Predicting uptake of MMR vaccination: a prospective questionnaire study.

Jane Ogden

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Vaccine Coverage and Hesitancy Risk Perception and Management Ethics and Legal Issues in Pediatric Healthcare

Abstract

BACKGROUND: Recent years have seen a decline in the uptake of the measles, mumps, and rubella (MMR) vaccination. AIM: To describe parents' beliefs about the MMR vaccination and to explore the best predictors of uptake by the age of 2 years. DESIGN OF STUDY: Prospective questionnaire study. SETTING: Brighton and Hove area of East Sussex. METHOD: Five hundred and eleven parents (response rate = 56.9%) completed a baseline questionnaire regarding their profile characteristics, beliefs about MMR and previous vaccination history prior to receiving a letter to attend for their child's vaccination. Attendance data was collected at follow-up by the age of 2 years. RESULTS: The majority of parents believed that measles, mumps and rubella were serious illnesses and stated that they would feel guilty about any adverse consequences of their decision about vaccination. Many responders were ambivalent about the benefit of vaccinations and were unsure whether to trust either the medical profession or the media. Uptake of MMR vaccination at follow-up was related to previous uptake for vaccination, increased faith in the medical profession, increased faith in the media, and a lower belief that vaccination is unhealthy and can harm the immune system. CONCLUSION: Many parents hold mixed beliefs about the MMR vaccination and the doctors who administer it. Uptake relates to past vaccination and more positive beliefs.

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References

2001Parents' perspectives on the MMR immunisation: a focus group study.1997The Influence of Provider Behavior, Parental Characteristics, and a Public Policy Initiative on the Immunization Status of Children Followed by Private Pediatricians: A Study From Pediatric Research in Office Settings 2002Parental confidence in measles, mumps and rubella vaccine: evidence from vaccine coverage and attitudinal surveys.1998Media dents confidence in MMR vaccine 1999Predictors of childhood immunization completion in a rural population 1998MMR vaccination and autism 1998 1991“I don't believe in needles”: Qualitative aspects of a study into the uptake of infant immunisation in two english health authorities

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