Yr Athro Shantini Paranjothy
Clinical Senior Lecturer
- paranjothys@cardiff.ac.uk
- +44 (0)29 2068 7245
- Neuadd Meirionnydd, Ysbyty Athrofaol Cymru, Parc y Mynydd Bychan, Caerdydd, CF14 4YS
I am the Scientific Lead for HealthWise Wales, a national initiative funded by health and Care Research Wales to engage large numbers of people in Wales with health and social care research.
My research is focused on perinatal and infant health inequalities at Cardiff University. In 2008 I set up the Welsh Study of Mothers and Babies (WOMBS) to study the significance of ultrasound markers detected during pregnancy for the health of the baby (funded by MRC/WORD Health Research Partnership Award). The study recruited 30,000 mothers from all maternity units in Wales, with consent to follow up their children in future studies. The first of a series of planned follow-up studies with this cohort, to study renal diseases during childhood, will started in October 2013 and will report outcomes for children in the cohort up to age 5 years.
I am an executive member of the Farr Institute@CIPHER and have led a number of large-scale epidemiological analyses using record-linked data from routinely collected health and social data. One example was an analysis of birth outcomes for women who have had treatment for cervical abnormalities. This study used linked anonymised electronic records from a cohort of 174,325 women aged 20-39 years in Wales and reassuringly found that surgical treatment for pre-cancerous lesions did not increase the likelihood of premature birth or low birth-weight babies.
I lead the research theme on vulnerable babies in the Wales Electronic Cohort for Children (WECC), the first complete population e-cohort in the UK of 800,000 children, aimed at investigating the widest possible range of social and environmental determinants of child health and social outcomes by exploiting the potential of routinely collected datasets.
I am a contributor to the Cochrane Collaboration Pregnancy and Childbirth Group, and have authored three reviews relevant to the management and care of women during pregnancy and labour. I am also a Non-Executive Director at Public Health Wales NHS Trust.
Education and qualifications
- MB ChB Medicine, University of Wales College of Medicine, Cardiff, 1995
- MSc Medical Statistics (Distinction), London School of Hygiene and Tropical Medicine, 2000
- DLSH&TM, London School of Hygiene and Tropical Medicine, 2000
- Diploma Faculty of Family Planning & Reproductive Health, Faculty of Family Planning & Reproductive Health, 2000
- PhD Epidemiology, London School of Hygiene and Tropical Medicine, 2005
- Fellow Faculty of Public Health, Faculty of Public Health, Royal College of Physicians, 2010
Career overview
2016 - present: Mansel Talbot Professor of Preventive Medicine, CoDirector Division of Population Medicine, Cardiff University School of Medicine
2015 - present: Population Health Research Theme Lead, College of Biomedical & Life Sciences, Cardiff Unversity
2015 - present: Scientific Lead, HealthWise Wales
Aelodaethau proffesiynol
- Fellow of the Faculty of Public Health, Royal College of Physicians
Safleoedd academaidd blaenorol
2009 - 2016: Clinical Senior Lecturer in Public Health Medicine, Cardiff University School of Medicine
2007 - 2009: Walport Clinical Lecturer in Public Health Medicine, Cardiff University School of Medicine
2000 - 2004: Clinical Research Fellow, Royal College of Obstetricians and Gynaecologists
Pwyllgorau ac adolygu
- 2016 - present: Member of School of Medicine Board
- 2015 - present: Member of BLS College Research Committee
External
- Non Executive Director Public Health Wales NHS Trust
- Treasurer and Public Health Representative on the British Association for Child & Adolescent Public Health (BACAPH) Executive Committee.
2020
- Greene, G.et al. 2020. Common mental disorder and migration between multiple states of deprivation in a UK cohort. BMJ Open
- Robling, M.et al. 2020. Evaluation of the effectiveness of the Family Nurse Partnership home visiting programme in first time young mothers in Scotland. International Journal of Population Data Science
2019
- Allen, L. A.et al. 2019. Pregnancy in teenagers diagnosed with type 1 diabetes mellitus in childhood: a national population based e-cohort study. Diabetologia (10.1007/s00125-019-05063-w)
- Greene, G.et al. 2019. Improving mental health through neighbourhood regeneration: the role of cohesion, belonging, quality and disorder. European Journal of Public Health (10.1093/eurpub/ckz221)
- Gartner, A.et al. 2019. Drinking beer, wine or spirits - does it matter for inequalities in alcohol-related hospital admission? A record-linked longitudinal study in Wales. BMC Public Health 19, article number: 1651. (10.1186/s12889-019-8015-3)
- Evans, A.et al. 2019. The role of health and social factors in education outcome: a record-linked electronic birth cohort analysis. PLoS ONE 14(8), article number: e0220771. (10.1371/journal.pone.0220771)
- Trefan, L.et al. 2019. Epidemiology of alcohol-related emergency hospital admissions in children and adolescents: an e-cohort analysis in Wales in 2006-2011. PLoS ONE 14(6), article number: e0217598. (10.1371/journal.pone.0217598)
- Ahmed, H.et al. 2019. Impact of antibiotic treatment duration on outcomes in older men with suspected urinary tract infection: Retrospective cohort study. Pharmacoepidemiology and Drug Safety 28(6), pp. 857-866. (10.1002/pds.4791)
- Lugg-Widger, F.et al. 2019. Long-term outcomes of urinary tract infection (UTI) in Childhood (LUCI): protocol for an electronic record-linked cohort study. BMJ Open 9, article number: e024210. (10.1136/bmjopen-2018-024210)
- Schlüter, D. K.et al. 2019. Impact of cystic fibrosis on birthweight: a population based study of children in Denmark and Wales. Thorax 74, pp. 447-454. (10.1136/thoraxjnl-2018-211706)
- Copeland, L.et al. 2019. The feasibility and acceptability of providing a novel breastfeeding peer-support intervention informed by Motivational Interviewing. Maternal and Child Nutrition 15(2), article number: e12703. (10.1111/mcn.12703)
- Ahmed, H.et al. 2019. Antibiotic prophylaxis and clinical outcomes among older adults with recurrent urinary tract infection: cohort study. Age and Ageing 48(2), pp. 288-234. (10.1093/ageing/afy146)
- Ahmed, H.et al. 2019. Choice of empirical antibiotic therapy and adverse outcomes in older adults with suspected urinary tract infection: cohort study. Open Forum Infectious Diseases 6(3), article number: ofz039. (10.1093/ofid/ofz039)
- Trefan, L.et al. 2019. Electronic Longitudinal Alcohol Study in Communities (ELAStiC) Wales - protocol for platform development. International Journal of Population Data Science 4(1), article number: 14. (10.23889/ijpds.v4i1.581)
- McQuire, C.et al. 2019. Screening prevalence of fetal alcohol spectrum disorders in a region of the United Kingdom: a population-based birth-cohort study. Preventive Medicine 118, pp. 344-351. (10.1016/j.ypmed.2018.10.013)
- Hurt, L.et al. 2019. Cohort Profile: HealthWise Wales. A research register and population health data platform with linkage to National Health Service datasets in Wales. BMJ Open
- Hurt, L.et al. 2019. Mild-to-moderate renal pelvis dilatation identified during pregnancy and hospital admissions in childhood: An electronic birth cohort study in Wales, UK. PLoS Medicine 16(7), article number: e1002859. (10.1371/journal.pmed.1002859)
2018
- Ahmed, H.et al. 2018. Risk of adverse outcomes following urinary tract infection in older people with renal impairment: retrospective cohort study using linked health record data. PLoS Medicine 15(9), article number: e1002652. (10.1371/journal.pmed.1002652)
- Sanders, J.et al. 2018. Evaluating the Family Nurse Partnership Programme in Scotland: a natural experiment approach. International Journal of Population Data Science 3(4), article number: 994. (10.23889/ijpds.v3i4.994)
- Smits, S.et al. 2018. Development of a behaviour change intervention to encourage timely cancer symptom presentation among people living in deprived communities using the Behaviour Change Wheel. Annals of Behavioral Medicine 52(6), pp. 474-488. (10.1007/s12160-016-9849-x)
- Paranjothy, S.et al. 2018. Risk of emergency hospital admission in children associated with mental disorders and alcohol misuse in the household: an electronic birth cohort study. Lancet Public Health 3(6), pp. e279-e288. (10.1016/S2468-2667(18)30069-0)
- Gartner, A.et al. 2018. Does selective migration alter socioeconomic inequalities in mortality in Wales?: a record-linked total population e-cohort study. SSM - Population Health 5, pp. 48-54. (10.1016/j.ssmph.2018.05.004)
- Phillips, R.et al. 2018. Development of a novel motivational interviewing (MI) informed peer-support intervention to support mothers to breastfeed for longer. BMC Pregnancy and Childbirth 18, article number: 90. (10.1186/s12884-018-1725-1)
- Hurt, L.et al. 2018. Interventions that enhance health services for parents and infants to improve child development and social and emotional well-being in high-income countries: a systematic review. BMJ Open 8(2), article number: e014899. (10.1136/bmjopen-2016-014899)
- McQuire, C.et al. 2018. The causal web of fetal alcohol spectrum disorders: a review and causal diagram. European Child and Adolescent Psychiatry (10.1007/s00787-018-1264-3)
- Gobat, N.et al. 2018. 'Focusing' in motivational interviewing: development of a training tool for practitioners. European Journal for Person Centered Healthcare 6(1), pp. 37-49. (10.5750/ejpch.v6i1.1389)
- Ahmed, H.et al. 2018. Incidence and antibiotic prescribing for clinically diagnosed urinary tract infection in older adults in UK primary care, 2004-2014. PLoS ONE 13(1), article number: e0190521. (10.1371/journal.pone.0190521)
- Grant, A.et al. 2018. Availability of breastfeeding peer-support in the UK: a cross-sectional survey. Maternal and Child Nutrition 14(1), article number: e12476. (10.1111/mcn.12476)
- Trickey, H.et al. 2018. A realist review of one-to-one breastfeeding peer support experiments conducted in developed country settings. Maternal & Child Nutrition 14(1), article number: e12559. (10.1111/mcn.12559)
- Paljarvi, T.et al. 2018. Feasibility of consumer-level activity monitors: Attitudes, user experiences, and accuracy of activity data. Presented at: 7th International Society for Physical Activity and Health Congress, London, England, 15-17 October 2018. Human Kinetics, (10.1123/jpah.2018-0535)
2017
- Paranjothy, S.et al. 2017. A novel peer-support intervention using motivational interviewing for breastfeeding maintenance:a UK feasibility study. Health Technology Assessment 21(77) (10.3310/hta21770)
- Ahmed, H.et al. 2017. Long-term antibiotics for prevention of recurrent urinary tract infection in older adults: systematic review and meta-analysis of randomised trials. BMJ Open 7(5), pp. e015233. (10.1136/bmjopen-2016-015233)
- Demmler, J.et al. 2017. Educational attainment at age 10–11 years predicts health risk behaviors and injury risk during adolescence. Journal of Adolescent Health (10.1016/j.jadohealth.2017.02.003)
- Johnson, C. D., Jones, S. and Paranjothy, S. 2017. Reducing low birth weight: prioritizing action to address modifiable risk factors. Journal of Public Health 39(1), pp. 122-131. (10.1093/pubmed/fdv212)
2016
- McQuire, C.et al. 2016. Objective measures of prenatal alcohol exposure: a systematic review. Pediatrics 138(3), article number: e20160517. (10.1542/peds.2016-0517)
- Hutchings, H. A.et al. 2016. Does frequent residential mobility in early years affect the uptake and timeliness of routine immunisations? An anonymised cohort study. Vaccine 34(15), pp. 1773-1777. (10.1016/j.vaccine.2016.02.049)
2015
- Hurt, L.et al. 2015. Prevalence of defined ultrasound findings of unknown significance at the second trimester fetal anomaly scan and their association with adverse pregnancy outcomes: the Welsh Study of Mothers and Babies population-based cohort. Prenatal Diagnosis 36(1), pp. 40-48. (10.1002/pd.4708)
- Greene, G., Paranjothy, S. and Palmer, S. R. 2015. Resilience and vulnerability to the psychological harm from flooding: The role of social cohesion. American Journal of Public Health 105(9), pp. 1792-1795. (10.2105/AJPH.2015.302709)
- Copeland, L. and Paranjothy, S. 2015. Motivational interviewing: a key approach for supporting the transition to parenthood including breastfeeding?. Perspective – NCT’s journal on preparing parents for birth and early parenthood 27, pp. 17-20.
- Aawar, N.et al. 2015. Fibrinogen concentrate versus placebo for treatment of postpartum haemorrhage: study protocol for a randomised controlled trial. Trials 16(1), pp. 1-11. (10.1186/s13063-015-0670-9)
2014
- Paranjothy, S.et al. 2014. Perinatal outcomes and travel time from home to hospital: Welsh data 1995 to 2009. Acta Paediatrica 103(12), pp. e522-e527. (10.1111/apa.12800)
- Collins, P.et al. 2014. Fibrin-based clot formation as an early and rapid biomarker for progression of postpartum hemorrhage: a prospective study. Blood 124(11), pp. 1727-1736. (10.1182/blood-2014-04-567891)
- Beer, H.et al. 2014. Does the HPV vaccination programme have implications for cervical screening programmes in the UK?. Vaccine 32(16), pp. 1828-1833. (10.1016/j.vaccine.2014.01.087)
- Morgan, K.et al. 2014. Obesity in pregnancy: a retrospective prevalence-based study on health service utilisation and costs on the NHS. BMJ Open 4, article number: e003983. (10.1136/bmjopen-2013-003983)
- Paranjothy, S.et al. 2014. Interventions at caesarean section for reducing the risk of aspiration pneumonitis. Cochrane Database of Systematic Reviews(2), pp. 1-179., article number: CD004943. (10.1002/14651858.CD004943.pub4)
- Selo-Ojeme, D. O., Paranjothy, S. and Onwude, J. L. 2014. Interstitial cystitis coexisting with vulvar vestibulitis in a 4-year-old girl. International Urogynecology Journal 13(4), article number: 261. (10.1007/s001920200054)
- Reilly, R., Paranjothy, S. and Fone, D. 2014. Adolescent pregnancy in the United Kingdom. In: International Handbook of Adolescent Pregnancy. Springer
- Thomas, R.et al. 2014. Pharmacist-led interventions to reduce unplanned admissions for older people: a systematic review and meta-analysis of randomised controlled trials. Age and Aging (10.1093/ageing/aft169)
- Hurt, L.et al. 2014. The Welsh study of mothers and babies: protocol for a population-based cohort study to investigate the clinical significance of defined ultrasound findings of uncertain significance. BMC Pregnancy and Childbirth 14, article number: 164. (10.1186/1471-2393-14-164)
2013
- Paranjothy, S.et al. 2013. Gestational age, birth weight, and risk of respiratory hospital admission in childhood. Pediatrics 132(6), pp. e1562-e1569. (10.1542/peds.2013-1737)
- Palmer, S. R.et al. 2013. The role of maternal stress in early pregnancy in the aetiology of gastroschisis: an incident case control study. PLoS ONE 8(11), article number: e80103. (10.1371/journal.pone.0080103)
- Hutchings, H. A.et al. 2013. Do children who move home and school frequently have poorer educational outcomes in their early years at school? An anonymised cohort study. PLoS ONE 8(8), article number: e70601. (10.1371/journal.pone.0070601)
- Kotecha, S. J.et al. 2013. Effect of preterm birth on later FEV1: a systematic review and meta-analysis. Thorax 68(8), pp. 760-766. (10.1136/thoraxjnl-2012-203079)
- Huntley, A. L.et al. 2013. Is case management effective in reducing the risk of unplanned hospital admissions for older people? A systematic review and meta-analysis. Family Practice 30(3), pp. 266-275. (10.1093/fampra/cms081)
- Thomas, R. L.et al. 2013. Specialist clinics for reducing emergency admissions in patients with heart failure: a systematic review and meta-analysis of randomised controlled trials. Heart 99(4), pp. 233-239. (10.1136/heartjnl-2012-302313)
- Paranjothy, S.et al. 2013. Perinatal outcomes and travel time to maternity services: analysis of birth outcome data in Wales from 1995 to 2009. Archives of Disease in Childhood. Fetal and neonatal edition 98(Suppl), pp. A94. (10.1136/archdischild-2013-303966.323)
2012
- Paranjothy, S.et al. 2012. The role of maternal nutrition in the aetiology of gastroschisis: an incident case-control study. International Journal of Epidemiology 41(4), pp. 1141-1152. (10.1093/ije/dys092)
- Purdy, S.et al. 2012. Interventions to reduce unplanned hospital admission: a series of systematic reviews. Project Report. National Institute for Health Research.
- Patel, A.et al. 2012. Cervical cancer incidence in young women: a historical and geographic controlled UK regional population study. British Journal of Cancer 106(11), pp. 1753-1759. (10.1038/bjc.2012.148)
- Reilly, R.et al. 2012. Birth outcomes following treatment for precancerous changes to the cervix: a population-based record linkage study. BJOG: An International Journal of Obstetrics & Gynaecology 119(2), pp. 236-244. (10.1111/j.1471-0528.2011.03052.x)
- Roberts, J. R.et al. 2012. The transmission of tuberculosis in schools involving children 3 to 11 years of age. The Pediatric Infectious Disease Journal 31(1), pp. 82-84. (10.1097/INF.0b013e31823378c9)
- Griffiths, J. D.et al. 2012. Interventions for preventing nausea and vomiting in women undergoing regional anaesthesia for caesarean section. Cochrane Database of Systematic Reviews 9, article number: CD007579. (10.1002/14651858.CD007579.pub2)
- Lyons, R. A.et al. 2012. Development and use of a privacy-protecting total population record linkage system to support observational, interventional, and policy relevant research. The Lancet 380, article number: S6. (10.1016/S0140-6736(13)60362-1)
2011
- MacArthur, G. J.et al. 2011. Impact of media reporting of cervical cancer in a UK celebrity on a population-based cervical screening programme. Journal of Medical Screening 18(4), pp. 204-209. (10.1258/jms.2011.011092)
- Paranjothy, S.et al. 2011. Interventions at caesarean section for reducing the risk of aspiration pneumonitis. International Journal of Obstetric Anesthesia 20(2), pp. 142-148. (10.1016/j.ijoa.2010.12.006)
- Paranjothy, S.et al. 2011. Psychosocial impact of the summer 2007 floods in England. BMC Public Health 11, pp. 145-152. (10.1186/1471-2458-11-145)
- Kotecha, S. J.et al. 2011. Effect of late preterm birth on longitudinal lung spirometry in school age children and adolescents. Thorax 67(1), pp. 54-61. (10.1136/thoraxjnl-2011-200329)
2010
- Hill, R. A.et al. 2010. Protocol of the baseline assessment for the Environments for Healthy Living (EHL) Wales cohort study. BMC Public Health 10, pp. 150-157. (10.1186/1471-2458-10-150)
- Fone, D. L., Paranjothy, S. and Stiff, R. 2010. Innovation and change in public health. In: Watkins, D. and Cousins, J. eds. Public Health and Community Nursing: Frameworks for practice 3rd Edition. Elsevier Bailliere Tindall, pp. 27-46.
2009
- Eisenhut, M.et al. 2009. BCG vaccination reduces risk of infection with Mycobacterium tuberculosis as detected by gamma interferon release assay. Vaccine 27(44), pp. 6116-6120. (10.1016/j.vaccine.2009.08.031)
- Brown, H. C.et al. 2009. Package of care for active management in labour for reducing caesarean section rates in low-risk women (Review). Cochrane Database of Systematic Reviews 2009(3), article number: CD004907. (10.1002/14651858.CD004907.pub2)
- Paranjothy, S.et al. 2009. The incidence and aetiology of epistaxis in infants: a population-based study. Archives of Disease in Childhood 94(6), pp. 421-424. (10.1136/adc.2008.144881)
- Paranjothy, S.et al. 2009. Teenage pregnancy: who suffers?. Archives of Disease in Childhood 94(3), pp. 239-245. (10.1136/adc.2007.115915)
- Griffiths, J. D.et al. 2009. Interventions for reducing nausea and vomiting at caesarean section. The Cochrane Library 1, pp. 1-9. (10.1002/14651858.CD007579)
2008
- Paranjothy, S.et al. 2008. Extensive transmission of mycobacterium tuberculosis from a 9-year old child with sputum - smear-negative pulmonary tuberculosis [Abstract]. International Journal of Infectious Diseases 12(s1), pp. e49. (10.1016/j.ijid.2008.05.014)
- Joffe, M.et al. 2008. Use of time to pregnancy in environmental epidemiology and surveillance. Journal of Public Health 30(2), pp. 178-185. (10.1093/pubmed/fdn005)
- Paranjothy, S.et al. 2008. Extensive transmission of Mycobacterium tuberculosis from 9 year old child with pulmonary tuberculosis and negative sputum smear. British Medical Journal (BMJ) 337(aug28), article number: a1184. (10.1136/bmj.a1184)
- Paranjothy, S.et al. 2008. Interventions at caesarean section for reducing aspiration pneumonitis. The Cochrane Library 3, pp. 1-9. (10.1002/14651858.CD004943.pub2)
2007
- Adappa, R.et al. 2007. Perinatal and infant autopsy. Archives of Disease in Childhood. Fetal and neonatal edition 92(1), pp. F49-F50. (10.1136/adc.2005.091447)
2005
- Paranjothy, S., Frost, C. and Thomas, J. 2005. How much variation in CS rates can be explained by case mix differences?. BJOG: An International Journal of Obstetrics & Gynaecology 112(5), pp. 658-666. (10.1111/j.1471-0528.2005.00501.x)
2004
- Thomas, J., Paranjothy, S. and James, D. 2004. National cross sectional survey to determine whether the decision to delivery interval is critical in emergency caesarean section. BMJ 328(7441), pp. 665-665. (10.1136/bmj.38031.775845.7C)
2003
- Thomas, J., Paranjothy, S. and Templeton, A. 2003. An audit of the management of induced abortion in England and Wales. International Journal of Gynecology and Obstetrics 83(3), pp. 327-334. (10.1016/S0020-7292(03)00305-9)
2002
- Thomas, J.et al. 2002. Cardiotocography v Doppler auscultation: guidelines highlight gaps in research evidence [Letter]. British Medical Journal 324(7335), pp. 482-483. (10.1136/bmj.324.7335.482)
2001
- Thomas, J. and Paranjothy, S. 2001. The National Sentinel Caesarean Section Audit Report. Project Report. RCOG Press.
2000
- Paranjothy, S. and Thomas, J. 2000. Multilevel modelling. The Obstetrician & Gynaecologist 2(4), pp. 52. (10.1576/toag.2000.2.4.52)
- Thomas, J., Callwood, A. and Paranjothy, S. 2000. National Sentinel Caesarean Section Audit: update. Practising Midwife 3