Does better than expected life expectancy in areas of disadvantage indicate health resilience? Stakeholder perspectives and possible explanations.

Some places have better than expected health trends despite being disadvantaged in other ways. Thematic analysis of qualitative data from stakeholders (N = 25) in two case studies of disadvantaged local authorities the North West and South East of England assessed explanations for the localities' apparent health resilience. Participants identified ways of working that might contribute to improved life expectancy, such as partnering with third sector, targeting and outcome driven action. Stakeholders were reluctant to assume credit for better-than-expected health outcomes. External factors such as population change, national politics and finances were considered crucial. Local public health stakeholders regard their work as important but unlikely to cause place-centred health resilience.

UK Dog Owners' Pre-Acquisition Information- and Advice-Seeking: A Mixed Methods Study.

Dogs are the most common pet animal species in the UK. Little is known about information and advice gathering within the process of dog acquisition, nor what pre-acquisition research encompasses. This study aimed to better understand the preparatory research undertaken by prospective dog owners in the UK. A 2019 online survey collected quantitative and qualitative data about dog acquisition. Analyses within this study focused on a subset of these current (n = 4381) and potential (n = 2350) owners who had undertaken research, or who reported planning to do so, before acquiring a dog. Additional qualitative data were collected through semi-structured interviews with current (n = 24) and potential (n = 8) dog owners. Among those current owners who had sought information or advice, websites were the most common source of information (76%), followed by family and friends (70%), and online forums (51%). Similar patterns were seen among potential owners. Qualitative data revealed that information was commonly sought on the following: general information about dogs; information about breeds or types of dogs; owner requirements and dog suitability; aspects of dog ownership; and how to source a dog. The majority of prospective owners stated that they had found all the information they wanted (96% of current owners and 90% of potential owners) but some respondents found conflicting advice from different sources and did not know which sources to trust. Our study shows that, for some prospective owners, research into various aspects of dog acquisition and ownership is important. Knowing where to look for correct and unbiased advice, particularly online, is particularly important. Understanding the pre-acquisition research that owners undertake, including the sources they use, information they are interested in finding, and the challenges they face, is of interest to animal welfare and veterinary organisations and those involved in rehoming and selling dogs. This information may help inform interventions aimed at improving the knowledge and decisions made by potential dog owners.

Investigating health and social outcomes of the Big Local community empowerment initiative in England: a mixed method evaluation.

Background: Most research on community empowerment provides evidence on engaging communities for health promotion purposes rather than attempts to create empowering conditions. This study addresses this gap. Intervention: Big Local started in 2010 with £271M from the National Lottery. Ending in 2026, it gives 150 relatively disadvantaged communities in England control over £1M to improve their neighbourhoods. Objective: To investigate health and social outcomes, at the population level and among engaged residents, of the community engagement approach adopted in a place-based empowerment initiative. Study design, data sources and outcome variables: This study reports on the third wave of a longitudinal mixed-methods evaluation. Work package 1 used a difference-in-differences design to investigate the impact of Big Local on population outcomes in all 150 Big Local areas compared to matched comparator areas using secondary data. The primary outcome was anxiety; secondary outcomes included a population mental health measure and crime in the neighbourhood. Work package 2 assessed active engagement in Big Local using cross-sectional data and nested cohort data from a biannual survey of Big Local partnership members. The primary outcome was mental well-being and the secondary outcome was self-rated health. Work package 3 conducted qualitative research in 14 Big Local neighbourhoods and nationally to understand pathways to impact. Work package 4 undertook a cost-benefit analysis using the life satisfaction approach to value the benefits of Big Local, which used the work package 1 estimate of Big Local impact on life satisfaction. Results: At a population level, the impacts on 'reporting high anxiety' (-0.8 percentage points, 95% confidence interval -2.4 to 0.7) and secondary outcomes were not statistically significant, except burglary (-0.054 change in z-score, 95% confidence interval -0.100 to -0.009). There was some effect on reduced anxiety after 2017. Areas progressing fastest had a statistically significant reduction in population mental health measure (-0.053 change in z-score, 95% confidence interval -0.103 to -0.002). Mixed results were found among engaged residents, including a significant increase in mental well-being in Big Local residents in the nested cohort in 2018, but not by 2020; this is likely to be COVID-19. More highly educated residents, and males, were more likely to report a significant improvement in mental well-being. Qualitative accounts of positive impacts on mental well-being are often related to improved social connectivity and physical/material environments. Qualitative data revealed increasing capabilities for residents' collective control. Some negative impacts were reported, with local factors sometimes undermining residents' ability to exercise collective control. Finally, on the most conservative estimate, the cost-benefit calculations generate a net benefit estimate of £64M. Main limitations: COVID-19 impacted fieldwork and interpretation of survey data. There was a short 4-year follow-up (2016/20), no comparators in work package 2 and a lack of power to look at variations across areas. Conclusions: Our findings suggest the need for investment to support community organisations to emerge from and work with communities. Residents should lead the prioritisation of issues and design of solutions but not necessarily lead action; rather, agencies should work as equal partners with communities to deliver change. Funding: This project was funded by the National Institute for Health and Care Research (NIHR) Public Health Research Programme (16/09/13) and will be published in full in Public Health Research; Vol. 11, No. 9. See the NIHR Journals Library website for further project information.

The Communities in Control study is looking at the health impacts of the Big Local community empowerment programme, funded by the National Lottery Community Fund and managed by Local Trust (a national charitable organisation). Residents of 150 English areas have at least £1M and other support to improve the neighbourhoods. There have been three phases of the research. This report shares findings from their third phase, which began in 2018. First, we used data from a national survey and data from national health and welfare services to compare changes in mental health between people living in Big Local areas and those in similar areas that did not have a Big Local partnership. Furthermore, we also used publicly available data on crime in the neighbourhoods. We found weak evidence that Big Local was linked with improved mental health and a reduction in burglaries. Second, we used data from a survey conducted by Local Trust to look at health and social impacts on the most active residents. We found an increase in mental well-being in 2018 but this was not maintained in 2020, probably due to the COVID-19 pandemic. Third, we did interviews and observations in 14 Big Local areas to understand what helps and what does not help residents to improve their neighbourhoods. We found that partnerships need to have legitimacy, the right balance of support, and learning opportunities. Residents suggested that creating social connections and welcoming social spaces, improving how people view the area and tackling poverty contributed to health improvements. Direct involvement in Big Local was both stressful and rewarding. Finally, we did a cost­benefit analysis by putting a monetary value on residents' increase in life satisfaction due to Big Local and comparing it with the costs of Big Local. We found that the benefits exceed the costs by at least £60M, suggesting that Big Local provides good value for money.

"Do Your Homework as Your Heart Takes over When You Go Looking": Factors Associated with Pre-Acquisition Information-Seeking among Prospective UK Dog Owners.

The factors influencing why and how people decide to acquire a dog are not well understood and little is known about the extent to which prospective owners undertake preparatory research. This study aimed to better understand what factors influence whether prospective dog owners in the UK conduct preparatory research. A 2019 online survey of current (n = 8050) and potential (n = 2884) dog owners collected quantitative and qualitative data. Additional qualitative data were collected through semi-structured interviews with current (n = 166) and potential (n = 10) dog owners. Of the current owners surveyed, 54% stated that they had looked for advice or information prior to acquiring their dog. Of potential owners, 68% reported already having looked for information, while a further 14% were planning to undertake research prior to acquiring a dog. Those with previous dog ownership experience were less likely to undertake pre-acquisition research, as were those who had worked with dogs. Demographic factors were also associated with the likelihood of conducting pre-acquisition research, with younger prospective owners being more likely to have undertaken research, as well as those with formal education qualifications. Among current owners, pre-acquisition research was more likely among those who acquired their dog through a breeder; a specific breed or a mix of two breeds; or as a puppy. Qualitative data were consistent with and added additional understanding and context to these findings. Almost half of current owners did not conduct pre-acquisition research, highlighting the need for increased awareness of its importance and the development of targeted interventions to encourage this activity. Understanding the different factors that influence whether dog owners undertake research may be of interest to animal welfare and veterinary organisations, in order to inform interventions to better prepare people for dog acquisition.

Why Do People Want Dogs? A Mixed-Methods Study of Motivations for Dog Acquisition in the United Kingdom.

With an estimated 12. 5 million dogs in the UK alone, many people acquire a dog at some point during their lives. However, there are gaps in understanding about why UK owners decide to get dogs. Using a mixed-methods convergent design, this study identified the reasoning behind dog acquisition in a sample of UK current and prospective owners. An online survey of current (n = 8,050) and potential (n = 2,884) dog owners collected quantitative and qualitative data. Current owners were asked about the acquisition of their most recently acquired dog, whilst potential owners were asked about their dog ownership aspirations. Additional qualitative data were collected through semi-structured interviews with current (n = 166) and potential (n = 10) dog owners. Interviews focused on the factors that affected why and how people acquire dogs. Of survey responses, companionship for the respondent was the most common reason for wanting to get a dog, reported by 79.4 and 87.8% of current and potential owners, respectively. Facilitating exercise was reported as a reason for wanting to get a dog by 48.2 and 69.7% of current and potential owners, respectively. There were significant differences between current and potential owners in their likelihood of reporting pre-defined reasons, factors and influences involved in their decision to get a dog. Compared to current owners, potential owners were significantly more likely to report being motivated by most of the survey response options offered (including companionship for themselves or other adults in the household, helping a dog in need, lifestyle changes and previous experiences of meeting dogs), suggesting that current ownership status may affect experience and/or reporting expectations around dog ownership. Reflexive thematic analysis of qualitative data confirmed the importance of these motivations and identified additional reasons and factors that drive dog acquisition. These were organized into three overarching themes: Self-Related Motivation, Social-Based Motivation, and Dog-Related Positive Affect-Based Motivation. These findings provide insights into owners' expectations of ownership which may inform the development of interventions to support potential owners' decision-making around acquisition to maximize both dog and human welfare.

Accessing veterinary healthcare during the COVID-19 pandemic: A mixed-methods analysis of UK and Republic of Ireland dog owners' concerns and experiences.

BACKGROUND: This study explored dog owners' concerns and experiences related to accessing veterinary healthcare during the COVID-19 pandemic. METHODS: Data were obtained through two cross-sectional owner-completed surveys conducted in May (first nationwide lockdown) and October 2020 and owner-completed diaries (April-November 2020). Diaries and relevant open-ended survey questions were analysed qualitatively to identify themes. Survey responses concerning veterinary healthcare access were summarised and compared using chi-square tests. RESULTS: During the initial months of the pandemic, veterinary healthcare availability worried 32.4% (n = 1431/4922) of respondents. However, between 23 March and 4 November 2020, 99.5% (n = 1794/1843) of those needing to contact a veterinarian managed to do so. Delays/cancellations of procedures affected 28.0% (n = 82/293) of dogs that owners planned to neuter and 34.2% (n = 460/1346) of dogs that owners intended to vaccinate. Qualitative themes included COVID-19 safety precautions, availability of veterinary healthcare and the veterinarian-client relationship. CONCLUSION: Veterinary healthcare availability concerned many owners during the COVID-19 pandemic. Access to veterinary healthcare for emergencies remained largely available, but prophylactic treatments were delayed for some dogs.

Impact of Changes in Time Left Alone on Separation-Related Behaviour in UK Pet Dogs.

Separation-related behaviours (SRBs), including but not limited to vocalisation, pacing, destruction and toileting, occur in the absence of human company. As well as being problematic for the dogs' owners, such behaviours indicate that the dogs' emotional state is compromised. As part of the COVID-19 pandemic, time spent alone decreased considerably for many pet dogs, leading to concerns about the development of SRBs when dogs are left alone more again. The main aim of this study was to test the hypothesis that dogs whose time left alone decreased most (compared to a February 2020 pre-COVID baseline) would be at greatest risk of developing new signs of SRB when time left alone increased again. To achieve this aim, we utilised survey data gathered from dog owners between 4th May and 3rd July 2020, during the first COVID-19 'lockdown' period in the United Kingdom (UK), and a follow-up survey of the same dog-owner cohort, completed when restrictions had eased between 10th October and 2nd November 2020. Individual dogs fluctuated considerably in whether they showed signs of SRB or not across the study period (n = 1807). Overall, the prevalence of SRB in the population decreased from 22.1% to 17.2%, as did the time dogs were left alone for between February and October 2020. However, 9.9% of dogs had developed new signs of SRB by the follow-up survey in October 2020, with dogs whose leaving hours decreased most during lockdown restrictions being at increased risk of developing SRBs. These findings have implications for our understanding of the etiology of SRB, by showing a link between changes in owner routine and SRB risk.

Policies for Social and Health Equity: The Case for Equity Sensitive Universalism Comment on "Implementing Universal and Targeted Policies for Health Equity: Lessons From Australia".

This commentary reflects on an important article by Fisher and colleagues who draw on four Australian policy case studies to examine how universal and targeted approaches or a combination can be deployed to improve health equity. They conclude that universal approaches are central to action to increase health equity, but that targeting can improve equity of access in some situations including in the context of proportionate universalism. However, we argue that although target services may provide benefits for some populations, they are often stigmatizing and fail to reach may people they aim to support. Instead of accepting the dominant discourse about the key role for targeted approaches, we argue that those committed to reduce social and health inequities should consider the potential of Equity Sensitive Universalism (ESU). This approach focuses on achieving proportionate outcomes with equally provided resources rather than proportionate inputs and provides a 'cohesion dividend,' increasing social solidarity.

"Don't Bring Me a Dog I'll Just Keep It": Understanding Unplanned Dog Acquisitions Amongst a Sample of Dog Owners Attending Canine Health and Welfare Community Events in the United Kingdom.

Understanding the factors that result in people becoming dog owners is key to developing messaging around responsible acquisition and providing appropriate support for prospective owners to ensure a strong dog-owner bond and optimise dog welfare. This qualitative study investigated factors that influence pet dog acquisition. Semi-structured interviews were conducted with 142 sets of dog owners/caretakers at 23 Dogs Trust community events. Interviews focused on the motivations and influences that impacted how people acquired their dogs. Transcribed interviews and notes were thematically analysed. Two acquisition types were reported, that each accounted for half of our interviewees' experiences: planned and unplanned. Whilst planned acquisitions involved an intentional search for a dog, unplanned acquisitions occurred following an unexpected and unsought opportunity to acquire one. Unplanned acquisitions frequently involved a participant's family or friends, people happening upon a dog in need, or dogs received as gifts. Motivations for deciding to take the dog included emotional attachments and a desire to help a vulnerable animal. Many reported making the decision to acquire the dog without hesitation and without conducting any pre-acquisition research. These findings present valuable insights for designers of interventions promoting responsible acquisition and ownership, because there is minimal opportunity to deliver messaging with these unplanned acquisitions. Additionally, these findings may guide future research to develop more complete understandings of the acquisition process. Further studies are required to understand the prevalence of unplanned acquisitions.

"More Attention than Usual": A Thematic Analysis of Dog Ownership Experiences in the UK during the First COVID-19 Lockdown.

On 23 March 2020, the UK Government imposed a nationwide lockdown as part of efforts to mitigate the impact of COVID-19. This study aimed to explore how the experience of dog ownership in the UK was impacted during this lockdown. Data for this research came from open-ended survey questions and an electronic diary completed by members of the general public and participants involved in "Generation Pup", an ongoing longitudinal cohort study of dogs. A total of 10,510 free-text entries were analysed. Three major themes emerged: spending time at home with dog(s), walking practices, and behaviour and training. Owners valued having more time than usual with their dog(s) but also recognised that spending extra time with their dog(s) may negatively impact on the dog's future ability to cope when left alone. However, very few owners provided alone time for their dog(s) during the lockdown. The opportunity to walk their dog(s) as part of their permitted daily exercise was regarded positively, but walks under the lockdown guidelines were not always felt to be adequate with respect to providing sufficient exercise and opportunities for interaction with other dogs. Owners reported observing new undesirable behaviours in their dog(s) during the lockdown, including barking and dogs being "clingy" or vocalising when briefly left alone. Based on these findings, we suggest intervention strategies to best support dog welfare that include helping dog owners to teach dogs to cope with being alone, even if owners do not need to leave their dogs alone.

Power, control, communities and health inequalities I: theories, concepts and analytical frameworks.

This is Part I of a three-part series on community empowerment as a route to greater health equity. We argue that community 'empowerment' approaches in the health field are increasingly restricted to an inward gaze on community psycho-social capacities and proximal neighbourhood conditions, neglecting the outward gaze on political and social transformation for greater equity embedded in foundational statements on health promotion. We suggest there are three imperatives if these approaches are to contribute to increased equity. First, to understand pathways from empowerment to health equity and drivers of the depoliticisation of contemporary empowerment practices. Second, to return to the original concept of empowerment processes that support communities of place/interest to develop capabilities needed to exercise collective control over decisions and actions in the pursuit of social justice. Third, to understand, and engage with, power dynamics in community settings. Based on our longitudinal evaluation of a major English community empowerment initiative and research on neighbourhood resilience, we propose two complementary frameworks to support these shifts. The Emancipatory Power Framework presents collective control capabilities as forms of positive power. The Limiting Power Framework elaborates negative forms of power that restrict the development and exercise of a community's capabilities for collective control. Parts II and III of this series present empirical findings on the operationalization of these frameworks. Part II focuses on qualitative markers of shifts in emancipatory power in BL communities and Part III explores how power dynamics unfolded in these neighbourhoods.

Impact of the First COVID-19 Lockdown on Management of Pet Dogs in the UK.

Initial COVID-19 lockdown restrictions in the United Kingdom (23rd March-12th May 2020) prompted lifestyle changes for many people. We explored the impact of this lockdown phase on pet dogs using an online survey completed by 6004 dog owners, who provided information including dog management data for the 7 days prior to survey completion (4th-12th May 2020), and for February 2020 (pre-lockdown). We explored associations between potential predictors and four outcomes relating to changes pre-/during lockdown (reduction in number and duration of walks; increased frequency of play/training, and provision of toys). Most owners (79.5%) reported their dog's routine had changed compared to pre-lockdown. There was a four-fold increase in the proportion not left alone for >5 min on any day during a weekly period (14.6% pre-lockdown, 58.0% during lockdown), with the proportion being left for ≥3 h at a time decreasing from 48.5% to 5.4%. Dogs were walked less often and for less time daily during lockdown, with factors related to the dog, owner, household, and home location associated with changes to walking practices. Many dogs had more play/training sessions and were given toys more frequently during lockdown. Decreased walk duration was associated with increased odds of play/training opportunities and toy provision. These changes to dog management have the potential for immediate and longer-term welfare problems.

What's in the bag? Analysis of exterior drug packaging by TD-DART-MS to predict the contents.

The need for a safe and reliable presumptive test for law enforcement, first responders, and laboratory personnel is critical in the era of dangerous synthetic opioids and other novel psychoactive substances. Obtaining drug identification information without handling bulk powder is one way of accomplishing this task. This work evaluates whether trace residue on the exterior of drug packaging presents a potential source for presumptive testing. Utilizing a wipe-based approach, the outside of the packaging of nearly 200 case exhibits were sampled and analyzed by thermal desorption direct analysis in real time mass spectrometry (TD-DART-MS). While residue on the law enforcement (outer) packaging was a poor indicator of the contents (less than 50% accurate), the exterior of the drug (inner) packaging was shown to be an excellent indicator of its contents (92% accurate). Quantitative analysis of the wipes, using liquid chromatography mass spectrometry (LC-MS/MS) showed that typical masses of residue on the exterior of packaging ranged from single to tens of micrograms - enough for detection by a number of trace detection tools. These initial results demonstrate that wipe-based trace sampling approaches present a promising, reliable, and safe method for presumptive testing by law enforcement, first responders, or laboratory personnel.

Scientific aptitude better explains poor responses to teaching of evolution than psychological conflicts.

It is considered a myth that non-acceptance of scientific consensus on emotive topics is owing to difficulties processing scientific information and is, instead, owing to belief-associated psychological conflicts, the strongest non-acceptors being highly educated. It has been unclear whether these results from adults explain variation in response to school-level teaching. We studied a cohort of UK secondary school students (aged 14-16) and assessed their acceptance and understanding of evolution. In addition, to address their aptitude for science we assessed their understanding of genetics and their teacher-derived assessment of science aptitude. As both models predict, students with low initial evolution acceptance scores showed lower increases in the understanding of evolution. Contrary to conventional wisdom, this effect is better explained by lack of aptitude: before teaching, students with low acceptance had lower understanding of both evolution and of genetics; the low-acceptance students sat disproportionately in the foundation (rather than higher) science classes; low-acceptance students showed lower increments in the understanding of genetics; and student gain in the understanding of evolution correlated positively with gain in the understanding of genetics. We find no evidence either for a role for psychological conflict in determining response to teaching or that strong rejectors are more commonly of a higher ability. From qualitative data we hypothesize that religious students can avoid psychological conflict by adopting a compatibilist attitude. We conclude that there are students recalcitrant to the teaching of science (as currently taught) and that these students are more likely to not accept the scientific consensus. Optimizing methods to teach recalcitrant students is an important avenue for research.

Teaching genetics prior to teaching evolution improves evolution understanding but not acceptance.

What is the best way to teach evolution? As microevolution may be configured as a branch of genetics, it being a short conceptual leap from understanding the concepts of mutation and alleles (i.e., genetics) to allele frequency change (i.e., evolution), we hypothesised that learning genetics prior to evolution might improve student understanding of evolution. In the UK, genetics and evolution are typically taught to 14- to 16-y-old secondary school students as separate topics with few links, in no particular order and sometimes with a large time span between. Here, then, we report the results of a large trial into teaching order of evolution and genetics. We modified extant questionnaires to ascertain students' understanding of evolution and genetics along with acceptance of evolution. Students were assessed prior to teaching, immediately post teaching and again after several months. Teachers were not instructed what to teach, just to teach in a given order. Regardless of order, teaching increased understanding and acceptance, with robust signs of longer-term retention. Importantly, teaching genetics before teaching evolution has a significant (p < 0.001) impact on improving evolution understanding by 7% in questionnaire scores beyond the increase seen for those taught in the inverse order. For lower ability students, an improvement in evolution understanding was seen only if genetics was taught first. Teaching genetics first additionally had positive effects on genetics understanding, by increasing knowledge. These results suggest a simple, minimally disruptive, zero-cost intervention to improve evolution understanding: teach genetics first. This same alteration does not, however, result in a significantly increased acceptance of evolution, which reflects a weak correlation between knowledge and acceptance of evolution. Qualitative focus group data highlights the role of authority figures in determination of acceptance.

Photosynthetic light reactions increase total lipid accumulation in carbon-supplemented batch cultures of Chlorella vulgaris.

Microalgae are an attractive biofuel feedstock because of their high lipid to biomass ratios, lipid compositions that are suitable for biodiesel production, and the ability to grow on varied carbon sources. While algae can grow autotrophically, supplying an exogenous carbon source can increase growth rates and allow heterotrophic growth in the absence of light. Time course analyses of dextrose-supplemented Chlorella vulgaris batch cultures demonstrate that light availability directly influences growth rate, chlorophyll production, and total lipid accumulation. Parallel photomixotrophic and heterotrophic cultures grown to stationary phase reached the same amount of biomass, but total lipid content was higher for algae grown in the presence of light (an average of 1.90 mg/mL vs. 0.77 mg/mL over 5 days of stationary phase growth).

Context-conditioned generalization in adaptation to distorted speech.

People were trained to decode noise-vocoded speech by hearing monosyllabic stimuli in distorted and unaltered forms. When later presented with different stimuli, listeners were able to successfully generalize their experience. However, generalization was modulated by the degree to which testing stimuli resembled training stimuli: Testing stimuli's consonants were easier to recognize when they had occurred in the same position at training, or flanked by the same vowel, than when they did not. Furthermore, greater generalization occurred when listeners had been trained on existing words than on nonsense strings. We propose that the process by which adult listeners learn to interpret distorted speech is akin to building phonological categories in one's native language, a process where categories and structure emerge from the words in the ambient language without completely abstracting from them.