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VISION presenting at the Prevention Research 2026 conference

Nine VISION colleagues have had workshop, symposium and individual abstracts accepted at the upcoming Prevention Research 2026 conference in March. The Population Health Improvement UK and the National Institute for Health and Care Research, in partnership with VISION funder, the UK Prevention Research Partnership, organised the event to explore the latest research and collaborative strategies for preventing non-communicable diseases and reducing health inequalities across the UK. This year’s theme is Connecting Research, Policy, and Practice for Health Equity.

VISION research is interdisciplinary and as such, several colleagues collaborated on symposiums and the workshop. We are partnering with Groundswell, Kailo and PHI UK Population Mental Health as well as the Violence, Abuse and Mental Health Network,  and High Trees Community Development Trust amongst others.

 

Individual presentation

Violence across the life course and physical and mental health trajectories in later life

  • Anastasia Fadeeva, VISION Research Fellow, City St George’s University of London

 

Symposiums

Lessons Learned from Lived Experience Engagement in Violence and Trauma Research

  • Sian Oram, Professor at Kings College London and VISION Co-Investigator
  • Kimberly Cullen, VISION Knowledge Exchange Manager, City St George’s UoL
  • Alicia Stillman, Violence, Abuse and Mental Health Network at Kings College London
  • Polina Obolenskaya, VISION Research Fellow, City St George’s UoL
  • Annie Bunce, VISION Research Fellow, City St George’s UoL

Policy insights from a population understanding of mental health inequalities: using England’s mental health survey series, the Adult Psychiatric Morbidity Surveys (APMS)

Presenters include:

  • Sally McManus, Professor at City St George’s UoL and VISION Co-Deputy Director
  • Elizabeth Cook, Senior Lecturer at City St George’s UoL and VISION Co-Investigator

Centring the voices of young people – Learning from four participatory, place-based approaches to violence prevention

Presenters include:

  • Elizabeth Cook, Senior Lecturer at City St George’s UoL and VISION Co-Investigator
  • Ruth Weir, VISION Senior Research Fellow at City St George’s UoL

Understudied Commercial Drivers of Health: Exploring Industry Practices & Developing a Prevention Research Agenda

  • Presenters include Sally McManus, Professor at City St George’s UoL and VISION Co-Deputy Director

 

Workshop

Using Systems Approaches to Connect Communities and Tackle Complexity in Prevention

  • Workshop leads include Olumide Adisa, VISION Co-Investigator at City St George’s UoL

Anastasia Fadeeva shares thoughts on Data Impact Fellowship placement studying healthy ageing

 

Dr Anastasia Fadeeva

VISION researcher and Data Impact Fellow, Dr Anastasia Fadeeva, has written a personal blog, Reflections from being a Data Impact Fellow: a placement in Japan, about her time in the country visiting universities and discussing healthy ageing.

In the blog, Anastasia reflects on her short-term placement at Chiba University and Kyoto University, meeting fellow researchers interested in population health and a focus on studying the ageing population and promoting healthy ageing.

As a Data Impact Fellow, Anastasia is researching the issues of violence in older age, the long-term impacts of violence on mental health, and the lack of reliable data. The placement to Japan is one component of the fellowship.

For further information, please see VISION member awarded Data Impact Fellow to study violence and mental health in older age to find out more about her fellowship or contact Anastasia at anastasia.fadeeva@citystgeorges.ac.uk

Top photo supplied through Adobe Stock subscription and bottom photo supplied by Dr Anastasia Fadeeva.

Confronting ‘Honour‘-Based Abuse: Reflections on IKWRO’s 2025 Conference

By Ladan Hashemi, Senior Lecturer in Sociology of Health and Health Policy at City St George’s University of London  

VISION was proud to sponsor their second collaboration with IKWRO (Women’s Rights Organisation) and host their annual conference. This year’s theme was Confronting ‘Honour‘-Based Abuse (HBA) in Policy, Technology, and Collective Action and held at City St George’s, University of London on 22nd October 2025. 

The event brought together around a hundred survivor advocates, academics, frontline practitioners, and policymakers to critically examine urgent responses to HBA in today’s rapidly evolving world. 

The conference featured three panels examining the flagship “Crime, Not Culture” campaign, the growing role of technology and media in shaping harm, and the resilience and leadership of survivors and community advocates. Throughout the day, speakers and attendees returned to a central question: How do we ensure HBA is recognised and treated as a serious crime rather than dismissed or misunderstood as ‘culture’?

Narratives, Evidence, and the Power of Speaking Out

The day opened with powerful survivor testimonies – deeply personal accounts of control, coercion and systemic failures. These stories underscored the  need for meaningful training across policing, healthcare and the family courts. As one panel chair reflected, “It’s not that the government lacks the budget. It’s about priorities. Women from ethnic minorities are not a priority.” The consequences of this neglect, she noted, echo across public services, placing a substantial and avoidable burden on institutions such as the NHS and the police.

Scholars challenged common assumptions about “culture” and emphasised the importance of evidence-informed policy. Their discussions invited the audience to interrogate the ways colonial narratives have shaped understandings of honour, family, and gender norms. 

Technology, Media, and Emerging Threats

The second panel explored the fast-changing digital landscape. Speakers examined how technology-facilitated abuse, sextortion, online misogyny, and surveillance increasingly interact with HBA. The panel highlighted that marginalised women and girls often face compounded risks: gendered, racialised, and technologically amplified. 

Two short animations produced by the Women’s Research Hub team in collaboration with VISION, on HBA and sextortion were screened during the session. These visual narratives helped ground the discussion in the lived realities of young people navigating online harms – showing not just the risks, but also how digital tools can be used to educate, empower, and support.

One speaker captured the spirit of the day: “It seems it wasn’t enough to be oppressed by patriarchal systems; now we also face the same inequalities reflected back at us through AI and social media.” 

Collective Action and Pathways to Change 

The final panel focused on resilience and community action. Speakers discussed the importance of survivor leadership, culturally informed practice, and training that centres real voices rather than “death by PowerPoint.” Their reflections highlighted that effective change relies on collaboration between organisations, communities, and those with lived experience. 

The conference closed with remarks from Jess Phillips MP, who reinforced the urgent need to strengthen protections and ensure survivors are heard and believed. Her contribution was a fitting conclusion to a day centred on solidarity, listening, and the collective responsibility to challenge harmful practices and support those affected.

One of the quilts created by survivors of ‘honour’-based abuse and IKWRO

A Day of Reflection and Resolve 

The event showcased what happens when survivors, activists, academics, and practitioners come together with a shared purpose. Across panels, one message was clear: understanding and preventing ‘Honour‘-Based Abuse requires research, policy attention, resources, and above all, a commitment to centring the voices of those most affected. 

VISION was proud to support this important gathering for a second time sparking further conversations about how evidence and collaboration can drive meaningful, long-lasting change.

Key to the event was the organisation and support of VISION’s Knowledge Exchange Manager, Kimberly Cullen and the IKWRO conference organising committee. 

For further information, please contact Ladan at ladan.hashemi@citystgeorges.ac.uk

Photography supplied by IKWRO

Assisted dying bill: Safeguards against domestic abuse and coercion must be strengthened

One in four women and one in seven men in England and Wales have experienced domestic abuse. Coercive and controlling behaviours are core to domestic abuse. They result in loss of autonomy and independence and are intended to isolate and reduce self-worth. Such behaviours are common but hard for health professionals to detect.

If passed, the Terminally Ill Adults (End of Life) Bill will allow people who are terminally ill and expected to die within six months to request assistance to end their lives. VISION researchers Gene Feder, Elizabeth (Lizzie) Cook and Sally McManus have written an opinion published in The BMJ that calls for safeguards in the bill need to be strengthened to prevent coercion in the context of domestic abuse.

Assisted dying requires a careful consideration of the risks posed by domestic abuse and coercion. The current bill does not fully tackle specific safeguarding concerns for patients experiencing domestic abuse which can include economic, emotional, physical, and other forms of abuse from a partner or other family member. To safeguard against domestic abuse and associated coercion, Gene, Lizzie and Sally propose a set of principles that should be part of the UK bill.

  1. For doctors responding to any request for assisted dying, training must be extensive, specialist, in person, and backed up by referral pathways.  Independent domestic abuse advocates, with expertise in recognising coercive control, could contribute to assessment of assisted dying requests. 
  2. Commitments to confidentiality and data security must not obscure assisted dying decisions and the contexts in which they occur. The bill must ensure transparency.
  3. The bill must establish accountability. Transparent data about each stage of the approval process would also enable monitoring and regular scrutiny of the processes and outcomes of assisted dying legislation.
  4. Lawmakers must resist expansion. Dementia and mental health conditions are now being considered for eligibility. These are conditions prevalent in survivors of domestic abuse. The UK bill should include clauses that limit any expansion of scope to other conditions and situations.

To read the opinion piece: Safeguards against domestic abuse and coercion in the assisted dying bill must be strengthened

To cite: BMJ 2025;390:r1914

For further information, please contact Gene at gene.feder@bristol.ac.uk

Carers’ increased risk of domestic violence and poor health outcomes

The poor health of unpaid carers is well-established, and evidence also shows they experience high levels of domestic violence. However, the links between domestic violence and carers’ poor health remains overlooked. The study, Health morbidities in carers with experience of domestic violence and abuse, led by Drs Juliana Onwumere and Emilie Wildman of King’s College London along with research team member Professor Sally McManus, VISION co-Deputy Director, and others, examined this relationship using the Adult Psychiatric Morbidity Survey (APMS), a representative sample of the adult population of England.

The results show that carers are more likely to be female, older, economically inactive, and in debt than non-carers, and that carers tend to have worse mental and physical health. One in three carers reported having had experience of domestic violence. With adjustment for confounders, carers were more likely than non-carers to be victims of physical, emotional and sexual forms of violence and abuse. People with experience of both caring responsibilities and domestic violence had particularly poor mental and physical health outcomes (compared to carers and non-carers without experience of domestic violence, as well as non-carers experiencing domestic violence).  

NICE guidelines state that carers should be offered training to help them to provide care safely, including support around managing challenging behaviour from the person being cared for. However, professionals can struggle to identify and respond to carers’ experiences of domestic violence. Facilitating routine enquiry in carers is essential, particularly given that carers often delay seeking support for their own needs carers and may not readily and independently disclose their experiences of violence to professionals.

Recommendations

Efforts to incorporate inquiry into experiences of domestic violence into carers’ needs assessments, which unpaid carers are entitled to, may help facilitate identification and referral to appropriate support services.

Carers high risk of domestic violence goes largely unrecognised in UK policy and practice. This is a sensitive and hidden topic; these findings suggest that addressing carers’ poor health requires also identifying – and addressing – their experiences of domestic violence.

To download: Health morbidities in carers with experience of domestic violence and abuse

To cite: Wildman, E.K., Dickson, H., MacManus, D. McManus, S., Kuipers, E., Onwumere, J. Health morbidities in carers with experience of domestic violence and abuse. Soc Psychiatry Psychiatr Epidemiol (2025). Https://doi.org/10.1007/s00127-025-02959-4

For further information, please contact Juliana at juliana.1.onwumere@kcl.ac.uk

For further information about APMS, contact Sally at sally.mcmanus@citystgeorges.ac.uk

Photograph from Age Without Limits

Healthcare responding to violence and abuse in Brazil

Domestic violence against women (DVAW) is a public health issue and a breach of human rights, yet evidence on effective interventions remains limited, particularly in low-income and middle-income countries. In Brazil, around one third of women have reported current or previous experiences of DVAW, especially perpetrated by intimate partners. Brazil has a comprehensive policy framework on DVAW, however, their implementation has been piecemeal and low priority.

The research team, led by VISION co-Deputy Director Dr Estela Capelas Barbosa, aimed to evaluate changes in identification and referral to specialist support associated with system-level strategies implemented within Brazilian primary healthcare (PHC) to strengthen the response to DVAW as part of the Healthcare Responding to Violence and Abuse (HERA) programme.

The HERA Programme was an international collaboration, involving research partners in the UK, Brazil, Sri Lanka, Nepal and Palestine, which aimed to strengthen the healthcare system response to DVAW, in order to ultimately ensure better outcomes for women and children.

The researchers explored before and aftereffects using difference-in-difference techniques in a quasi-experimental design, using observational data. HERA intervention in Brazil was implemented in eight PHC clinics, while 33 served as controls. Data on DVAW identification and referral were obtained from the national Epidemiological Surveillance System.

Results indicated that the HERA implementation strategies were effective in increasing identification and referral of women who experienced violence and presented at primary care clinics. By prioritising the needs and experiences of women, under a gender and human rights perspective, the strategies may also have enhanced the quality of interactions between healthcare providers and patients.

To the research team’s knowledge, this is the first Brazilian study using a quasi-experimental design to evaluate a system-level set of implementation strategies to DVAW. It provides compelling evidence for the effectiveness of culturally tailored strategies aimed at improving the response of PHC settings to DVAW. The findings reveal significant improvements in both identification and referral rates. The evidence not only underscores the intervention’s potential but offers a valuable framework for policymakers and healthcare providers seeking to implement effective strategies in similar contexts, particularly in low- and middle-income settings.

To download: Healthcare responding to violence and abuse in Brazil: a quasi-experimental difference-in-differences analysis – ScienceDirect

To cite: Estela Capelas Barbosa, Stephanie Pereira, Loraine J. Bacchus, Manuela Colombini, Gene Feder, Lilia Blima Schraiber, Ana Flávia Pires Lucas d’Oliveira, Healthcare responding to violence and abuse in Brazil: a quasi-experimental difference-in-differences analysis, The Lancet Regional Health – Americas, Volume 47, 2025, 101114, ISSN 2667-193X, https://doi.org/10.1016/j.lana.2025.101114.

For further information, please contact Estela at e.capelasbarbosa@bristol.ac.uk

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Physical health conditions and intimate partner violence: A gendered issue

Intimate partner violence (IPV) is a widespread global public health issue with serious and long-lasting consequences. While much research has focused on the mental health consequences of IPV, such as depression and PTSD, there is limited evidence on its association with physical health.

This study explored how different types and number of types of IPV are linked to specific physical health conditions, and whether these associations differ between men and women. VISION researchers Dr Ladan Hashemi, Dr Anastasia Fadeeva and Professor Sally McManus, with Nadia Khan, City St George’s UoL, examined this using data from the 2014 Adult Psychiatric Morbidity Survey.

Key findings include:

  • Women were more likely to experience IPV and a higher number of IPV types than men.
  • Women’s experience of lifetime and 12-month IPV were significantly associated with 12 and 11 different physical health conditions, respectively, while men’s experience of lifetime and 12-month IPV were significantly associated with 4 and 1 conditions, respectively.
  • Different types of IPV types were associated with different types of physical health condition, particularly among women.
  • A cumulative association between experiencing a greater number of IPV types and an increased risk of physical health conditions was evident for women but not for men.

The research concludes that IPV is a gendered issue, with stronger associations between IPV and physical health evident in this data for women than for men. This may be because women are more likely to experience more and multiple types of IPV, more frequently, and more often with injury. Healthcare systems must recognise IPV as a priority issue, ensuring support is tailored to those affected.

Recommendation

  • Healthcare systems need to address IPV as a priority health issue for the female population. Gender-informed approaches in IPV intervention strategies and healthcare provision are required. This means emphasising the development of IPV-responsive healthcare systems and comprehensive IPV curricula in medical and health training.

To download the paper: Intimate partner violence and physical health in England: Gender stratified analyses of a probability sample survey – Ladan Hashemi, Anastasia Fadeeva, Nadia Khan, Sally McManus, 2025

To cite: Hashemi L, Fadeeva A, Khan N, McManus S. Intimate partner violence and physical health in England: Gender stratified analyses of a probability sample survey. Women’s Health. 2025;21. doi:10.1177/17455057251326419

For further information, please contact Ladan at ladan.hashemi@citystgeorges.ac.uk

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Synthetic datasets enable linkage and a longitudinal understanding of experiences of violence and health impacts and consequences

Violence is a complex social problem and a public health issue, with implications for the health and social care systems, police and justice systems, as well as significant productivity losses for those who experience it. Analysing data collected by these systems can aid understanding of the problem of violence and how to respond to it. In social research, analysing administrative records together with survey data has already enabled better measurements of violence and its costs, capturing experiences of both victim-survivors and perpetrators across multiple points in time and social and economic domains.

Ideally, data from the same individuals would enable linkage and a longitudinal understanding of experiences of violence and their (health) impacts and consequences. However, most studies in violence-related research analyse data in silo due to difficulties in accessing data and concerns for the safety of those exposed. This is particularly the case for data from third sector specialist support services for victims or perpetrators of violence which has, to VISION’s knowledge, not been linked or combined with other datasets. Because these services provide person-centred trauma-informed care and there is a risk that information on their service users may be used against them in courts or by immigration authorities, direct data linkage is not possible and alternatives are needed.

With this research, VISION researchers Dr Estela Capelas Barbosa, Dr Niels Blom, and Dr Annie Bunce provide a proof-of-concept synthetic dataset by combining data from the Crime Survey for England and Wales (CSEW) and administrative data from Rape Crisis England and Wales (RCEW), pertaining to victim-survivors of sexual violence in adulthood. Intuitively, the idea was to impute missing information from one dataset by borrowing the distribution from the other.

The researchers borrowed information from CSEW to impute missing data in the RCEW administrative dataset, creating a combined synthetic RCEW-CSEW dataset. Using look-alike modelling principles, they provide an innovative and cost-effective approach to exploring patterns and associations in violence-related research in a multi-sectorial setting.

Methodologically, they approached data integration as a missing data problem to create a synthetic combined dataset. Multiple imputation with chained equations were employed to collate/impute data from the two different sources. To test whether this procedure was effective, they compared regression analyses for the individual and combined synthetic datasets for a variety of variables.

Results show that the effect sizes for the combined dataset reflect those from the dataset used for imputation. The variance is higher, resulting in fewer statistically significant estimates. VISION’s approach reinforces the possibility of combining administrative with survey datasets using look-alike methods to overcome existing barriers to data linkage.

Recommendations

  • Imputing missing information from one dataset by borrowing the distribution from the other should be applicable for costing exercises as it permits micro-costing. 
  • Compared to traditional research, VISION’s proposed approach to data integration offers a cost-effective solution to breaking (data-related) silos in research.

To download the paper: Look-alike modelling in violence-related research: A missing data approach | PLOS One

To cite: Barbosa EC, Blom N, Bunce A (2025) Look-alike modelling in violence-related research: A missing data approach. PLoS ONE 20(1): e0301155. https://doi.org/10.1371/journal.pone.0301155

For further information, please contact Estela at e.capelasbarbosa@bristol.ac.uk

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VISION Policy Briefing: Domestic violence and abuse and mental and physical health

Domestic violence and abuse (DVA) is prevalent within the United Kingdom (UK) and has severe and long-lasting physical and mental health consequences. An estimated 2.3 million adults in England and Wales (4.8%) experienced domestic abuse in the past 12 months. More women than men experience DVA, and women experience more repeated abuse, more physical, sexual, and emotional violence and coercive control, more injuries, and greater fear.

We, in the VISION research consortium, investigate how DVA is related to health. This policy briefing summarises evidence from five of our recent publications. We highlight the key recommendation resulting from across the research and discuss the key findings and evidence demonstrating the prevalence of DVA and the need for a cross-government approach to violence prevention.

Key Recommendation

A cross-government approach to preventing violence needs to include health services, alongside justice, welfare, education and other sectors. An effective and safe NHS response to survivors of domestic violence needs to be implemented. That response, embedded in training for healthcare professionals and referral to appropriate services, stretches from identification of survivors to initial support, to addressing the mental health and other sequelae of violence. Currently, the response is sporadic and patchy, with many Integrated Care Boards (ICBs) not commissioning necessary services. Integrated commissioning, as recommended in the NICE guidelines, could help bridge silos and sectors. 

Key findings

  • Domestic violence and abuse (DVA) affects the physical and mental health of victim-survivors.
  • About half of people who attempted suicide in the past year had experienced violence from a partner at some point in their life, and one in four experienced violence from a partner in the preceding year 
  • The type of intimate partner relationship and the type of violence and abuse affects the nature and level of physical and mental health consequences. 
  • People who use violence against their partners also tend to have worse mental health, and mental health services present an opportunity for intervention with this group. 

To download the paper: VISION Policy Briefing: Domestic violence and abuse and mental and physical health

To cite: Blom, N., Davies, E., Hashemi, L., Obolenskaya, P., Bhavsar, V., & McManus, S. (2025). VISION Policy Briefing: Domestic violence and abuse and mental and physical health. City St George’s, University of London. https://doi.org/10.25383/city.28653212.v3

For further information, please contact Niels at niels.blom@manchester.ac.uk

Positive experiences can mitigate negative effects in children with trauma

Children with traumatic experiences in their early lives have a higher risk of obesity. But as new research from VISION researcher Dr Ladan Hashemi and colleagues at University of Auckland, New Zealand, demonstrate, this risk can be reduced through positive experiences.

Their analysis of data from around 5,000 children in the Growing Up in New Zealand study revealed nine out of ten faced at least one significant source of trauma by the time they were eight years old. Multiple adverse experiences were also prevalent, with one in three children experiencing at least three traumatic events. Notably, certain traumatic experiences (including physical abuse and parental domestic violence) related more strongly to obesity than others. This highlights the strong connection between early-life adversity and physical health outcomes.

Whilst researching the associations between obesity and childhood trauma, the team also explored the protective and mitigating effects of positive experiences. They defined positive experiences as:

  • mothers interacting well with their children
  • mothers involved in social groups
  • children engaged in enriching experiences and activities such as visiting libraries or museums and participating in sports and community events
  • children living in households with routines and rules, including those regulating bedtime, screen time and mealtimes
  • children attending effective early childhood education

The findings were encouraging. Children with more positive experiences were significantly less likely to be obese by age eight. For example, those with five or six positive experiences were 60% less likely to be overweight or obese compared to children with zero or one positive experience. Even two positive experiences reduced the likelihood by a quarter.

Among children exposed to multiple adversities, positive experiences can help mitigate the negative effects of childhood trauma. However, at least four positive experiences were required to significantly counteract the impact of adverse experiences.

Recommendations

  • Traditional weight-loss programmes focused solely on changing behaviours are not enough to tackle childhood obesity. To create lasting change, children need positive social environments and life experiences as well as support to address the emotional scars of early trauma shaping their lives.
  • Fostering positive experiences is a vital part of this holistic approach. These experiences not only help protect children from the harmful effects of adversity but also promote their overall physical and mental wellbeing. This isn’t just about preventing obesity – it’s about giving children the foundation to thrive and reach their full potential.
  • Sure Start and providers of early childhood education and support for parents could help reduce the health inequalities resulting from exposure to violence.

To download the paper: Identification of positive childhood experiences with the potential to mitigate childhood unhealthy weight status in children within the context of adverse childhood experiences: a prospective cohort study | BMC Public Health

To cite: Mellar, B.M., Ghasemi, M., Gulliver, P. et al. Identification of positive childhood experiences with the potential to mitigate childhood unhealthy weight status in children within the context of adverse childhood experiences: a prospective cohort study. BMC Public Health 25, 8 (2025). https://doi.org/10.1186/s12889-024-20727-y

For further information on the research:

Or for further information, please contact Ladan at ladan.hashemi@city.ac.uk

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