areas of expertise
Suzy has worked within the Public Health Institute previously as a researcher on the sexual health team. Whilst working in HIV surveillance within the sexual health team at the Public Health Institute, Suzy expressed a keen interest in the general health needs of the Gypsy and Traveller community and also in poverty and HIV. With this in mind, Suzy is currently completing a PhD which will explore mental health and substance misuse needs amongst Irish Traveller males, focussing specifically on gathering evidence to inform the development and delivery of community-based interventions, to ensure that accessible support services are available for this population.
In 2006, Suzy completed an MPhil on HIV epidemiology in the North West of England, in part looking at the effects of deprivation on indicators of ill health and stays in hospital. Suzy has also written and contributed to several local sexual health needs assessments and was on the editorial board for the Sexual Health Quarterly Bulletin. She has organised and won funding and sponsorship for an annual sexual health conference and established and led an enhanced sexually transmitted infection surveillance scheme for Cheshire and Merseyside.
Enhanced Surveillance of Sexually Transmitted Infections in Cheshire and Merseyside 2008
Report commissioned by the Cheshire and Merseyside Sexual Health Network on behalf of the area’s primary care trusts for assessing local epidemiology and to measure performance targets in order to improve monitoring, planning and interventions for sexual health promotion and treatment and care services.
HIV & AIDS In the North West of England 2009
This is the fourteenth annual report of the North West HIV/AIDS Monitoring Unit, presenting data on HIV positive individuals accessing treatment and care in the region. A total of 42 statutory centres in the region provided treatment and care for HIV positive individuals. Information is presented by local authority (LA), primary care trust (PCT) and treatment
Rapid Sexual Health Needs Assessment: Liverpool Primary Care Trust
Report looking at sexual health needs, demands and services and a gap analysis for Liverpool Primary Care Trust.
Suzy Hargreaves's Papers
Access to HIV community organisations by vulnerable populations: Evidence from an enhanced HIV/AIDS surveillance system
Hannah Madden, Penelope Phillips-Howard, Suzy Hargreaves, Jennifer Downing, Professor Mark Bellis, Roberto Vivancos, Qutub Syed, Penny Cook
AIDS Care. 2011. May; 23(5), 542-9, 2011.
Abstract: HIV disproportionately affects vulnerable populations such as black and minority ethnic groups, men who have sex with men (MSM) and migrants, in many countries including those in the UK. Community organisations in the UK are charitable non-governmental organisations with a proportion of the workforce who volunteer, and provide invaluable additional support for people living with HIV (PLWHIV). Information on their contribution to HIV care in vulnerable groups is relatively sparse. Data generated from an enhanced HIV surveillance system in North West England, UK, was utilised for this study. We aimed to determine the characteristics of individuals who chose to access community services in addition to clinical services (1375 out of 4195 records of PLWHIV in clinical services). Demographic information, risk factors including residency status, uniquely gathered in this region, and deprivation scores were examined. Multivariate logistic regression modelling was conducted to predict the relative effect of patient characteristics on attendance at community services. Attendance at community services was highest in those living in the most, compared with least, deprived areas (p<0.001), and was most evident in MSM and heterosexuals. Compared to white UK nationals attendance was significantly higher in non-UK nationals of uncertain residency status (Adjusted odds ratio [AOR] = 21.91, 95% confidence interval [CI] 10.48–45.83; p<0.001), refugees (AOR = 5.75, 95% CI 3.3–10.03; p<0.001), migrant workers (AOR = 5.48, 95% CI 2.22–13.51; p<0.001) and temporary visitors (AOR = 3.44, 95% CI 1.68–7.05; p<0.001). Community services, initially established predominantly to support MSM, have responded to the changing demography of HIV and reach the most vulnerable members of society. Consequent to their support of migrant populations, community services are vital for the management of HIV in black and minority groups. Paradoxically, this coincides with increasing funding pressures on these services.
Relationships between the use of hospital services and deprivation seen among HIV positive individuals in the north west of England
Penny Cook, Suzy Hargreaves, Karen Tocque, Professor Mark Bellis
Communicable Disease and Public Health. 7, 319-321, 2004.
Abstract: We used routine surveillance data to investigate whether deprivation relates to hospital admission in a HIV-positive population. HIV-positive individuals living in the poorest areas were more likely to have spent one or more nights in hospital for HIV-related care (adjusted odds ratio = 1.6, p = 0.009, after controlling for infection route, disease stage and demographic variables). This implies that healthcare networks in poorer areas may incur disproportionately greater costs.