Conflicted and confused? Health harming industries and research funding in leading UK universities

University researchers face growing expectations to engage with commercial sources of funding. This pressure is likely to increase in the context of the covid-19 squeeze1 and, in the UK, both Brexit and a research impact agenda promoting external collaboration.2 Alongside this, there are efforts to reduce conflicts of interest in research involving pharmaceutical and medical device companies,3 and policies rejecting tobacco industry funding.4 Yet limited attention has been paid to funding from other health damaging industries such as alcohol, gambling, and ultra-processed food and drink. How well are universities equipped to manage such conflicts of interest

An evaluation of a short film promoting kindness in Wales during COVID‑19 restrictions #TimeToBeKind

BACKGROUND: In response to successive COVID-19 restrictions in Wales, the Welsh ACE Support Hub launched the #TimeToBeKind campaign in March 2021. The campaign used a short film broadcast on national television and promoted on social media to encourage behaviour change for kindness. We evaluated the #TimeToBeKind campaign film to identify whether watching the film would result in increased intention to act in ways that promote kindness to others and if intentions were associated with being emotionally affected by the film. METHODS: A mixed methods evaluation was employed, using a short online survey and interaction with the film on the Twitter social media platform. The online survey measured public (n = 390) attitudes towards the film including feelings invoked, and behavioural intentions for acts of kindness as a result of viewing the film. Tweets which interacted with the film (n = 59; likes, re-tweets or comments), and tweet sentiment (positive, negative, or neutral) towards the film were also explored. RESULTS: The majority of participants reported positive attitudes to the film and agreed that they understood the campaign message (91.8%). 67.9% reported that the film made them feel upset or sad and for 22.6% the film resonated with their lockdown experience. As a result of seeing the film, 63.6% reported intentions to be kinder to others, 65.6% intended to try and help other members of their community, and 70.5% were more likely to check in on friends, family and neighbours. A higher proportion of individuals who were emotionally affected by the film (e.g. upset or sad, hopeful or encouraged, gained something positive) and those for whom the film resonated with their lockdown experience reported increased kindness behavioural intentions as a result of seeing the film. CONCLUSIONS: Film can be an effective tool to promote behaviour change for kindness. Films that provoke strong emotional reactions can still be perceived positively and lead to behaviour change. With the COVID-19 pandemic accelerating a move online for many, the findings of the present evaluation are relevant to how public health messaging can adapt and utilise this space to target individuals and promote behaviour change

Associations between adverse childhood experiences and trust in health and other information from public services, professionals and wider sources: national cross sectional survey

Introduction Trust in health and other systems can affect uptake of public health advice and engagement with health services. Individuals who had adverse childhood experiences (ACEs) are more likely to experience ill health at earlier ages. Ensuring their engagement with health and other services is important in improving their life course prospects, but little is known about how ACEs affect trust in such services and the information they provide.Methods Data were collected via a national household survey of residents in Wales (aged ≥18 years, n=1880, November 2022–March 2023). Questions measured ACE exposure and trust in health, social, police, charities and government, and health and general information provided by a variety of professionals and sources.Results Individuals with ACEs were more likely to report low trust in health advice from hospital doctors, general practitioners (GPs), nurses, pharmacists, and NHS 111, an online and telephone urgent care service (eg, adjusted low trust prevalence: GPs, 0 ACEs 5.3%, ≥4 ACEs 10.4%; NHS 111, 0 ACEs 11.9%, ≥4 ACEs 24.1%). Low trust in services also increased with ACEs, with low trust in police being 3.8 times more likely with ≥4 ACEs (vs 0 ACEs). The highest adjusted prevalence of low trust in a service was for government, rising from 48.4% (0 ACEs) to 73.7% (≥4 ACEs). Low trust in general advice and information from TV/radio programmes rose from 17.6% (0 ACEs) to 30.1% (≥4 ACEs); low trust in social media was higher with an equivalent rise from 61.6% to 75.6%.Conclusion Breaking intergenerational cycles of ill health and inequity requires engaging and influencing those with ACEs. However, a history of ACEs was associated with lower trust in supporting institutions, systems and professionals. Empirical data on which resources are most trusted by those with ACEs should be used to facilitate better communications with this vulnerable group

Levelling up : a serious attempt to reduce regional inequalities in health?

The Levelling Up white paper,[1] released in February after significant delay, outlines the UK government's much anticipated strategy for tackling regional inequality. The centrepiece of the Conservative's reform agenda, 'levelling up' is presented as a solution to the UK's long-standing, stark geographical inequalities (e.g. see Box 1). Although 'levelling up' is already permeating political and media discourse,[2] the white paper is the first UK government attempt to translate this broad idea into specific policy commitments to address place-based inequalities ('white papers' are government documents that set out proposals for future legislation). It has already been criticised for failing to provide any additional resources, in the context of a cost of living crisis,[3] and for not acknowledging that the Conservative Party has been in power, at UK level, 'for 30 of the last 43 years and is [therefore] responsible for much of the damage' described.[4] Nonetheless, it has been cautiously welcomed by combined authorities in the north of England[5] and some think tanks.[6,7] Here, we present an analysis of: (i) potential opportunities for tackling geographical health inequalities; (ii) tensions and concerns that may inhibit effective policy action; and (iii) blind spots and omissions. We conclude by arguing for a far bolder policy response to the UK’s health inequalities

The power of names: radical identities in the Reformation Era

Book synopsis: This volume of essays explores the themes of radicalism and dissent within Protestantism. The comparisons highlight the contingent nature of particular settlements and narratives, and reveal the extent to which the definition of religious radicalism was dependent upon immediate context and show that radicalism and dissent were truly transnational phenomena. The historiography of the so-called radical reformation has been unduly shaped by the hostile categories imposed by mainstream or magisterial reformers during the sixteenth and seventeenth centuries. This volume argues that scholars should adopt an open-ended understanding of evangelical reform, and recognize that the boundaries between radicalism and its opposite were not always firmly drawn. The distinction between the two is an inheritance of the Lutheran Reformation of the 1520s, which shaped not only the later course of the Reformation in the Holy Roman Empire but also attitudes towards and writings on religious dissent in the Netherlands and England. Radical critique is immanent within mainstream Protestantism, in a faith that emphasizes the power of the gospel with its unrelenting demands

Combined Analysis of the Binary-Lens Caustic-Crossing Event MACHO 98-SMC-1

We fit the data for the binary-lens microlensing event MACHO 98-SMC-1 from 5 different microlensing collaborations and find two distinct solutions characterized by binary separation d and mass ratio q: (d,q)=(0.54,0.50) and (d,q)=(3.65,0.36), where d is in units of the Einstein radius. However, the relative proper motion of the lens is very similar in the two solutions, 1.30 km/s/kpc and 1.48 km/s/kpc, thus confirming that the lens is in the Small Magellanic Cloud. The close binary can be either rotating or approximately static but the wide binary must be rotating at close its maximum allowed rate to be consistent with all the data. We measure limb-darkening coefficients for five bands ranging from I to V. As expected, these progressively decrease with rising wavelength. This is the first measurement of limb darkening for a metal-poor A star.Comment: 29 pages + 9 figures + 2 tables, submitted to Ap