Tagged / drug misuse

New CMWH paper on maternity care

The editor of Frontiers in Public Health have accepted our latest article from the EPPOCH study.  This latest paper ‘Prenatal substance use during the COVID-19 pandemic in the UK: Associations with depression, anxiety, and pandemic stressors‘ focuses on the use of substances in pregnancy in the UK during the COVID-19 pandemic [1].  Our previous EPPOCH paper, in line with several other population-based studies, highlighted that COVID-19 was associated with high levels of depression and anxiety during pregnancy in the UK [2].

This new publication reports on a cross-sectional analysis of baseline EPPOCH data (n = 3292; June – Nov. 2020). Participants reported alcohol, tobacco, cannabis, and illicit drug use before and after recognition of pregnancy, alongside validated measures of depression, anxiety, pregnancy-related anxiety, and pandemic stressors. Linear regression models examined associations between mental health, COVID-19 stressors, and substance use after pregnancy recognition. A qualitative thematic analysis of 380 open-ended responses explored perceptions of substance use post-pregnancy recognition. Results: Alcohol was the most commonly used substance before pregnancy. Following pregnancy recognition, tobacco (8.75%) and alcohol (8.60%) were the most frequently reported substances, followed by cannabis (1.49%) and illicit drugs (0.12%). Tobacco use after pregnancy recognition was associated with higher levels of depressive symptoms and pandemic stressors, including perceived personal health threat and not receiving necessary care. Prenatal co-use of substances was associated with higher depressive symptoms and pandemic-related financial difficulties. Qualitative themes included continued substance use until pregnancy detection, vaping as a perceived safer-use strategy, and midwifery advice influencing prenatal substance use decisions.

In this large UK pregnancy cohort recruited during the COVID-19 pandemic, substance use following pregnancy recognition – particularly tobacco – was linked to depression and pandemic-related stressors. These findings highlight the importance of equipping midwives and other healthcare professionals with clear, evidence-based guidance on prenatal substance use, particularly during global health crises.

This interdisciplinary project is led by Dr. Melanie Conrad in Germany.  The lead author for the paper is Ph.D. candidate Swarali Datye, whilst three members of the Centre for Midwifery & Women’s Health (CMWH): Dr. Latha Vinayakarao and Prof. Minesh Khashu both working in University Hospitals Dorset NHS Foundation Trust (UHD) and both Visiting Faculty at BU and Prof. Edwin van Teijlingen are team members and co-authors on this paper.

 

References:

  1. Datye, S., Peters, E.M.J., Windhorst, A.C., van Teijlingen, E., MacRae-Miller, A., Vinayakarao, L., Khashu, M., Fahlbusch, F.B., Conrad, M.L. (2026) Prenatal substance use during the COVID-19 pandemic in the UK: Associations with depression, anxiety, and pandemic stressors Frontiers in Public Health. (forthcoming)
  2. Datye, S., Smiljanic, M., Shetti, R.H., MacRae-Miller, A., van Teijlingen, E., Vinayakarao, L., Peters, E.M.J., Lebel, C.A., Tomfohr-Madsen, L., Giesbrecht, G., Khashu, M., Conrad, M.L. (2024) Prenatal maternal mental health and resilience in the United Kingdom during the SARS-CoV-2 Pandemic: A cross-national comparison, Frontiers in Psychiatry, 15 https://doi.org/10.3389/fpsyt.2024.1411761

On Christmas Day in the Morning…

On Christmas Day (25 December 2025) the Journal of Mixed Methods Studies published Dr. Orlanda Harvey’s latest paper ‘Using A Range Of Recruitment Strategies To Recruit Those Who Use Anabolic Androgenic Steroids[1]. The Journal of Mixed Methods Studies is an Open Access journal, hence this paper is freely available to anybody with internet access.

Dr. Harvey is a Senior Lecturer in Social Work in the Faculty of Health, Environment & Medical Sciences. This is the latest in a series of publications based on Orlanda’s Ph.D. work at Bournemouth University.  She has published a steady stream of papers over the past six years [2-7].

Congratulations!

Prof. Edwin van Teijlingen

References:

  1. Harvey, O., van Teijlingen, E., Parrish, M. (2025). Using A Range Of Recruitment Strategies To Recruit Those Who Use Anabolic Androgenic Steroids. Journal of Mixed Methods Studies, 11: 43–60. https://doi.org/10.59455/jomes.42
  2. Harvey, O., van Teijlingen, E., Parrish, M. (2024) Using a range of communication tools to interview a hard-to-reach population, Sociological Research Online 29(1): 221–232 https://journals.sagepub.com/doi/pdf/10.1177/13607804221142212
  3. Harvey, O., Keen, S., Parrish, M., van Teijlingen, E. (2019) Support for people who use Anabolic Androgenic Steroids: A Systematic Literature Review into what they want and what they accessBMC Public Health 19: 1024
  4. Harvey, O., Parrish, M., van Teijlingen, E., Trenoweth, S. (2020) Support for non-prescribed Anabolic Androgenic Steroids users: A qualitative exploration of their needs Drugs: Education, Prevention & Policy 27:5, 377-386. doi 10.1080/09687637.2019.1705763
  5.  Harvey, O., Parrish, M., van Teijlingen, E, Trenoweth, S. (2022) Libido as a reason to use non-prescribed Anabolic Androgenic Steroids, Drugs: Education, Prevention & Policy 29(3):276-288.
  6. Harvey, O., van Teijlingen, E., Parrish, M. (2022) Mixed-methods research on androgen abuse – a review, Current Opinion in Endocrinology & Diabetes 29(6):586-593.
  7. Harvey, O., van Teijlingen, E. (2022) The case for ‘anabolics’ coaches: selflessness versus self-interest? Performance Enhancement & Health 10(3) August, 100230

Conversation article: The psychology of spot fixing – why athletes might gamble their careers

Dr Lucy Sheppard-Marks writes for The Conversation about her research into sport and crime and how to better protect athletes…

The psychology of spot fixing – why athletes might gamble their careers

Wpadington/Shutterstock

Lucy Sheppard-Marks, Bournemouth University

Fifa is reportedly investigating allegations of an illegal betting ring in Greece. Meanwhile the Bolivian Football Federation has cancelled two top-flight tournaments over reports of spot fixing.

These country-level investigations follow numerous examples of professional footballers being personally investigated for breaking betting rules. In 2022, Reading defender Kynan Isaac was handed a 12-year ban for placing illegal bets.

From the outside it might seem strange that well-paid athletes who seemingly have everything might risk it all in this way. Those who are eventually found guilty can be fined, suspended from playing the sport or even banned for life.

As yet not much is known about the benefits athletes get out of spot fixing, beyond payments from fixers, and researchers aren’t even sure if athletes always get payments direct from bookmakers. But it may not all be simply about money.

My previous research into why male professional athletes commit crime may help us understand why they would gamble their careers – the intense conditions of a professional athlete’s world can prime them for criminality.

Why do athletes do it?

Sport corruption cases have been on the on the increase around the world in recent years.

My study in sport and crime involved interviewing elite male athletes who have committed crimes, ranging from driving offences or drug possession, to importing drugs or grievous bodily harm.

I found the very characteristics that may have made them a good athlete may have also set them on the path to criminality. There are parallels between the core features of athletic excellence such as competitiveness, aggression, appetite for risk and assertion, and some of the traits that underpin criminal activities.

In some circumstances, an athlete may view crime as an intense and thrilling activity that fulfils their need for excitement and fuels their appetite for risk.

Some athletes viewed crime as a means to alleviate boredom, with players struggling to fill the void that was left when not competing or training. The thrill of the crime wasn’t necessarily an initial motivator but it was clearly a reason for repeated offences. As one athlete told me: “Some of those feelings, like feelings of elation and at times camaraderie as well, that I experienced on a football pitch, in a changing room… I got that from crime as well.”

Another athlete said: “There is a buzz of it … Anyone who tells you anything else is lying, it’s a buzz”.

Close up of hands gripping prison bars.
One athlete said he didn’t need to worry about jail because he wouldn’t get caught.
fongbeerredhot/Shutterstock

Athletes in my study highlighted their susceptibility to temptation, their sense of invincibility and belief the rules did not apply to them and, in hindsight, their self-centredness. In psychology, these characteristics are linked with a type of behaviour called “terminal adolescence”, where they appear to not grow up because they don’t have to. Some athletes are so indulged they develop unrealistic views of themselves and a sense of invincibility commonly seen in adolescents.

A disregard for consequences was also clear. One participant said: “Of course there are consequences, of course there are people that go to jail, I know them, but I’m not going to get caught so I don’t have to think about that”.

Athletes may take part in crime because risky experiences can give people a sense of control in their largely constrained lives – it can help athletes escape from the restrictive nature of elite sport.

Negative sporting experiences influenced some atheletes’ criminal behaviour too. Rejection, failure and a belief that sporting bodies, coaches or fans are treating them unfairly can incite athletes to rebellion. For example, one professional boxer began a phase of going out with friends and taking drugs after he lost a match because he thought the outcome was unfair.

Substance misuse was also often a negative influence. The need for money to pay for drugs and increasing greed in general were given as reasons for these bouts of self-destructive behaviour.

What can be done?

Sport organisations need to ensure they know the backgrounds, and social pressures, that are inescapable for many athletes so they can protect them. Young athletes’ potential criminality is not always on the radar of coaches, but it needs to be. One of the athletes I interviewed did get pulled up by his coach who had realised what he was doing in his free time – and this was a changing point for him.

Participants in my study touched upon the pressure they felt to be successful and how they struggled with mental health. One athlete described how draining his sport could be, and how the intensity – combined with the pressure an athlete is constantly under to perform – was exhausting.

The destructive criminal behaviour may be self-inflicted but these athletes still need support. Failing to support an athlete who has committed a crime may well make things worse, as they struggle with the financial, social and emotional consequences of their actions.

The frequency of drug and alcohol misuse is also an influence on athletes committing crimes. Athletes were indifferent to the use of class B and C drugs, and the negative impact these drugs could have on their careers, or how these could result in a criminal record. Education should be extended to coaches about how to spot social drug use, as it was clear that athletes in this study were adept at hiding their substance misuse.

The experiences of athletes who have committed crimes can be used allow others to learn from their mistakes. Telling their stories will also enable those who have offended to give back to their sports, and give convicted athletes a focus for getting their careers in sport back on track.The Conversation

Lucy Sheppard-Marks, Lecturer Sport and Event Management, Bournemouth University

This article is republished from The Conversation under a Creative Commons license. Read the original article.