Kathryn Skivington
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View article: Contextualising multimorbidity in people who use drugs: analysis of drug-death decedents in Scotland
Contextualising multimorbidity in people who use drugs: analysis of drug-death decedents in Scotland Open
Objectives: To characterise hospital-treated multimorbidity patterns in people who subsequently died a drug-related death in Scotland, and to identify clinically meaningful associations among conditions and decedent to inform prevention an…
View article: Commonly cited approaches to reducing health inequalities: a call for more clarity around their definition and underlying assumptions
Commonly cited approaches to reducing health inequalities: a call for more clarity around their definition and underlying assumptions Open
Addressing health inequalities is an international priority. Various approaches have gained popularity in the academic literature and policy-making documents. However, there has been a lack of progress in tackling health inequalities. We o…
View article: Measuring individual and community capacity factors in people with multimorbidity and exploring associations with health outcomes
Measuring individual and community capacity factors in people with multimorbidity and exploring associations with health outcomes Open
Background People with multimorbidity work to manage their conditions (burden of treatment). Burden of Treatment Theory (BOTT) proposes poorer outcomes when this work outweighs capacity — an individual’s ability to successfully undertake t…
View article: An exploration of community food pantries in Scotland: strategic and operational perspectives on addressing food insecurity and health inequalities
An exploration of community food pantries in Scotland: strategic and operational perspectives on addressing food insecurity and health inequalities Open
Introduction : Food insecurity and health are inextricably linked. Since 2008, Scotland has witnessed a proliferation of both food insecurity and emergency food provision. There is a recognised commitment from Scottish Government to ‘end t…
View article: Complex system structures related to drug deaths in Scotland: a network analytic approach to navigating linked administrative data and co-produced system maps
Complex system structures related to drug deaths in Scotland: a network analytic approach to navigating linked administrative data and co-produced system maps Open
BackgroundDrug-related deaths are rising in many countries, with Scotland having the highest rate in Europe. Understanding the clustering of health conditions, social experiences, and broader social and political factors may enhance policy…
View article: Adolescents’ interactive electronic device use, sleep and mental health: a systematic review of prospective studies
Adolescents’ interactive electronic device use, sleep and mental health: a systematic review of prospective studies Open
Summary Optimal sleep, both in terms of duration and quality, is important for adolescent health. However, young people's sleeping habits have worsened over recent years. Access to and use of interactive electronic devices (e.g., smartphon…
View article: Contextual influences on the role of evidence in e-cigarette recommendations: a multi-method analysis of international and national jurisdictions
Contextual influences on the role of evidence in e-cigarette recommendations: a multi-method analysis of international and national jurisdictions Open
Background: E-cigarette policy has varied across jurisdictions, contrasting with the previous coordinated approach of international tobacco control communities. Aims and objectives: A multi-method case study approach was used to understand…
View article: Development processes for e-cigarette public health recommendations lacked transparency in managing conflicts of interest
Development processes for e-cigarette public health recommendations lacked transparency in managing conflicts of interest Open
The management of COI varies across public health bodies, with little standardization and lack of transparency. To improve the collection and management of COI, and ultimately increase the trustworthiness of recommendations, guideline deve…
View article: Children’s, parents’ and professional stakeholders’ views on power concerning the regulation of online advertising of unhealthy food to young people in the UK: A qualitative study
Children’s, parents’ and professional stakeholders’ views on power concerning the regulation of online advertising of unhealthy food to young people in the UK: A qualitative study Open
Examinations of corporate power have demonstrated the practices and activities Unhealthy Commodity Industries (UCIs) employ to exert their power and influence on the public and health policy. The High in Fat Sugar and Salt (HFSS) product i…
View article: Instrumental, structural & discursive power & the regulation of online advertising of unhealthy food
Instrumental, structural & discursive power & the regulation of online advertising of unhealthy food Open
Background Examinations of corporate power demonstrate how Unhealthy Commodity Industries (UCIs) exert influence on the public and policymakers. For example, the High in Fat Sugar and Salt (HFSS) product industry exploit online environment…
View article: Introduction to the complex intervention concept and the research perspectives
Introduction to the complex intervention concept and the research perspectives Open
Few interventions are truly simple; complexity can arise from various sources, e.g.: Aspects of the intervention itself, such as the number of intervention components, the number of groups targeted, how dynamic the intervention is permitte…
View article: The new Framework and the Core Elements of complex intervention research
The new Framework and the Core Elements of complex intervention research Open
The new framework will be presented. The main phases of intervention research: development or identification, feasibility, evaluation and implementation are connected to 6 core elements: Context: any feature of the circumstances in which a…
View article: A new framework for developing and evaluating complex interventions: update of Medical Research Council guidance
A new framework for developing and evaluating complex interventions: update of Medical Research Council guidance Open
The UK Medical Research Council’s widely used guidance for developing and evaluating complex interventions has been replaced by a new framework, commissioned jointly by the Medical Research Council and the National Institute for Health Res…
View article: Framework for the development and evaluation of complex interventions: gap analysis, workshop and consultation-informed update
Framework for the development and evaluation of complex interventions: gap analysis, workshop and consultation-informed update Open
Background The Medical Research Council published the second edition of its framework in 2006 on developing and evaluating complex interventions. Since then, there have been considerable developments in the field of complex intervention re…
View article: COVID-19 pandemic and its impact on social relationships and health
COVID-19 pandemic and its impact on social relationships and health Open
This essay examines key aspects of social relationships that were disrupted by the COVID-19 pandemic. It focuses explicitly on relational mechanisms of health and brings together theory and emerging evidence on the effects of the COVID-19 …
View article: Examining the sources of evidence in e-cigarette policy recommendations: A citation network analysis of international public health recommendations
Examining the sources of evidence in e-cigarette policy recommendations: A citation network analysis of international public health recommendations Open
Background Public health policies and recommendations aim to be informed by the best available evidence. Evidence underpinning e-cigarettes policy recommendations has been necessarily limited due to the novelty of the technology and the la…
View article: “The state They're in”: Unpicking fantasy paradigms of health improvement interventions as tools for addressing health inequalities
“The state They're in”: Unpicking fantasy paradigms of health improvement interventions as tools for addressing health inequalities Open
Globally, it is recognised that the fundamental causes of iniquitous health outcomes lie within unequal distributions of wealth and power. Internationally, however, policies and interventions persist in individualising the inequalities pro…
View article: RF22 The role of power in regulating online advertising of high in fat, sugar and salt food and beverages to children: parent and stakeholder perspectives
RF22 The role of power in regulating online advertising of high in fat, sugar and salt food and beverages to children: parent and stakeholder perspectives Open
Background In the United Kingdom (UK) increasing childhood obesity rates may be indicative of a lack of regulation of corporate influences contributing to an obesogenic environment. A current focus in childhood obesity policy debates is th…
View article: Lack of evidence on mental health and well-being impacts of individual-level interventions for vulnerable adolescents: systematic mapping review
Lack of evidence on mental health and well-being impacts of individual-level interventions for vulnerable adolescents: systematic mapping review Open
Despite Western policy to promote health and well-being among vulnerable young people, the dearth of evidence suggests a lack of interest in evaluating interventions targeting these groups in respect of their mental health/well-being outco…
View article: Delivering a primary care-based social prescribing initiative: a qualitative study of the benefits and challenges
Delivering a primary care-based social prescribing initiative: a qualitative study of the benefits and challenges Open
Background Social prescribing is a collaborative approach to improve inter-sectoral working between primary health care and community organisations. The Links Worker Programme (LWP) is a social prescribing initiative in areas of high depri…
View article: The contribution of risk factors to socioeconomic inequalities in multimorbidity across the lifecourse: a longitudinal analysis of the Twenty-07 cohort
The contribution of risk factors to socioeconomic inequalities in multimorbidity across the lifecourse: a longitudinal analysis of the Twenty-07 cohort Open
Preventive measures addressing known risk factors, particularly obesity and smoking, could reduce the future multimorbidity burden. However, major socioeconomic inequalities in the development of multimorbidity exist even after taking acco…