Mental disorders in older prisoners are common, but despite recent training initiatives they often go undetected and untreated. Prisoners themselves accurately self-report mental disorder, but the best way of detecting dementia in the prison population remains unclear. The psychological and physical health of this prison population was poorer than that of their community-based peers.

Background Despite increasing evidence indicating that wearing cycle helmets can reduce the severity of head injuries, particularly in children, there is a paucity of local data on cycle helmet ownership and wearing rates. These data together with an understanding of the factors which influence these rates are important in developing appropriate health promotion programmes. Method The objectives were to (1) establish patterns of cycle helmet ownership and wearing rates, and (2) determine factors influencing these rates. A descriptive survey involving a self-completed questionnaire was undertaken and a series of focus groups were also established. The setting was two high schools and four primary schools in each of the six boroughs or district councils within South Staffordshire involving 932 Year 6 and 2005 Year 10 children. Results The response ratio was 70.9 per cent from Year 6 and 80.9 per cent from Year 10, giving an overall response rate of 77.8 per cent. Most children (86.6 per cent) rode a bicycle and of these 42.8 per cent owned a cycle helmet. Just over a third (36.8 per cent) of Year 6 cyclists wore a helmet always or nearly always, compared with 13.7 per cent of Year 10 cyclists. Although the protective effect of cycle helmets was appreciated, many children did not see themselves as being personally at risk, particularly on short journeys. The appearance and comfort of the helmet appeared to be stronger factors influencing the uptake of helmets compared with cost. Both year groups were similarly concerned with comfort, but Year 10 children appeared more concerned with appearance than Year 6 children.

We compared the information experience of women invited to attend cervical screening for the first time in 1994 and 2001 using postal questionnaires. Compared to 1994, women in 2001: found the invitation letter less easy to understand; were not aware of alternative venues for the test; and waited >4 weeks before receiving their results. Negative information experiences may influence attendance.

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