Kaye Wellings
Dados Biográficos
| ID | 247480 |
|---|---|
| NOME | Kaye Wellings |
| PRENOMES | Kaye |
| SOBRENOME | Wellings |
| ASSINATURA | WELLINGS K |
| AFILIAÇÕES | London School of Hygiene & Tropical Medicine |
| ORCID | 0000-0003-1053-8640 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 53 |
| TOTAL DE CITAÇÕES | 221 |
| TOTAL COMO AUTOR | 51 |
| TOTAL COMO EDITOR | 3 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1986 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 9 |
“It's Not a One Size Fits All”
Abortion care in Britain has undergone significant transformation in recent years, with increasing use of medication, home management, and telemedicine. However, provision remains predominantly through specialist standalone clinics, particularly in England. Drawing on the interlinking frameworks of abortion exceptionalism, stigma, and quality of care, we analyzed 48 qualitative interviews with people who recently had abortions to explore how serv…
I'm Pregnant, What Do I Do
Background Accurate, timely, and supportive information is important for high‐quality abortion care. Limited research explores how people find and use online sources of information (OSI) during the abortion process, particularly in Britain. Understanding experiences of using OSI is important for the development of person‐centered services and resources. Methods We conducted a thematic analysis of qualitative data from 41 semi‐structured interview…
Factors shaping the timing of later entry into parenthood
This study explores the choices and constraints affecting timing of parenthood among those who became parents in their mid-thirties and early forties and how their fertility decisions were both affected by and negotiated within the interplay of different temporal frameworks. Recent decades have seen a trend towards postponement of parenthood in many countries. Explanations for this delay include structural factors, changing social norms and the i…
We’re Just Tired”
Studies into decline in sexual activity among women in midlife produce equivocal findings, some implicating hormonal and physiological changes, others psycho-social and environmental factors. Women's perspectives rarely inform interpretation of the data. Associations between sexual satisfaction, activity and function, and health and lifestyle factors were explored using data from 2133 female participants in the third British National Survey of Se…
Achieving proportional representation in a reproductive health survey through social media
It is possible to recruit large numbers of respondents online, relatively quickly, to complete a reproductive health survey. This will be valuable to track reproductive health and well-being at a national level over time. More work is needed to understand reasons for non-response among under-represented groups
Barriers and Facilitators for Formulation and Implementation of a Sex Education Programme in Saudi Arabia
How should school-based sex education be provided for adolescents in Saudi Arabia? Views of stakeholders
Although sex education has been found to improve young people’s sexual and reproductive health, no formal programmes exist in Saudi Arabia. This study aims to assess the views of stakeholders on the need for sex education programmes for adolescents in Saudi Arabia, suggested forms of provision, and views on the information provided in Science and Religion curricula. Twenty-eight semi-structured interviews were conducted with policy-makers, health…
Salivary Testosterone and Sexual Function and Behavior in Men and Women
Using data from the third British National Survey of Sexual Attitudes and Lifestyles (Natsal-3) we examined associations between salivary testosterone (Sal-T) and sexual function and behavior. Single morning saliva samples were self-collected from a subsample of participants aged 18-74 years and analyzed using mass spectrometry. 1,599 men and 2,123 women were included in the analysis (40.6% of those invited to provide a sample). We adjusted for c…
Decriminalising Abortion in the UK
The public and parliamentary debate about UK abortion law is often diverted away from key moral and political questions by disputes regarding basic questions of fact. And all too often, claims of scientific ‘fact’ are ideologically driven. With each chapter written by leading experts in the fields of medicine, law, reproductive health and social science, this book offers a concise and authoritative account of the evidence regarding the likely imp…
Early menarche and its relationship to paternal migrant work among middle-school-aged students in China
Associations have been shown between father’s absence and menarcheal age, but most studies have focused on absence resulting from divorce, abandonment or death. Little research has been conducted to evaluate the effect on menarcheal age of paternal absence through migrant work. In a sample of 400 middle school students, this study examined the association between paternal migrant work and menarcheal age against a backdrop of extensive rural-to-ur…
Decriminalising Abortion in the UK
application for Judicial Review by the [2018] UKSC
Decriminalising Abortion in the UK
Available Open Access under CC-BY-NC licence. The public and parliamentary debate about UK abortion law reform is often diverted away from key moral and political questions by disputes regarding basic questions of fact. And all too often, claims of scientific ‘fact’ are ideologically driven. But what effect would decriminalisation be likely to have on women’s health? What would be the impact on the incidence of abortions? Would decriminalisation …
Abstinence versus harm reduction approaches to sexual health education
This study elicited views of key stakeholders on the need for adolescent sex education and the appropriate model to adopt in Saudi Arabia. Semi-structured interviews were conducted in Riyadh, Saudi Arabia, with 28 stakeholders: policy-makers; social and healthcare providers; teachers and school staff; and religious scholars. Interviews were recorded and transcribed verbatim. Thematic analysis was conducted to identify emerging themes. Stakeholder…
Latent class analysis of sexual health markers among men and women participating in a British probability sample survey
A greater prevalence and diversity of poor sexual health appears to exist among women than men in Britain, with more consistent effects on women's subjective sexual well-being. Shared health and lifestyle characteristics of higher-risk groups suggest widespread benefits of upstream interventions. Several groups could benefit from tailored interventions: men and women who underestimate their STI/HIV risk exposure, women distressed by low interest …
Sexual identity, attraction and behaviour in Britain
BACKGROUND: Sexual orientation encompasses three dimensions: sexual identity, attraction and behaviour. There is increasing demand for data on sexual orientation to meet equality legislation, monitor potential inequalities and address public health needs. We present estimates of all three dimensions and their overlap in British men and women, and consider the implications for health services, research and the development and evaluation of public …
Why Do Men Report More Opposite-Sex Sexual Partners Than Women? Analysis of the Gender Discrepancy in a British National Probability Survey
In a closed population and defined time period, the mean number of opposite-sex partners reported by men and women should be equal. However, in all surveys, men report more partners. This inconsistency is pivotal to debate about the reliability of self-reported sexual behavior. We used data from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3), a probability sample survey of the British population, to investigate the extent…
The health and well-being of men who have sex with men (MSM) in Britain
MSM are disproportionately affected by a broad range of harmful health behaviours and poor health outcomes. Although often observed for a minority of MSM, many health inequalities were seen in combination such that policies and practices aimed at improving the health and well-being of MSM require a holistic approach, regardless of clinical specialty
How social representations of sexually transmitted infections influence experiences of genito-urinary symptoms and care-seeking in Britain
This is an ongoing mixed methods study collecting, analysing and synthesising linked data from a national survey and follow-up semi-structured interviews. It adds explanatory potential to existing national survey data and is likely to inform future surveys about sexual health. Given the current uncertainty around service provision in Britain, this study provides timely data about symptom experiences and care-seeking behaviour which may inform fut…
Is “Sexual Competence” at First Heterosexual Intercourse Associated With Subsequent Sexual Health Status
The timing of first sexual intercourse is often defined in terms of chronological age, with particular focus on "early" first sex. Arguments can be made for a more nuanced concept of readiness and appropriateness of timing of first intercourse. Using data from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3), conducted in 2010-2012, this study examined whether a context-based measure of first intercourse-termed sexual compe…
Life course epidemiology
Life course epidemiology may be conceptualised as “the study of long term effects on later health or disease risk of physical or social exposures during gestation, childhood, adolescence, young adulthood and later adult life.”1 Adolescence, the period between childhood and adulthood defined by the WHO as 10–19 years, has an uneasy status in epidemiology. On the one hand, adolescents, who now number over 1.2 billion worldwide—around 20% of the glo…
The Natsal-SF Measure of Sexual Function
The Natsal-SF is a psychometrically validated measure of sexual function for use in community health surveys, derived from 17 questions reflecting three components of sexual function. Scoring requires knowledge of complex statistical modeling and, given the methodological complexities, we assessed the validity of two simplified scoring methods calculated using the factor loadings produced when originally modeling the Natsal-SF items. Method 1 use…
Estimating the Prevalence of Sexual Function Problems
Establishing the clinical significance of symptoms of sexual dysfunction is challenging. To address this, the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) introduced two new morbidity criteria (duration and symptom severity) to the existing criteria of distress. This study sought to establish the impact of these three criteria on the population prevalence of sexual function problems. The data come from a nati…
An exploratory review of HIV prevention mass media campaigns targeting men who have sex with men
Campaigns aim to provide MSM with information to help prevent transmission of HIV and to address increasing motivation and changing norms towards precautionary behaviours. However, the limitations of mass media in imparting skills in effecting behaviour change should be recognised, and campaigns supplemented by additional components may be better-suited to achieving these goals
Changes in sexual attitudes and lifestyles in Britain through the life course and over time
BACKGROUND: Sexual behaviour and relationships are key components of wellbeing and are affected by social norms, attitudes, and health. We present data on sexual behaviours and attitudes in Britain (England, Scotland, and Wales) from the three National Surveys of Sexual Attitudes and Lifestyles (Natsal). METHODS: We used a multistage, clustered, and stratified probability sample design. Within each of the 1727 sampled postcode sectors for Natsal-…
Sexual function in Britain
BACKGROUND: Despite its importance to sexual health and wellbeing, sexual function is given little attention in sexual health policy. Population-based studies are needed to understand sexual function across the life course. METHODS: We undertook a probability sample survey (the third National Survey of Sexual Attitudes and Lifestyles [Natsal-3]) of 15,162 individuals aged 16-74 years who lived in Britain (England, Scotland, and Wales). Interviews…
What is a 'planned' pregnancy? empirical data from a British study
Life course epidemiology
Life course epidemiology may be conceptualised as “the study of long term effects on later health or disease risk of physical or social exposures during gestation, childhood, adolescence, young adulthood and later adult life.”1 Adolescence, the period between childhood and adulthood defined by the WHO as 10–19 years, has an uneasy status in epidemiology. On the one hand, adolescents, who now number over 1.2 billion worldwide—around 20% of the glo…
Conceptualisation, development, and evaluation of a measure of unplanned pregnancy
Study objective: To develop a measure of unplanned pregnancy that is valid, reliable, and appropriate in the context of contemporary demographic trends and social mores and can be used in a variety of situations, including the production of population prevalence estimates. Design: A two stage study design: qualitative (inductive) methods to delineate the construct of pregnancy planning, and quantitative/psychometric methods to establish the means…
Estimating the Prevalence of Sexual Function Problems
Establishing the clinical significance of symptoms of sexual dysfunction is challenging. To address this, the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) introduced two new morbidity criteria (duration and symptom severity) to the existing criteria of distress. This study sought to establish the impact of these three criteria on the population prevalence of sexual function problems. The data come from a nati…
Prevalence of Masturbation and Associated Factors in a British National Probability Survey
Why Do Men Report More Opposite-Sex Sexual Partners Than Women? Analysis of the Gender Discrepancy in a British National Probability Survey
In a closed population and defined time period, the mean number of opposite-sex partners reported by men and women should be equal. However, in all surveys, men report more partners. This inconsistency is pivotal to debate about the reliability of self-reported sexual behavior. We used data from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3), a probability sample survey of the British population, to investigate the extent…
Women Who Report Having Sex With Women
Objectives. We estimated the prevalence of same-sex experience among women and compared women reporting sex with women and men and women reporting sex exclusively with women with women reporting sex exclusively with men, in terms of sociodemographics and sexual, reproductive, and general health risk behaviors and outcomes. Methods. We used a British probability survey (n=6399 women, aged 16 to 44 years) conducted from 1999 to 2001 with face-to-fa…
Private sexual behavior, public opinion, and public health policy related to sexually transmitted diseases
OBJECTIVES: The purpose of this study was to characterize sexual behavior and opinions about sex in the United States and Britain; implications are discussed for effective public health policy regarding sexually transmitted diseases (STDs) in the United States. METHODS: Large-scale national probability surveys conducted in the 2 countries detailed sexual behavior, opinions, and the prevalence of STDs. RESULTS: In comparison with that of Britain, …
Managing Sexual Difficulties
Biomedical interventions offer effective treatment for only a small proportion of individuals experiencing sexual difficulties. Where treatment fails, individuals have to find ways to cope and adjust. Currently, little is known about how individuals do this. This article presents data from 32 semi-structured interviews with individuals representing a range of sexual function experience. Three broad coping approaches are identified. The first, cha…
Scripting sexual function
The biomedical model assumes universal agreement in what it means to have a functioning sex life. In reality there is significant variation in the criteria that individuals employ in assessing their sex lives. We use a scripting approach to understand the meaning of sexual function from a lay perspective. Based on the accounts of 32 individuals representing a range of sexual function experience, we identified three scripts employed by participant…
Is “Sexual Competence” at First Heterosexual Intercourse Associated With Subsequent Sexual Health Status
The timing of first sexual intercourse is often defined in terms of chronological age, with particular focus on "early" first sex. Arguments can be made for a more nuanced concept of readiness and appropriateness of timing of first intercourse. Using data from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3), conducted in 2010-2012, this study examined whether a context-based measure of first intercourse-termed sexual compe…
Measuring Sexual Function in Community Surveys
Among the many psychometric measures of sexual (dys)function, none is entirely suited to use in community surveys. Faced with the need to include a brief and non-intrusive measure of sexual function in a general population survey, a new measure was developed. Findings from qualitative research with men and women in the community designed to inform the conceptual framework for this measure are presented. Thirty-two semi-structured interviews with …
Bases, Stages and 'Working your Way Up
While the symbolic importance of 'losing your virginity' has been described in many settings, meanings of non-coital sexual experiences, such as oral sex and hand-genital contact, are often missing from theorisation of sexual transitions. Drawing on data from a qualitative mixed methods study with young people aged 16-18 in England (the 'sixteen18 project'), we explore normative expectations about non-coital sex and sexual trajectories. Our study…
I'm Pregnant, What Do I Do
Background Accurate, timely, and supportive information is important for high‐quality abortion care. Limited research explores how people find and use online sources of information (OSI) during the abortion process, particularly in Britain. Understanding experiences of using OSI is important for the development of person‐centered services and resources. Methods We conducted a thematic analysis of qualitative data from 41 semi‐structured interview…
The Natsal-SF Measure of Sexual Function
The Natsal-SF is a psychometrically validated measure of sexual function for use in community health surveys, derived from 17 questions reflecting three components of sexual function. Scoring requires knowledge of complex statistical modeling and, given the methodological complexities, we assessed the validity of two simplified scoring methods calculated using the factor loadings produced when originally modeling the Natsal-SF items. Method 1 use…
Changes in the circumstances of young mothers in Britain
Objectives: To assess changes between 1990 and 2000 in the circumstances of women who became mothers before the age of 18. Design: Two cross sectional probability sample surveys of the general population carried out in 1989–1991 (Natsal 1990) and 1999–2001 (Natsal 2000). Setting: British households. Participants: Women aged 18 to 27 years at time of survey (Natsal 1990: 2575, Natsal 2000: 1757). Main outcome measures: Educational attainment, part…
Collecting information on marital status
Marital status is often probed in epidemiological, publichealth, and social surveys, and has been shown to beassociated with various health outcomes. However, in the past 25 years there has been a trend towards cohabitation, and higher rates of divorce and remarriage.1 Birth registration data also show that nearly 40 % of births are outside marriage, a large proportion of which are to cohabiting couples.2 The way in which data are collected has t…
Sex and Family Planning
Selling Aids prevention
Sexual Attitudes and Lifestyles
Private sexual behavior, public opinion, and public health policy related to sexually transmitted diseases
OBJECTIVES: The purpose of this study was to characterize sexual behavior and opinions about sex in the United States and Britain; implications are discussed for effective public health policy regarding sexually transmitted diseases (STDs) in the United States. METHODS: Large-scale national probability surveys conducted in the 2 countries detailed sexual behavior, opinions, and the prevalence of STDs. RESULTS: In comparison with that of Britain, …
Integrated sexual health services
Contraceptive services and genitourinary medicine in the UK have traditionally been organized separately. Convergence of the two specialties has recently become more widespread, and the number of centres at which family planning and genitourinary medicine services are integrated is increasing. This paper describes findings from a study of the views of medical professionals in the separate specialties of family planning and genitourinary medicine …
Post-exposure prophylaxis after occupational and non-occupational exposures to HIV
The aim of this survey, which was part of an English-French project supported by the Commission of the European Communities, was to compare access to HIV post-exposure prophylaxis (PEP) in the occupational and non-occupational contexts in 27 European countries. A protocol was designed in May 1998 in collaboration with all country consultants. Data were collected at country level by each consultant through interviews, review of local and national …
Discomfort, discord and discontinuity as data
In the context of research into sensitive topics, focus groups may not at first seem the method of choice. Personal information may most likely be disclosed when assurances of privacy, confidentiality and a non-condemnatory attitude can be provided. The focus group format guarantees none of these. This paper reports on focus groups carried out in the general context of three different research projects with the common challenge of generating disc…
Sexual behaviour in Britain
Sexual behaviour in Britain
The role of ambiguity in sexual encounters between young people in England
This paper explores the role of ambiguity in sexual encounters between young people. It is based on a qualitative study of young peoples' communication about sexual matters whilst on a date. Focus groups (4) and semi-structured interviews (n = 29) were conducted with young people (aged 16-29) in three areas of England. The results suggest that ambiguity may serve a useful function in the management of ambivalence during sexual encounters; may pro…
Collecting information on marital status
Marital status is often probed in epidemiological, publichealth, and social surveys, and has been shown to beassociated with various health outcomes. However, in the past 25 years there has been a trend towards cohabitation, and higher rates of divorce and remarriage.1 Birth registration data also show that nearly 40 % of births are outside marriage, a large proportion of which are to cohabiting couples.2 The way in which data are collected has t…
What is a 'planned' pregnancy? empirical data from a British study
Sex and relationship education and the media
Newspapers are recognised as a major source of factual information. The media representation of issues related to teenage pregnancy is important to policy makers and those delivering related interventions. This is particularly so in relation to issues which may be seen as sensitive by the \npublic, such as sex and relationship education (SRE). Despite general recognition of the importance of the media in communicating to the public, there is an a…
Conceptualisation, development, and evaluation of a measure of unplanned pregnancy
Study objective: To develop a measure of unplanned pregnancy that is valid, reliable, and appropriate in the context of contemporary demographic trends and social mores and can be used in a variety of situations, including the production of population prevalence estimates. Design: A two stage study design: qualitative (inductive) methods to delineate the construct of pregnancy planning, and quantitative/psychometric methods to establish the means…
Gender double standards in young people attending sexual health services in Northern Thailand
Concern about the sexual and reproductive health of young people has been mounting recently in Thailand. Unequal gender relations have a considerable influence on the lives of young people, especially young women, yet few studies have explored the ways in which they have impacted on provision of sexual health care. Drawing upon data from a qualitative study in Northern Thailand, this paper explores the views and experiences of young people in see…
Changes in the circumstances of young mothers in Britain
Objectives: To assess changes between 1990 and 2000 in the circumstances of women who became mothers before the age of 18. Design: Two cross sectional probability sample surveys of the general population carried out in 1989–1991 (Natsal 1990) and 1999–2001 (Natsal 2000). Setting: British households. Participants: Women aged 18 to 27 years at time of survey (Natsal 1990: 2575, Natsal 2000: 1757). Main outcome measures: Educational attainment, part…
Sexual behaviour in context
How can we facilitate reliable reporting in surveys of sexual behaviour? Evidence from qualitative research
Methodological studies examining the veracity of sexual behaviour reports frequently focus on the source of unreliable, inaccurate or inconsistent responses. This paper, instead, explores the means by which respondents might be assisted in providing an accurate account of their sexual experience. We present findings from a survey development study (second Great Britain National Survey of Sexual Attitudes and Lifestyles, development phase), which …
Women Who Report Having Sex With Women
Objectives. We estimated the prevalence of same-sex experience among women and compared women reporting sex with women and men and women reporting sex exclusively with women with women reporting sex exclusively with men, in terms of sociodemographics and sexual, reproductive, and general health risk behaviors and outcomes. Methods. We used a British probability survey (n=6399 women, aged 16 to 44 years) conducted from 1999 to 2001 with face-to-fa…
How do national newspapers report on sex and relationship education in England
Issues relating to the sexual behaviour and sexual health of young people consistently capture newspaper headlines in the UK. The present paper provides a qualitative analysis of national newspaper articles reporting on sex and relationship education (SRE) within the context of teenage pregnancy. Overall, conservative newspapers were generally less supportive of SRE, while the liberal and left‐wing press was more supportive. Across newspaper titl…
Prevalence of Masturbation and Associated Factors in a British National Probability Survey
Sexuality education in Europe
Comprehensive sexuality education is one of the most important tools to ensure that young people have the information they need to make healthy and informed choices. The aim of this article is, firstly, to outline general issues about sexuality education pertaining to curriculum content, the didactic methods used, agencies involved, political support, coverage and adequacy of provision and barriers to effective sexuality education in Europe. Seco…
HIV prone occupational exposures
BACKGROUND: Occupational exposures to bloodborne viruses are very common. Whilst occupational HIV transmissions are rare, the serious physical, psychological and cost implications of potential transmission make this an important public health topic. European and UK guidelines recommend HIV post-exposure prophylaxis (PEP) as a valuable tool of preventing occupational HIV infection. Yet one in five UK healthcare workers did not initiate PEP despite…
First Heterosexual Intercourse in the United Kingdom
First sexual intercourse is an event of immense social and personal significance, which also has major health implications. However, there has been no recent review of the literature in the United Kingdom specifically relating to this event. This review addresses this gap, examining the timing, circumstances, and consequences of first heterosexual intercourse. Studies were identified by electronic search, as well as through contact with experts i…
Managing Sexual Difficulties
Biomedical interventions offer effective treatment for only a small proportion of individuals experiencing sexual difficulties. Where treatment fails, individuals have to find ways to cope and adjust. Currently, little is known about how individuals do this. This article presents data from 32 semi-structured interviews with individuals representing a range of sexual function experience. Three broad coping approaches are identified. The first, cha…
Medicine (35 obras) · Psychology (35 obras) · Population (32 obras) · Sociology (31 obras) · Adolescent Sexual and Reproductive Health (27 obras) · Demography (23 obras) · Environmental health (20 obras) · Reproductive health (18 obras) · Social Psychology (14 obras) · Public health (13 obras)