Jonathan Elford
Dados Biográficos
| ID | 301852 |
|---|---|
| NOME | Jonathan Elford |
| PRENOMES | Jonathan |
| SOBRENOME | Elford |
| ASSINATURA | ELFORD J |
| AFILIAÇÕES | City, University of London |
| ORCID | 0000-0002-8392-9063 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 43 |
| TOTAL DE CITAÇÕES | 49 |
| TOTAL COMO AUTOR | 43 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1987 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2014 |
| ÍNDICE H | 4 |
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…
Communication About Microbicide Use Between Couples in KwaZulu-Natal, South Africa
The ways in which couples communicate about microbicides is likely to influence microbicide uptake and usage. We collected quantitative data about whether women in a microbicide trial discussed microbicides with their partners and explored communication about microbicides during 79 in-depth-interviews with women enrolled in the trial and 17 focus-group discussions with community members. After 4 weeks in the trial, 60 % of 1092 women had discusse…
The Implications of Post-coital Intravaginal Cleansing for the Introduction of Vaginal Microbicides in South Africa
Post-coital intravaginal cleansing (IVC) could counteract the protective effect of a vaginal microbicide. IVC less than 1 h after sex is discouraged in most microbicide trials. During a microbicide trial in KwaZulu-Natal, we collected quantitative data on post-coital IVC. We discussed IVC during in-depth-interviews (IDIs) and focus-group discussions (FGDs) with women enrolled in the trial, and during FGDs with community members. Nearly one-third …
Circumcision and HIV Infection among Men Who Have Sex with Men in Britain
Comparisons of disparities and risks of HIV infection in black and other men who have sex with men in Canada, UK, and USA
The association between ethnicity and late presentation to antenatal care among pregnant women living with HIV in the UK and Ireland
UK and Ireland guidelines state that all pregnant women should have their first antenatal care appointment by 13 weeks of pregnancy (antenatal booking). We present the results of an analysis looking at the association between maternal ethnicity and late antenatal booking in HIV-positive women in the UK and Ireland. We analysed data from the National Study of HIV in Pregnancy and Childhood (NSHPC). We included all pregnancies in women who were dia…
The impact of African ethnicity and migration on pregnancy in women living with HIV in the UK
We have developed an innovative methodology utilising epidemiological and anthropological methods to explore pregnancy in African women living with HIV in the UK. The data collected in this mixed methods study are currently being analysed and will facilitate the development of appropriate services for this group
Sexual Mixing and HIV Risk Among Ethnic Minority MSM in Britain
Sexual health of ethnic minority MSM in Britain (Mesh project)
The findings from this study will improve our understanding of the sexual health and needs of ethnic minority MSM in Britain
Disclosure, discrimination and desire
Using findings from a qualitative investigation based on in-depth email interviews with 47 Black and South Asian gay men in Britain, this paper explores the cross-cutting identities and discourses in relation to being both gay and from an ethnic minority background. Taking an intersectional approach, detailed accounts of identity negotiation, cultural pressures, experiences of discrimination and exclusion and the relationship between minority eth…
Intravaginal insertion in KwaZulu-Natal
Intravaginal insertion is often associated with the concept of 'dry' sex. All HIV-prevention microbicides tested to date have been vaginally applied lubricant-based gels. In this paper, we examine whether the use of intravaginal insertions could be in conflict with the introduction of vaginal microbicide gels. The Africa Centre site was part of the Microbicides Development Programme evaluating PRO2000/5 microbicide gel. We conducted in-depth-inte…
Characteristics of Gay and Bisexual Men Who Drop Out of a Web Survey of Sexual Behaviour in the UK
A Comparison of Item Non-Response in Web and Pen-and-Paper Surveys of Sexual Behaviour
Excluding respondents who fail to answer a question will reduce effective sample size. This weakens statistical power and creates problems for the creation of summative indicators, the analysis of multi-item scales and the application of multivariate techniques (Dickinson & Kirzner 1985). When item nonresponders differ systematically from responders on the variables of interest, item non-response will also lead to biased population estimates (Kup…
Like a prayer
Over 40,000 people are now living with diagnosed HIV in the UK. There is, however, uncertainty about how people with HIV use religion or spirituality to cope with their infection. Adopting a modified grounded theory approach, we analysed individual and group interviews with the people most affected by HIV in the UK: black African heterosexual men and women and gay men (mostly white). For the majority of black African heterosexual men and women in…
Conducting Internet-Based HIV/STD Prevention Survey Research
Can current national surveillance systems in England and Wales monitor sexual transmission of hepatitis C among HIV-infected men who have sex with men
Matching routine laboratory reports of hepatitis C diagnoses with HIV diagnoses only identified 31 HIV infected MSM with sexually-transmitted hepatitis C infection. Clinical studies suggest that this is an underestimate. On the other hand, matching sentinel surveillance reports with HIV diagnoses revealed that in E&W in 2003 nearly 5% of HIV-diagnosed MSM tested hepatitis C positive where the only risk was sex with another man. Reports of sexuall…
HIV-Related Discrimination Reported by People Living with HIV in London, UK
Where Young MSM Meet Their First Sexual Partner
Positive prevention
Changing patterns of sexual behaviour in the era of highly active antiretroviral therapy
PURPOSE OF REVIEW: To describe changing patterns of sexual behaviour in the era of highly active antiretroviral therapy among gay/bisexual men in Europe, Canada, USA and Australia. RECENT FINDINGS: While there has been a substantial increase in high-risk sexual behaviour among gay men since 1996, this now appears to be levelling off in some cities. Overall the empirical evidence does not support the suggestion that taking highly active antiretrov…
HIV in East London
A clinic-based study has allowed us to survey nearly 1700 patients with HIV from diverse backgrounds receiving treatment and care in East London. The data collected in this study will provide valuable information for the planning and delivery of appropriate clinical care, social support and health promotion for people living with HIV not only in East London but in other parts of the capital as well as elsewhere in the UK
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…
Recruiting London gay men into an HIV vaccine trial
This paper describes a study among HIV-negative gay men in London to examine willingness to volunteer for an HIV vaccine trial. HIV-negative gay men (n=506) were surveyed in central London gyms in February-March 2002. Information was collected on willingness to volunteer for an HIV vaccine trial, attitudes toward HIV vaccines and sexual risk behaviour. Men reporting unprotected anal intercourse (UAI) in the previous three months with a man of unk…
Early life experience and cardiovascular disease--ecological studies
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 …
Like a prayer
Over 40,000 people are now living with diagnosed HIV in the UK. There is, however, uncertainty about how people with HIV use religion or spirituality to cope with their infection. Adopting a modified grounded theory approach, we analysed individual and group interviews with the people most affected by HIV in the UK: black African heterosexual men and women and gay men (mostly white). For the majority of black African heterosexual men and women in…
Positive prevention
Moral and social aspects of aids
Circumcision and HIV Infection among Men Who Have Sex with Men in Britain
A Comparison of Item Non-Response in Web and Pen-and-Paper Surveys of Sexual Behaviour
Excluding respondents who fail to answer a question will reduce effective sample size. This weakens statistical power and creates problems for the creation of summative indicators, the analysis of multi-item scales and the application of multivariate techniques (Dickinson & Kirzner 1985). When item nonresponders differ systematically from responders on the variables of interest, item non-response will also lead to biased population estimates (Kup…
Moral and social aspects of aids
Social class differences in infant mortality
There is no agreed explanation of the social class gradient in infant mortality. The longstanding debate continues between those who favour explanations based on natural or social selection and those who stress the influence of environmental circumstances. These explanations are often presented as competing hypotheses between which it is necessary to make an absolute choice. An article which takes this approach is critically examined. It is argue…
Health care workers and HIV/Aids
Compulsory HIV antibody testing, universal precautions and the perceived risk of HIV
Routine screening of patients and health care staff for HIV has not been endorsed by the medical profession. Instead universal precautions have been recommended as being the most effective way of minimizing the occupational risk of HIV infection. Consultant staff and undergraduate medical students at the Royal Free Hospital and School of Medicine, London, were asked about their attitudes towards compulsory HIV antibody testing, their compliance w…
Health care workers
Aids–ten years on
Early life experience and cardiovascular disease--ecological studies
Selective migration by birthweight
Henry duckett, journal publisher
Do gay men discuss HIV risk reduction with their GP
In September/October 1997, 1,004 gay men using one of five gyms in central London completed a confidential anonymous questionnaire which included items on sexual as well as steroid-related injecting behaviour and whether they had ever discussed these behaviours with friends, sexual partners or a general practitioner (GP). Nearly all the men reported having had sex with another man in the previous six months, while a quarter had had unprotected an…
Seeking sex on the Internet and sexual risk behaviour among gay men using London gyms
OBJECTIVE: To examine the association between seeking sex on the Internet and sexual risk behaviour among gay men in London. METHODS: In January-February 2000, gay men in London gyms were asked to complete self-administered questionnaires concerning use of the Internet, history of sexually transmitted diseases (STD) and recent unprotected anal intercourse (UAI). Internet sex seekers were compared with other men, also with Internet access, who did…
Peer-led HIV prevention among gay men in London
A peer-led HIV prevention initiative, based on a diffusion of innovation model, was developed for gay men attending gyms in central London. Peer educators were recruited from people who used the gym regularly according to standard selection criteria. After initial training, peer educators agreed to talk to gay men at their gym about HIV prevention, focusing on sexual risk and steroid injecting behaviour. Outcome evaluation revealed that the peer …
Recruiting London gay men into an HIV vaccine trial
This paper describes a study among HIV-negative gay men in London to examine willingness to volunteer for an HIV vaccine trial. HIV-negative gay men (n=506) were surveyed in central London gyms in February-March 2002. Information was collected on willingness to volunteer for an HIV vaccine trial, attitudes toward HIV vaccines and sexual risk behaviour. Men reporting unprotected anal intercourse (UAI) in the previous three months with a man of unk…
The Internet and HIV/STD prevention
As we continue into the third decade of the HIV/AIDS epidemic, we find risk for sexual transmission evolving with the advent of new technologies and the emergence of new social and sexual venues. T
Popular opinion leaders in London
Use of gay Internet sites and views about online health promotion among men who have sex with men
In May-June 2002, 4,974 men who have sex with men (MSM), average age 31 years, completed a self-administered questionnaire online accessed through two popular gay Internet sites in the UK (gaydar and gay.com UK). Most men were white (95%), employed (83%), lived in the UK (91%) and self-identified as gay (85%). Nearly half (46%) had not been tested for HIV, while 6% said they were HIV-positive. One-third (31%) reported high-risk sexual behaviour i…
Popular opinion leaders in London
Controlled trials conducted in the USA provide clear evidence that peer education can bring about a reduction in high risk sexual behaviour among gay men. HIV prevention interventions that systematically identified, recruited, trained and engaged popular opinion leaders (POLs) made a significant impact on sexual behaviour at a community level in small US towns. However, recent trials conducted in the UK have failed to replicate these findings. A …
Reflecting on the experience of interviewing online
This paper considers some of the strengths and weaknesses of conducting synchronous online interviews for qualitative research. It is based on a study among gay/bisexual men that used both qualitative and quantitative methods to explore the association between seeking sex through the Internet and HIV transmission risk. Between June 2002 and January 2004, 128 gay/bisexual men living in London were interviewed one-to-one by the first author (MD) ab…
The Internet and HIV study
The strength of the Internet and HIV study is its methodological plurality, drawing on both qualitative and quantitative research among online and offline samples, as well as taking advantage of recent advances in web survey design. The study's findings will help us better understand the role of the Internet in relation to gay men's sexual practice
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…
Changing patterns of sexual behaviour in the era of highly active antiretroviral therapy
PURPOSE OF REVIEW: To describe changing patterns of sexual behaviour in the era of highly active antiretroviral therapy among gay/bisexual men in Europe, Canada, USA and Australia. RECENT FINDINGS: While there has been a substantial increase in high-risk sexual behaviour among gay men since 1996, this now appears to be levelling off in some cities. Overall the empirical evidence does not support the suggestion that taking highly active antiretrov…
HIV in East London
A clinic-based study has allowed us to survey nearly 1700 patients with HIV from diverse backgrounds receiving treatment and care in East London. The data collected in this study will provide valuable information for the planning and delivery of appropriate clinical care, social support and health promotion for people living with HIV not only in East London but in other parts of the capital as well as elsewhere in the UK
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 …
Conducting Internet-Based HIV/STD Prevention Survey Research
Medicine (35 obras) · Family medicine (24 obras) · HIV/AIDS Research and Interventions (24 obras) · Psychology (19 obras) · Sociology (18 obras) · Demography (17 obras) · Human immunodeficiency virus (HIV (13 obras) · Adolescent Sexual and Reproductive Health (12 obras) · Men who have sex with men (12 obras) · Public health (12 obras)