Marcus Grant

Bio: Marcus Grant is an academic researcher from University of the West of England. The author has contributed to research in topics: Public health & Urban planning. The author has an hindex of 22, co-authored 72 publications receiving 11980 citations. Previous affiliations of Marcus Grant include World Health Organization & Royal Prince Alfred Hospital.

Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption-II

Abstract: The Alcohol Use Disorders Identification Test (AUDIT) has been developed from a six-country WHO collaborative project as a screening instrument for hazardous and harmful alcohol consumption. It is a 10-item questionnaire which covers the domains of alcohol consumption, drinking behaviour, and alcohol-related problems. Questions were selected from a 150-item assessment schedule (which was administered to 1888 persons attending representative primary health care facilities) on the basis of their representativeness for these conceptual domains and their perceived usefulness for intervention. Responses to each question are scored from 0 to 4, giving a maximum possible score of 40. Among those diagnosed as having hazardous or harmful alcohol use, 92% had an AUDIT score of 8 or more, and 94% of those with non-hazardous consumption had a score of less than 8. AUDIT provides a simple method of early detection of hazardous and harmful alcohol use in primary health care settings and is the first instrument of its type to be derived on the basis of a cross-national study.

Alcohol consumption and related problems among primary health care patients: WHO collaborative project on early detection of persons with harmful alcohol consumption--I.

Abstract: This WHO collaborative project is the first phase of a programme of work aimed at developing techniques for early identification and treatment of persons with hazardous and harmful alcohol consumption. The aim of the present study was to determine the prevalence of hazardous and harmful alcohol use among patients attending primary health care facilities in several countries, and to examine the correlates of drinking behaviour and alcohol-related problems in these culturally diverse populations. The broader purpose was to determine whether there was justification for developing alcohol screening instruments for cross-national use. One thousand, eight hundred and eighty-eight subjects in Australia, Bulgaria, Kenya, Mexico, Norway and the USA underwent a comprehensive assessment of their medical history, alcohol intake, drinking practices, and any physical or psychosocial problems related to alcohol. After non-drinkers and known alcoholics had been excluded, 18% of subjects had a hazardous level of alcohol intake and 23% had experienced at least one alcohol-related problem in the previous year. Intrascale reliability coefficients were uniformly high for the drinking behaviour (dependence) and adverse psychological reactions scales, and moderately high for the alcohol-related problems scales. There were strong correlations between the various alcohol-specific scales, and between these scales and measures of alcohol intake. Although the prevalence of hazardous and harmful alcohol consumption varied from country to country, there was a high degree of commonality in the structure and correlates of drinking behaviour and alcohol-related problems. These findings strengthen the case for developing international screening instruments for hazardous and harmful alcohol consumption.

A health map for the local human habitat.

Abstract: At the 2006 UK Public Health Association Conference, held in Telford in March, and the International HIA conference in Cardiff in the same month, there was much interest in a new model of health determinants applied to the planning of human settlements. This ‘health map’ is presented here in its current form for the first time. The authors explain its purpose.

Shaping neighbourhoods : a guide for health, sustainability and vitality

Abstract: 1. Orientation and Principles. Neighbourhood as Habitat. Neighbourhood in Focus. 2. Neighbourhood Checklists. Community Checklist. Investors Checklist. 3. A Neighbourhood Planning Process. Overview. The Collaborative Approach. Getting Going. Creating a Strategy. Making it Happen . Case Studies: 4. Providing for Local Needs. People and Community. Access to Jobs. Access to Local Facilities. Planning Movement. Case Studies. 5. Use of Local Resources. Energy. Water. Food, Waste. Biodiversity. Case Studies. 6. Neighbourhood Design. Neighbourhood Character. Key Structuring Elements. Shaping Towns and Townships. Designing Places. Case Studies. Sources. Index.

Overcoming Isolation in Distance Learning: Building a Learning Community through Time and Space

Abstract: The rise in popularity of distance education programmes, taught through web-based media, belies the difficulty in preparing, delivering and studying on such programmes. Preparing and providing quality material and a rich learning experience are key challenges. The physical and temporal separation of tutor and student, and between students themselves, can lead to feelings of isolation. The lack of interaction and discussion between students on non-cohort based courses lessens the richness of the learning experience and omits a significant element of the constructivist approach to learning. In order to provide maximum flexibility for students to study at a time, pace and subject issue of their choosing, the University of the West of England’s (UWE) MA Spatial Planning programme is delivered entirely online at a distance and asynchronously. This research investigates this pedagogic problem through examining the experiences of distance learning students at UWE, exploring issues and barriers to collaborative study, and exploring student isolation. Recommendations are generated for building a learning community on a non-cohort asynchronous programme of study. These include: providing service level agreements to clarify expectations; designating ‘staging points’ to encourage and motivate; developing student generated content as footprints ‘buried’ in the material; humanising the material; and introducing mechanisms to provide students with their peer’s thoughts/views on course material.

Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption-II

Abstract: The Alcohol Use Disorders Identification Test (AUDIT) has been developed from a six-country WHO collaborative project as a screening instrument for hazardous and harmful alcohol consumption. It is a 10-item questionnaire which covers the domains of alcohol consumption, drinking behaviour, and alcohol-related problems. Questions were selected from a 150-item assessment schedule (which was administered to 1888 persons attending representative primary health care facilities) on the basis of their representativeness for these conceptual domains and their perceived usefulness for intervention. Responses to each question are scored from 0 to 4, giving a maximum possible score of 40. Among those diagnosed as having hazardous or harmful alcohol use, 92% had an AUDIT score of 8 or more, and 94% of those with non-hazardous consumption had a score of less than 8. AUDIT provides a simple method of early detection of hazardous and harmful alcohol use in primary health care settings and is the first instrument of its type to be derived on the basis of a cross-national study.

The Long-Term Health Consequences of Child Physical Abuse, Emotional Abuse, and Neglect: A Systematic Review and Meta-Analysis

Abstract: Background: Child sexual abuse is considered a modifiable risk factor for mental disorders across the life course. However the long-term consequences of other forms of child maltreatment have not yet been systematically examined. The aim of this study was to summarise the evidence relating to the possible relationship between child physical abuse, emotional abuse, and neglect, and subsequent mental and physical health outcomes. Methods and Findings: A systematic review was conducted using the Medline, EMBASE, and PsycINFO electronic databases up to 26 June 2012. Published cohort, cross-sectional, and case-control studies that examined non-sexual child maltreatment as a risk factor for loss of health were included. All meta-analyses were based on quality-effects models. Out of 285 articles assessed for eligibility, 124 studies satisfied the pre-determined inclusion criteria for meta-analysis. Statistically significant associations were observed between physical abuse, emotional abuse, and neglect and depressive disorders (physical abuse [odds ratio (OR)=1.54; 95% CI 1.16–2.04], emotional abuse [OR=3.06; 95% CI 2.43–3.85], and neglect [OR=2.11; 95% CI 1.61–2.77]); drug use (physical abuse [OR=1.92; 95% CI 1.67–2.20], emotional abuse [OR=1.41; 95% CI 1.11–1.79], and neglect [OR=1.36; 95% CI 1.21–1.54]); suicide attempts (physical abuse [OR=3.40; 95% CI 2.17–5.32], emotional abuse [OR=3.37; 95% CI 2.44–4.67], and neglect [OR=1.95; 95% CI 1.13–3.37]); and sexually transmitted infections and risky sexual behaviour (physical abuse [OR=1.78; 95% CI 1.50–2.10], emotional abuse [OR=1.75; 95% CI 1.49– 2.04], and neglect [OR=1.57; 95% CI 1.39–1.78]). Evidence for causality was assessed using Bradford Hill criteria. While suggestive evidence exists for a relationship between maltreatment and chronic diseases and lifestyle risk factors, more research is required to confirm these relationships. Conclusions: This overview of the evidence suggests a causal relationship between non-sexual child maltreatment and a range of mental disorders, drug use, suicide attempts, sexually transmitted infections, and risky sexual behaviour. All forms of child maltreatment should be considered important risks to health with a sizeable impact on major contributors to the burden of disease in all parts of the world. The awareness of the serious long-term consequences of child maltreatment should encourage better identification of those at risk and the development of effective interventions to protect children from violence. Please see later in the article for the Editors’ Summary.

Evaluation of a behavioral measure of risk taking: the Balloon Analogue Risk Task (BART).

Abstract: The present study (N 86) sought to evaluate a laboratory-based behavioral measure of risk taking (the Balloon Analogue Risk Task; BART) and to test associations between this measure and self-report measures of risk-related constructs as well as self-reported real-world risk behaviors. The BART evidenced sound experimental properties, and riskiness on the BART was correlated with scores on measures of sensation seeking, impulsivity, and deficiencies in behavioral constraint. Also, riskiness on the BART was correlated with the self-reported occurrence of addictive, health, and safety risk behaviors, with the task accounting for variance in these behaviors beyond that accounted for by demographics and self-report measures of risk-related constructs. These results indicate that the BART may be a useful tool in the assessment of risk taking.

Planning in the Face of Power.

Abstract: Abstract Information is a source of power in the planning process. This article begins by assessing five perspectives of the planner's use of information: those of the technician, the incremental pragmatist, the liberal advocate, the structuralist, and the “progressive.” Then several types of misinformation (inevitable or unnecessary, ad hoc or systematic) are distinguished in a reformulation of bounded rationality in planning, and practical responses by planning staff are identified. The role and ethics of planners acting as sources of misinformation are considered. In practice planners work in the face of power manifest as the social and political (mis)-man-agement of citizens' knowledge, consent, trust, and attention. Seeking to enable planners to anticipate and counteract sources of misinformation threatening public serving, democratic planning processes, the article clarifies a practical and politically sensitive form of “progressive” planning practice.

Burnout and Self-Reported Patient Care in an Internal Medicine Residency Program

Abstract: In this study, burnout was common among resident physicians and was associated with self-reported suboptimal patient care practices.