National Security Agency

Sex work or male-with-male sexual activity and the risks of HIV and hepatitis C acquisition among people who inject drugs: a global systematic review and meta-analysis

Background People who inject drugs (PWID) may engage in sexual behaviours that increase their HIV and hepatitis C virus (HCV) risk, including sex work and male-with-male sexual activity. We undertook a global systematic review to assess whether PWID who engage in these behaviours...

An integrated model of innovation performance among Generation Z civil servants

Purpose This study aims to develop and test a model of civil servants’ innovation performance by incorporating green human resource management practices (GHRMP), digital working environment, work-life balance, person–job fit, person–organisation fit and work engagement. Design/me...

“I didn’t even know humans could get polio … I swear that’s for dogs.” A co-produced, thematic analysis exploring adolescent attitudes to vaccines

Abstract Background Immunisation forms a cornerstone of public health policy. However, uptake rates of routine vaccines offered in adolescence are sub-optimal. In 2023/24, for example, HPV uptake in England, for example, was 72.9% of girls and 67.7% of boys in school year 8 (aged...

The case for using flexible healthcare capacity constraints to optimize pandemic control strategies

Abstract During the COVID-19 pandemic, a key challenge was designing control strategies that balance the benefits and costs of public health measures while preventing healthcare systems from becoming overwhelmed. This was often addressed by epidemiological modellers by implementi...