This report supports action by bringing together evidence and understanding of resilience at an individual and community level and the interdependence between them, how to measure change in resilience (Section 4), and provides an overview of programmes which seek to strengthen resilience at an individual and community level.
Health inequities are not inevitable. Coordinated policy action on the determinants of health combined with well designed and implemented governance approaches have a dual effect on reducing the health gap and improving overall population health. This guide is the first product developed under Public Health Wales’ WHO Collaborating Centre (WHO CC) on Investment for Health and Well-being work programme and outlines four key phases on how to synthesize, translate and communicate public health economics evidence into policy and practice. The interrelated four phases guide the reader through the process of developing evidence-informed products, which are context and target audience specific. The guide aims to (i) prevent disinvestment in health; (ii) increase investment in prevention (public health); and (iii) and mainstream cross-sectoral investment to address the wider determinants of health and equity, driving sustainable development for prosperity for all. It has been developed based on a mixed-method approach including an evidence review, interviews with national and international experts, and a multisectoral stakeholder consultation which ensured relevance and transferability across sectors, contexts, settings and countries.
Examining the relationship between ACEs and future risk of homelessness.
This report is an extension of Public Health Wales’ Making a Difference publications and aims to inform, support and advocate for wider health policy and cross-sector approaches and interventions offering benefits to the public, health system, society and the economy. The report summarises the impact housing (across tenure) has on health and well-being across the life course; sets out the case for investing in housing as a determinant of health by identifying which interventions work and offer value for money; and identifies priority areas for preventative action within Wales.
The Wales Health Impact Assessment Support Unit have published a framework for training and capacity building in HIA this week. The technical report sets out an underpinning framework for the WHIASU’s approach to the design, development, delivery and evaluation of training and capacity building for HIA over the next five years. The framework is the result of 18 months research, development and engagement. The technical document details a newly developed ‘Skills and Knowledge Framework for HIA’ and a ‘Development Pathway for HIA’ which can inform workforce development and capacity building. The framework has been developed with engagement and feedback from HIA practitioners from Wales and beyond. It has also been designed with the input of key stakeholders including Natural Resources Wales, Local Health Boards, planning officers, environmental health practitioners, and public health specialists.
Responding to Adverse Childhood Experiences: An evidence review of interventions to prevent and address adversity across the life course
We hope the report will be a useful resource for service planners, practitioners and commissioners to support innovation and development towards an ACE-free future.
A scoping review to explore the evidence base for retrospective routine enquiry in adults for ACEs, including feasibility and acceptability amongst practitioners, service user acceptability and outcomes from implementation.
Understanding the prevalence of adverse childhood experiences (ACEs) in a male offender population in Wales: the Prisoner ACE Survey
The prisoner ACE survey surveyed a prison population to understand how many ACEs they had experienced and the associations between ACEs and offending histories.
Ideal, expected and perceived descriptive norm drunkenness in UK nightlife environments: a cross-sectional study.
This study compares UK nightlife users’ ideal levels of drunkenness to their expected drunkenness on a night out and their perceptions of descriptive nightlife norms
This article sought to explore sources of sexual heath advice and treatment for students at Welsh universities (n = 3007).
This study addresses the gaps in knowledge of health services experiences of adult asylum seekers and refugees in Wales, to inform policy and practice with the view to realising Wales’ ambition to become a Nation of Sanctuary, and supporting universal health coverage in line with the Well-being of Future Generations Act.
Associations between childhood deaths and adverse childhood experiences: An audit of data from a child death overview panel.
A study to examine if data routinely collected by child death overview panels (CDOPs) could be used to measure ACE exposure and examine any associations between ACEs and child death categories. Data covering four years (2012-2016) of cases from a CDOP in North West England were studied.
Public Health Wales’ ‘Biodiversity Duty report’ has been produced in response to the enhanced biodiversity and resilience of ecosystems duty under Section 6 of the Environment (Wales) Act 2016 which requires that public authorities must seek to maintain and enhance biodiversity so far as is consistent with the proper exercise of their functions and in doing so promote the resilience of ecosystems.
The Biodiversity and Resilience of Ecosystems Duty Report 2019 outlines how Public Health Wales has addressed its biodiversity duty under the Environment (Wales) Act 2016 and achieved the actions identified in its Biodiversity Plan, Making Space for Nature.
‘A Healthy Heritage’ highlights some of the practical ways in which we can contribute to Wales’ Well-being Goals by supporting our culture and Welsh language in the workplace.
By preserving and learning from our history and culture we can re-energise, safeguard and share our heritage for future generations.
Our heritage is a key tool to support positive change, people who know more about each other and their local area tend to get more involved in their local communities, building a sustainable future where people feel they belong.
‘Creating Inclusive Workplaces’ highlights some of the practical ways in which we can contribute to Wales’ Well-being Goals by helping to create ‘a more equal Wales’ which enables people to fulfil their potential no matter what their background or circumstance.
Adverse childhood experiences, childhood relationships and associated substance use and mental health in young Europeans
This study combines data from 10 European cross-sectional ACE studies among young adults in educational institutions, to explore ACE prevalence, supportive childhood relationships and health outcomes (early alcohol initiation, problem alcohol use, smoking, drug use, therapy, suicide attempt).
Police safeguarding notifications over a one-year period for a local authority in Wales were matched to social care records to understand levels of police-identified vulnerability and their outcomes following referral to social services.
A household and online survey to gather the views of 3,310 individuals in Wales on 19 public health statements. Eight demographic and five health related behaviour super profiles were created to explore differences in opinion.
Driving Prosperity for All through Investing for Health and Well-being – An Evidence Informed Guide for Cross-sector Investment
This guide identifies ten key evidence-informed policy opportunities for investment in Wales. Opportunities identified in the report address areas of high burden and cost in Wales, delivering economic as well as social and environmental returns, and supporting sustainable inclusive economic growth. The guide will help decision-makers to implement the Welsh Government’s Prosperity for All national strategy.
Gambling is increasingly being recognised as a public health priority. Recent years have seen a rapid growth in the availability and advertising of gambling, driven by factors including relaxed gambling regulations and technological development.
The United Kingdom’s withdrawal from the European Union (EU) (informally referred to as “Brexit”) is an unprecedented event in UK history, and evidence of the impact of Brexit on a wide range of policy areas is either unknown or highly contested. The Wales Health Impact Assessment Support Unit, Public Health Wales, has carried out a Health Impact Assessment (HIA) to better understand the potential implications of Brexit for future health and well-being in Wales.
This report explores key findings from the evaluation of an initial pilot of ACE enquiry delivered with mothers during early engagement with health visiting services across Anglesey, North Wales. The pilot took place between October 2017 and July 2018 and engaged 321 mothers in a supportive, ACE-informed discussion about childhood adversity and its impacts on health, wellbeing and parenting.
This resource: School-based violence prevention: a practical handbook, is about schools, education and violence prevention. It provides guidance for school officials and education authorities on how schools can embed violence prevention within their routine activities and across the points of interaction schools provide with children, parents and other community members. If implemented, the handbook will contribute much to helping achieve the SDGs and other global health and development goals.
Be the Change is a movement/campaign to encourage and support staff to take sustainable steps in the workplace to individually contribute towards Wales’ well-being goals.
Following the level of interest in the ‘Be the Change’ e-guides produced for Public Health Wales to-date, the Hub has developed a toolkit to help public bodies and wider stakeholders to adopt ‘Be the Change’ in their places of work. This toolkit aims to provide information and knowledge, but also support staff to become ‘agents of change’ by helping them to make small sustainable changes on an individual level, or by working together as teams.
Does adult alcohol consumption combine with adverse childhood experiences to increase involvement in violence in men and women? A cross-sectional study in England and Wales
A study to examine if, and to what extent, a history of adverse childhood experiences (ACEs) combines with adult alcohol consumption to predict recent violence perpetration and victimisation.
‘Reducing our Waste Measurements’ highlights some of the practical ways in which we can contribute to the health and well-being of our planet by helping to create a lower carbon (greener) society which uses resources more efficiently.
Early experience of implementing a national HIV pre-exposure prophylaxis service in Wales, United Kingdom 2017
This article looks at the early findings following the introduction of pre-exposure prophylaxis for HIV prevention in Wales.
Do emotions related to alcohol consumption differ by alcohol type? An international cross-sectional survey of emotions associated with alcohol consumption and influence on drink choice in different settings
This article examines the emotions associated with drinking different types of alcohol, whether these emotions differ by socio demographics and alcohol dependency and whether the emotions associated with different drink types influence people’s choice of drinks in different settings.
This publication aims to address the gap caused by the downsizing or closure of a single large employer in a localised area, and provides a public health informed response framework which takes into consideration the impact on the wider determinants of health and the populations affected.