207–226) argue that “experimental care” in contemporary oncology involves the rapid merging of patient research and care, and invite further study into developments across other health conditions. We present a 2018–2019 study of experimental breast cancer care in an urban clinical setting in the light of two …
Development of a consensus statement on the role of the family in the physical activity, sedentary, and sleep behaviours of children and youth
Covid-19: An opportunity to rethink global cooperation in higher education and research
box The severe acute respiratory syndrome coronavirus 2 pandemic is many terrible things, but it is also acting as a pilot study in global collaboration in several sectors. Many international corporations are working together rather than competing with each other to produce vaccines. There is large-scale exchange of medical and public health data and possible solutions using digital and online tools. A number of industries have pivoted their prod…
Global health education in UK medical schools: A review of undergraduate university curricula
INTRODUCTION: In recognition of our increasingly globalised world, global health is now a required component of the medical school curriculum in the UK. We review the current provision of global health education (GHE) in UK medical schools to identify gaps in compulsory teaching. METHODS: We conducted a review of the literature to inform a two-part electronic survey of global health compulsory teaching, optional teaching and pre-elective training…
The reported impact of public involvement in biobanks: A scoping review
Associations of Social Isolation with Anxiety and Depression During the Early Covid-19 Pandemic: A Survey of Older Adults in London, UK
The COVID-19 pandemic is imposing a profound negative impact on the health and wellbeing of societies and individuals, worldwide. One concern is the effect of social isolation as a result of social distancing on the mental health of vulnerable populations, including older people. Within six weeks of lockdown, we initiated the CHARIOT COVID-19 Rapid Response Study, a bespoke survey of cognitively healthy older people living in London, to investiga…
Sexualized drug use (‘chemsex’) and high‐risk sexual behaviours in HIV ‐positive men who have sex with men
OBJECTIVES: The incidence of sexually transmitted infections (STIs) and HIV infection remains high in gay, bisexual, and other men who have sex with men (MSM) in the UK, and sexualized drug use ("chemsex") and injecting drug use ("slamsex") may play a part in this. We aimed to characterize HIV-positive MSM engaging in chemsex/slamsex and to assess the associations with self-reported STI diagnoses and sexual behaviours. METHODS: Data from a 2014 s…
From activism to secrecy: Contemporary experiences of living with HIV in London in people diagnosed from 1986 to 2014
BACKGROUND: Successes in biomedicine have transformed HIV from a debilitating and frequently fatal infection to a chronic, manageable condition. OBJECTIVE: To explore how the contemporary metanarrative of HIV as a chronic condition is understood by patients and how it varies depending on when they were diagnosed. DESIGN: Qualitative interviews with 52 people living with HIV who were diagnosed during different phases in the history of the epidemic…
Stratified, precision or personalised medicine? Cancer services in the 'real world' of a London hospital
We conducted ethnographic research in collaboration with a large, research-intensive London breast cancer service in 2013-2014 so as to understand the practices and potential effects of stratified medicine. Stratified medicine is often seen as a synonym for both personalised and precision medicine but these three terms, we found, also related to distinct facets of treatment and care. Personalised medicine is the term adopted for the developing 20…
Migration as a risk and a livelihood strategy: HIV across the life course of migrant families in India
Migrant workers are understood to be vulnerable to HIV. However, little is known about the experience of migration-based households following HIV infection. This qualitative study examined the migration-HIV relationship beyond the point of infection, looking at how it affects livelihood choices, household relationships and the economic viability of migrant families. We conducted semi-structured interviews with 33 HIV-positive migrant men and wome…
Ethnic variation in cancer patients’ ratings of information provision, communication and overall care
Effective communication and information provision are important to ensure patients are well informed, receive the best possible care and have a positive patient experience. However, ethnic inequalities exist in cancer patients' experiences of information provision and communication with variation evident both between and within broad ethnic categories. Further work to understand the causes of this variation is required to address ethnic inequalit…
Stratified, precision or personalised medicine? Cancer services in the 'real world' of a London hospital
We conducted ethnographic research in collaboration with a large, research-intensive London breast cancer service in 2013-2014 so as to understand the practices and potential effects of stratified medicine. Stratified medicine is often seen as a synonym for both personalised and precision medicine but these three terms, we found, also related to distinct facets of treatment and care. Personalised medicine is the term adopted for the developing 20…
Crack cocaine and prostitution in London in the 1990s
During the past 15 years, the use of crack cocaine has increased in London and our research from 1995-96 shows that its use is widespread throughout the sex industry by prostitutes and their clients. Interviews with women who have used crack and worked in prostitution show that use of the drug presents few difficulties for many in the industry, in contrast to widely held views. However, some women found that crack use undermined their safety at w…
Prostitution Policy in Europe: A Time of Change
There has been considerable recent debate about prostitution in Europe that reflects concerns about health, employment and human rights. Legal changes are being introduced in many countries. We focus on two examples in order to discuss the likely implications. A new law in The Netherlands is normalizing aspects of the sex industry through decriminalizing both workers and businesses. In Sweden, on the other hand, prostitution is considered to be a…
Health Seeking Behaviour and the Control of Sexually Transmitted Disease
What people do when they have symptoms or suspicion of a sexually transmitted disease (STD) has major implications for transmission and, consequently, for disease control. Delays in seeking and obtaining diagnosis and treatment can allow for continued transmission and the greater probability of adverse sequelae. An understanding of health seeking behaviour is therefore important if STD control programmes are to be effective. However, taboos and s…
Personalising clinical pathways in a London breast cancer service
Using interview and observational data from a busy and research-intensive breast cancer service in the United Kingdom, we discuss recent developments in personalised medicine. Specifically, we show how clinical and research practices meet in clinical pathways that are reconfigured in response to changing approaches of diagnosing, monitoring, treating and understanding cancers. Clinical pathways are increasingly sensitive to changes in evidence de…
Maids, Migrants and Occupational Health in the London Sex Industry
It has been argued that norms of occupational health have weakened with diversification in the sex industry. We explore this issue in walk-in flats in London, focusing on relationships between managers (maids) and sex workers. Today, most maids are local and most sex workers are 'migrants'. We collected data on 117 maids and sex workers, and carried out intensive fieldwork with seven maids and 17 sex workers. Managers take prime responsibility fo…
Personalization: A New Political Arithmetic
Scholarship on the history of political arithmetic highlights its significance for classical liberalism, a political philosophy in which subjects perceive themselves as autonomous individuals in an abstract system called society. This society and its component individuals became intelligible and governable in a deluge of printed numbers, assisted by the development of statistics, the emergence of a common space of measurement, and the calculation…
Sexual networks: The Integration of Social and Genetic Data
Design and Implementation of a National Sars-CoV-2 Monitoring Program in England: React-1 Study
Data System. The REal-time Assessment of Community Transmission-1 (REACT-1) Study was funded by the Department of Health and Social Care in England to provide reliable and timely estimates of prevalence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection over time, by person and place. Data Collection/Processing. The study team (researchers from Imperial College London and its logistics partner Ipsos) wrote to named individu…
Health Seeking Behaviour and the Control of Sexually Transmitted Disease
What people do when they have symptoms or suspicion of a sexually transmitted disease (STD) has major implications for transmission and, consequently, for disease control. Delays in seeking and obtaining diagnosis and treatment can allow for continued transmission and the greater probability of adverse sequelae. An understanding of health seeking behaviour is therefore important if STD control programmes are to be effective. However, taboos and s…
Sexual Networks and the Transmission of Hiv in London
This paper discusses ways in which empirical research investigating sexual networks can further understanding of the transmission of HIV in London, using information from a 24-month period of participant observation and 53 open-ended, in-depth interviews with eighteen men and one woman who have direct and indirect sexual links with each other. These interviews enabled the identification of a wider sexual network between 154 participants and conta…
Sexual networks: The Integration of Social and Genetic Data
Crack cocaine and prostitution in London in the 1990s
During the past 15 years, the use of crack cocaine has increased in London and our research from 1995-96 shows that its use is widespread throughout the sex industry by prostitutes and their clients. Interviews with women who have used crack and worked in prostitution show that use of the drug presents few difficulties for many in the industry, in contrast to widely held views. However, some women found that crack use undermined their safety at w…
Prostitution Policy in Europe: A Time of Change
There has been considerable recent debate about prostitution in Europe that reflects concerns about health, employment and human rights. Legal changes are being introduced in many countries. We focus on two examples in order to discuss the likely implications. A new law in The Netherlands is normalizing aspects of the sex industry through decriminalizing both workers and businesses. In Sweden, on the other hand, prostitution is considered to be a…
Variant Creutzfeldt-Jakob disease: Costs borne by families
The objectives of this study were: (1) to estimate the costs borne by families caring for patients with variant Creutzfeldt-Jakob disease (vCJD); (2) to contextualise results to recent policy initiatives, and (3) to consider the methodological problems of estimating costs of care. Semi-structured interviews and a follow-up postal questionnaire, eliciting costs to families both before and after the patient's death, were carried out. Participants i…
Maids, Migrants and Occupational Health in the London Sex Industry
It has been argued that norms of occupational health have weakened with diversification in the sex industry. We explore this issue in walk-in flats in London, focusing on relationships between managers (maids) and sex workers. Today, most maids are local and most sex workers are 'migrants'. We collected data on 117 maids and sex workers, and carried out intensive fieldwork with seven maids and 17 sex workers. Managers take prime responsibility fo…
SP3-35 Investigating dental treatment as a possible risk factor for variant Creutzfeldt-Jakob Disease (vCJD) in the UK
Introduction The potential for vCJD transmission in the healthcare setting has raised concerns over the risk posed by dental surgery. The aim of this study was to determine whether dental treatment was a possible risk factor for vCJD, by looking for links between vCJD cases and whether there was an excess of dental treatment in vCJD cases compared with general population controls. Methods Dental treatment records were collected from general denta…
PP54 Ethnic differences in Upper Gastrointestinal Disease in Scotland
Background There is a paucity of data assessing ethnic variations in upper gastrointestinal (GI) disease: we sought to study the incidence of upper GI diseases using adequate measure of ethnicity in Scotland. Methods Using the Scottish health and ethnicity linkage study (SHELS), linking NHS hospital admissions and mortality to the Scottish census 2001, we explored ethnic differences in incidence (2001-2010) of specific upper GI diseases (peptic u…
OP82 Ethnic Differences in Alcohol-Related Diseases in Scotland
Background Alcohol-related harms, most commonly liver disease-related, are a public health priority in Scotland. Previous research has identified variations in liver disease mortality endpoints using country of birth as a proxy for ethnicity in the UK. We report ethnic differences in the incidence of alcohol-related and liver disease using an adequate measure of ethnicity in Scotland. Methods Using the Scottish Health & Ethnicity Linkage Study (S…
Adherence to antiretroviral therapy in adolescents living with HIV: Systematic Review and Meta-Analysis
Complex routes into HIV care for migrant workers: A qualitative study from north India
Migrant workers are designated a bridge population in the spread of HIV and therefore if infected, should be diagnosed and treated early. This study examined pathways to HIV diagnosis and access to care for rural-to-urban circular migrant workers and partners of migrants in northern India, identifying structural, social and individual level factors that shaped their journeys into care. We conducted a qualitative study using in-depth interviews wi…
Migration as a risk and a livelihood strategy: HIV across the life course of migrant families in India
Migrant workers are understood to be vulnerable to HIV. However, little is known about the experience of migration-based households following HIV infection. This qualitative study examined the migration-HIV relationship beyond the point of infection, looking at how it affects livelihood choices, household relationships and the economic viability of migrant families. We conducted semi-structured interviews with 33 HIV-positive migrant men and wome…
Ethnic variation in cancer patients’ ratings of information provision, communication and overall care
Effective communication and information provision are important to ensure patients are well informed, receive the best possible care and have a positive patient experience. However, ethnic inequalities exist in cancer patients' experiences of information provision and communication with variation evident both between and within broad ethnic categories. Further work to understand the causes of this variation is required to address ethnic inequalit…
Stratified, precision or personalised medicine? Cancer services in the 'real world' of a London hospital
We conducted ethnographic research in collaboration with a large, research-intensive London breast cancer service in 2013-2014 so as to understand the practices and potential effects of stratified medicine. Stratified medicine is often seen as a synonym for both personalised and precision medicine but these three terms, we found, also related to distinct facets of treatment and care. Personalised medicine is the term adopted for the developing 20…
Sexualized drug use (‘chemsex’) and high‐risk sexual behaviours in HIV ‐positive men who have sex with men
OBJECTIVES: The incidence of sexually transmitted infections (STIs) and HIV infection remains high in gay, bisexual, and other men who have sex with men (MSM) in the UK, and sexualized drug use ("chemsex") and injecting drug use ("slamsex") may play a part in this. We aimed to characterize HIV-positive MSM engaging in chemsex/slamsex and to assess the associations with self-reported STI diagnoses and sexual behaviours. METHODS: Data from a 2014 s…
From activism to secrecy: Contemporary experiences of living with HIV in London in people diagnosed from 1986 to 2014
BACKGROUND: Successes in biomedicine have transformed HIV from a debilitating and frequently fatal infection to a chronic, manageable condition. OBJECTIVE: To explore how the contemporary metanarrative of HIV as a chronic condition is understood by patients and how it varies depending on when they were diagnosed. DESIGN: Qualitative interviews with 52 people living with HIV who were diagnosed during different phases in the history of the epidemic…
Development of a consensus statement on the role of the family in the physical activity, sedentary, and sleep behaviours of children and youth
Covid-19: An opportunity to rethink global cooperation in higher education and research
box The severe acute respiratory syndrome coronavirus 2 pandemic is many terrible things, but it is also acting as a pilot study in global collaboration in several sectors. Many international corporations are working together rather than competing with each other to produce vaccines. There is large-scale exchange of medical and public health data and possible solutions using digital and online tools. A number of industries have pivoted their prod…
Global health education in UK medical schools: A review of undergraduate university curricula
INTRODUCTION: In recognition of our increasingly globalised world, global health is now a required component of the medical school curriculum in the UK. We review the current provision of global health education (GHE) in UK medical schools to identify gaps in compulsory teaching. METHODS: We conducted a review of the literature to inform a two-part electronic survey of global health compulsory teaching, optional teaching and pre-elective training…
The reported impact of public involvement in biobanks: A scoping review
Associations of Social Isolation with Anxiety and Depression During the Early Covid-19 Pandemic: A Survey of Older Adults in London, UK
The COVID-19 pandemic is imposing a profound negative impact on the health and wellbeing of societies and individuals, worldwide. One concern is the effect of social isolation as a result of social distancing on the mental health of vulnerable populations, including older people. Within six weeks of lockdown, we initiated the CHARIOT COVID-19 Rapid Response Study, a bespoke survey of cognitively healthy older people living in London, to investiga…
Health, Lifestyle, and Psycho-Social Determinants of Poor Sleep Quality During the Early Phase of the Covid-19 Pandemic: A Focus on UK Older Adults Deemed Clinically Extremely Vulnerable
Background: Several studies have assessed the impact of COVID-19-related lockdowns on sleep quality across global populations. However, no study to date has specifically assessed at-risk populations, particularly those at highest risk of complications from coronavirus infection deemed “clinically-extremely-vulnerable-(COVID-19CEV)” (as defined by Public Health England). Methods: In this cross-sectional study, we surveyed 5,558 adults aged ≥50 yea…
Past-futures in experimental care: Breast cancer and HIV medicine
Cambrosio et al. (2018. “Extending Experimentation: Oncology’s Fading Boundary Between Research and Care.” New Genetics and Society 37 (3): 207–226) argue that “experimental care” in contemporary oncology involves the rapid merging of patient research and care, and invite further study into developments across other health conditions. We present a 2018–2019 study of experimental breast cancer care in an urban clinical setting in the light of two …
In the picture’: Perspectives on living and working with cancer
We explored working and living with cancer at a large research-intensive National Health Service hospital breast cancer service and adjoining non-governmental organisation (NGO). The project had three elements that were largely autonomous in practice but conceptually integrated through a focus on personalised cancer medicine. Di Sherlock held conversations with staff and patients from which she produced a collection of poems, Written Portraits At…
Medicine (29 works) · Family medicine (13 works) · Psychology (13 works) · Political science (12 works) · Environmental health (11 works) · Public health (11 works) · Nursing (10 works) · Sociology (10 works) · Computer Science (8 works) · Pandemic (8 works)