Eszter Szilassy | University of Bristol (original) (raw)
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Papers by Eszter Szilassy
Supporting material for a Wellcome Open Research article which requires a registered deposit.
Wellcome open research, Jul 22, 2020
Background: Approximately one-third of young people in the UK have suffered intimate partner viol... more Background: Approximately one-third of young people in the UK have suffered intimate partner violence and abuse (IPVA) on reaching adulthood. We need interventions to prevent IPVA in this population, but there is a lack of evidence on who is at greatest risk. Methods: We analysed questionnaire data from 3,279 participants of the Avon Longitudinal Study of Parents and Children populationbased birth cohort. We estimated the prevalence of IPVA victimisation and perpetration by age 21, by sex, demographic, parenting, mental health, externalising behaviour (e.g. smoking), educational, employment, and adverse childhood factors. Results: Overall, 29% of males and 41% of females reported IPVA victimisation, with 20% and 25% reporting perpetration, respectively (16% and 22% both). The most common sub-type was emotional, followed by physical, then sexual. History of self-harm, antisocial behaviour, cannabis or illicit (non-cannabis) drug use among boys and girls was associated with a twofold increase in likelihood of IPVA (victimisation or perpetration). Males reporting risky sexual behaviour, sexual abuse (not by an intimate partner), or witnessing domestic violence, and females reporting sexual minority status in adolescence were also twice as likely to experience IPVA. Extreme parental monitoring during adolescence was associated with a reduced risk of IPVA in males and females, as was not being in education, employment, or training for young adult men.
BMC primary care, Jan 26, 2024
Journal of Family Violence, Jun 13, 2023
Journal of Interpersonal Violence, Apr 26, 2022
Background In the UK, around one-third of young people are exposed to Intimate Partner Violence a... more Background In the UK, around one-third of young people are exposed to Intimate Partner Violence and Abuse (IPVA) by 21 years old. However, types of IPVA victimization in this population (psychological, physical, sexual), and their relationship with impact and perpetration are poorly understood. Methods Participants in a UK birth cohort reported IPVA victimization and perpetration by age 21. We carried out a latent class analysis, where we categorized IPVA by types/frequency of victimization, and then assigned individuals to their most probable class. Within these classes, we then estimated rates of reported: 1) types of negative impacts (sad, upset/unhappy, anxious, depressed, affected work/studies, angry/annoyed, drank/took drugs more); 2) types/frequency of perpetration. Results Among 2130 women and 1149 men, 32% and 24% reported IPVA victimization (of which 89% and 73% reported negative impact); 21% and 16% perpetration. Victimization responses were well represented by five classes, including three apparent in both sexes: No-low victimization (characterized by low probabilities of all types of victimization; average probabilities of women and men belonging to this class were 82% and 70%); Mainly psychological (15% and 12%); Psychological and physical victimization (4% and 7%), and two classes that were specific to women: Psychological and sexual (7%); Multi-victimization (frequent victimization for all three types; 4%). In women, all types of negative impact were most common in the Psychological and sexual and Multi-victimization classes; for men, the Psychological and physical class. In women, all types of perpetration were most common for the Mainly psychological, Psychological and physical and Multi-victimization classes; in men, the Mainly psychological and Psychological and physical classes. Discussion In this study of young people, we found categories of co-occurrence of types and frequency of IPVA victimization associated with differential rates of negative impact and perpetrating IPVA. This is consistent with emerging evidence of IPVA differentiation and its variable impact in other populations.
Research Square (Research Square), Sep 28, 2022
Background Reporting of domestic violence and abuse (DVA) increased globally during the pandemic.... more Background Reporting of domestic violence and abuse (DVA) increased globally during the pandemic. General Practice has a central role in identifying and supporting those affected by DVA. Pandemic associated changes in UK primary care included remote initial contacts with primary care and predominantly remote consulting. This paper explores general practice's adaptation to DVA care during the COVID-19 pandemic. Methods Remote semi-structured interviews were conducted by telephone with staff from six practices across six localities in England and Wales where the Identi cation and Referral to Improve Safety (IRIS) primary care DVA programme is commissioned. We conducted interviews between April 2021 and February 2022 with three practice managers, three reception and administrative staff, eight general practice clinicians and seven specialist DVA staff. Patient and public involvement and engagement (PPI&E) advisers with lived
Veterinary Record, Jul 6, 2023
Many pathogens cause disease in dogs, however, meaningful surveillance in small companion animals... more Many pathogens cause disease in dogs, however, meaningful surveillance in small companion animals is often only possible on the most impactful diseases. We describe the first stakeholder opinion-led approach to identify which canine infectious diseases should be prioritized for inclusion in surveillance and control strategies in the UK. Participants were identified through a stakeholder analysis. A multicriteria decision analysis was undertaken to establish and weight epidemiological criteria for evaluating diseases, and a Delphi technique was employed to achieve a consensus among participants on the top-priority canine diseases. Leptospirosis and parvovirus were identified as the top two endemic diseases of concern, whilst leishmaniasis and babesiosis were the top two exotic diseases. Respiratory and gastrointestinal diseases were identified as the top two syndromes of concern. Findings from this study are being used to inform the development of a future UK-wide epidemic response strategy. This methodology could provide a blueprint for other countries.
BMJ Open, Aug 1, 2021
, et al. Protocol for developing core outcome sets for evaluation of psychosocial interventions f... more , et al. Protocol for developing core outcome sets for evaluation of psychosocial interventions for children and families with experience or at risk of child maltreatment or domestic abuse. BMJ Open 2021;11:e044431.
Wellcome open research, Jan 21, 2021
British Journal of General Practice, May 2, 2023
Background: Identifying and responding to patients affected by domestic violence and abuse (DVA) ... more Background: Identifying and responding to patients affected by domestic violence and abuse (DVA) is vital in primary care. There may have been a rise in the reporting of DVA cases during the COVID-19 pandemic and associated lockdown measures. Concurrently general practice adopted remote working which extended to training and education. IRIS (Identification and Referral to Improve Safety) is an example of an evidence-based UK healthcare training support and referral programme, focusing on DVA. IRIS transitioned to remote delivery during the pandemic. Aim: We aimed to understand the adaptations and impact of remote DVA training in IRIS-trained general practices, by exploring perspectives of those delivering and receiving training. Design and setting: Qualitative interviews and observation of remote training of general practice teams in England. Method: Semi-structured interviews with 21 participants (three practice managers, three reception and administrative staff, eight general practice clinicians and seven specialist DVA staff), alongside observation of 11 remote training sessions. Analysis using a Framework approach. Results: Remote DVA training in UK general practice widened access to learners. However, it may have reduced learner engagement compared with face-to-face Domestic abuse training: COVID-19 pandemic 4 training. DVA training is integral to the partnership between general practice and specialist DVA services, and reduced engagement risks weakening this partnership. Conclusion: We recommend a hybrid DVA training model for general practice, including remote information delivery alongside a structured face-to-face element. This has broader relevance for other specialist services providing training and education in primary care.
medRxiv (Cold Spring Harbor Laboratory), Jun 8, 2021
BMC Family Practice, Jan 12, 2021
Supporting material for a Wellcome Open Research article which requires a registered deposit.
Wellcome open research, Jul 22, 2020
Background: Approximately one-third of young people in the UK have suffered intimate partner viol... more Background: Approximately one-third of young people in the UK have suffered intimate partner violence and abuse (IPVA) on reaching adulthood. We need interventions to prevent IPVA in this population, but there is a lack of evidence on who is at greatest risk. Methods: We analysed questionnaire data from 3,279 participants of the Avon Longitudinal Study of Parents and Children populationbased birth cohort. We estimated the prevalence of IPVA victimisation and perpetration by age 21, by sex, demographic, parenting, mental health, externalising behaviour (e.g. smoking), educational, employment, and adverse childhood factors. Results: Overall, 29% of males and 41% of females reported IPVA victimisation, with 20% and 25% reporting perpetration, respectively (16% and 22% both). The most common sub-type was emotional, followed by physical, then sexual. History of self-harm, antisocial behaviour, cannabis or illicit (non-cannabis) drug use among boys and girls was associated with a twofold increase in likelihood of IPVA (victimisation or perpetration). Males reporting risky sexual behaviour, sexual abuse (not by an intimate partner), or witnessing domestic violence, and females reporting sexual minority status in adolescence were also twice as likely to experience IPVA. Extreme parental monitoring during adolescence was associated with a reduced risk of IPVA in males and females, as was not being in education, employment, or training for young adult men.
BMC primary care, Jan 26, 2024
Journal of Family Violence, Jun 13, 2023
Journal of Interpersonal Violence, Apr 26, 2022
Background In the UK, around one-third of young people are exposed to Intimate Partner Violence a... more Background In the UK, around one-third of young people are exposed to Intimate Partner Violence and Abuse (IPVA) by 21 years old. However, types of IPVA victimization in this population (psychological, physical, sexual), and their relationship with impact and perpetration are poorly understood. Methods Participants in a UK birth cohort reported IPVA victimization and perpetration by age 21. We carried out a latent class analysis, where we categorized IPVA by types/frequency of victimization, and then assigned individuals to their most probable class. Within these classes, we then estimated rates of reported: 1) types of negative impacts (sad, upset/unhappy, anxious, depressed, affected work/studies, angry/annoyed, drank/took drugs more); 2) types/frequency of perpetration. Results Among 2130 women and 1149 men, 32% and 24% reported IPVA victimization (of which 89% and 73% reported negative impact); 21% and 16% perpetration. Victimization responses were well represented by five classes, including three apparent in both sexes: No-low victimization (characterized by low probabilities of all types of victimization; average probabilities of women and men belonging to this class were 82% and 70%); Mainly psychological (15% and 12%); Psychological and physical victimization (4% and 7%), and two classes that were specific to women: Psychological and sexual (7%); Multi-victimization (frequent victimization for all three types; 4%). In women, all types of negative impact were most common in the Psychological and sexual and Multi-victimization classes; for men, the Psychological and physical class. In women, all types of perpetration were most common for the Mainly psychological, Psychological and physical and Multi-victimization classes; in men, the Mainly psychological and Psychological and physical classes. Discussion In this study of young people, we found categories of co-occurrence of types and frequency of IPVA victimization associated with differential rates of negative impact and perpetrating IPVA. This is consistent with emerging evidence of IPVA differentiation and its variable impact in other populations.
Research Square (Research Square), Sep 28, 2022
Background Reporting of domestic violence and abuse (DVA) increased globally during the pandemic.... more Background Reporting of domestic violence and abuse (DVA) increased globally during the pandemic. General Practice has a central role in identifying and supporting those affected by DVA. Pandemic associated changes in UK primary care included remote initial contacts with primary care and predominantly remote consulting. This paper explores general practice's adaptation to DVA care during the COVID-19 pandemic. Methods Remote semi-structured interviews were conducted by telephone with staff from six practices across six localities in England and Wales where the Identi cation and Referral to Improve Safety (IRIS) primary care DVA programme is commissioned. We conducted interviews between April 2021 and February 2022 with three practice managers, three reception and administrative staff, eight general practice clinicians and seven specialist DVA staff. Patient and public involvement and engagement (PPI&E) advisers with lived
Veterinary Record, Jul 6, 2023
Many pathogens cause disease in dogs, however, meaningful surveillance in small companion animals... more Many pathogens cause disease in dogs, however, meaningful surveillance in small companion animals is often only possible on the most impactful diseases. We describe the first stakeholder opinion-led approach to identify which canine infectious diseases should be prioritized for inclusion in surveillance and control strategies in the UK. Participants were identified through a stakeholder analysis. A multicriteria decision analysis was undertaken to establish and weight epidemiological criteria for evaluating diseases, and a Delphi technique was employed to achieve a consensus among participants on the top-priority canine diseases. Leptospirosis and parvovirus were identified as the top two endemic diseases of concern, whilst leishmaniasis and babesiosis were the top two exotic diseases. Respiratory and gastrointestinal diseases were identified as the top two syndromes of concern. Findings from this study are being used to inform the development of a future UK-wide epidemic response strategy. This methodology could provide a blueprint for other countries.
BMJ Open, Aug 1, 2021
, et al. Protocol for developing core outcome sets for evaluation of psychosocial interventions f... more , et al. Protocol for developing core outcome sets for evaluation of psychosocial interventions for children and families with experience or at risk of child maltreatment or domestic abuse. BMJ Open 2021;11:e044431.
Wellcome open research, Jan 21, 2021
British Journal of General Practice, May 2, 2023
Background: Identifying and responding to patients affected by domestic violence and abuse (DVA) ... more Background: Identifying and responding to patients affected by domestic violence and abuse (DVA) is vital in primary care. There may have been a rise in the reporting of DVA cases during the COVID-19 pandemic and associated lockdown measures. Concurrently general practice adopted remote working which extended to training and education. IRIS (Identification and Referral to Improve Safety) is an example of an evidence-based UK healthcare training support and referral programme, focusing on DVA. IRIS transitioned to remote delivery during the pandemic. Aim: We aimed to understand the adaptations and impact of remote DVA training in IRIS-trained general practices, by exploring perspectives of those delivering and receiving training. Design and setting: Qualitative interviews and observation of remote training of general practice teams in England. Method: Semi-structured interviews with 21 participants (three practice managers, three reception and administrative staff, eight general practice clinicians and seven specialist DVA staff), alongside observation of 11 remote training sessions. Analysis using a Framework approach. Results: Remote DVA training in UK general practice widened access to learners. However, it may have reduced learner engagement compared with face-to-face Domestic abuse training: COVID-19 pandemic 4 training. DVA training is integral to the partnership between general practice and specialist DVA services, and reduced engagement risks weakening this partnership. Conclusion: We recommend a hybrid DVA training model for general practice, including remote information delivery alongside a structured face-to-face element. This has broader relevance for other specialist services providing training and education in primary care.
medRxiv (Cold Spring Harbor Laboratory), Jun 8, 2021
BMC Family Practice, Jan 12, 2021