The Great Salt Lake Ecosystem (Utah, USA): long term data and a structural equation approach: Comment

摘要

Welcome to the first edition of HEX for 2016. We have included some excellent papers, reporting on a range of clinical topics and research methodologies. The review article by Phillipson and colleagues on current practices to increase Chlamydia screening in the community evaluated the included interventions against social marketing national benchmark criteria. Despite the quality of evidence being low, the authors do make sensible suggestions about how to improve screening behaviours in young people, in non‐clinical or community settings, lessons which may be relevant for other screening activities. van Rensburg's paper compliments Phillipson's work on exploring how to improve access to care?for younger people and demonstrates that young people are willing to use social media to communicate with their mental health provider. This medium might potentially offer the opportunity for monitoring symptoms. The authors, however, identify that young people expect a rapid response to their communication using social media, which may limit the usefulness of this form of communication, and pose unacceptable risk in the case of an urgent problem. Other papers in this edition also focus on vulnerable groups: Evans’ paper on help‐seeking by women survivors of domestic violence highlights the need for publically accessible information about services; Schrevel's paper describes the problems identified by adults with ADHD (attention deficit hyperactivity disorder), in particular social problems arising from living with ADHD and impact on self‐image. Stona and colleagues make recommendations for improving services for people who are long‐term homeless in Luxemburg, lessons which may be useful for other countries.