The impact of the media on the decision of parents in South Wales to accept measles-mumps-rubella (MMR) immunization

Daniel Rhys Thomas · Brendan W. Mason · M.R. Evans

46 citations0/0 files storedEpidemiology and Infection

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Vaccine Coverage and Hesitancy Virology and Viral Diseases Risk Perception and Management

Abstract

A large measles outbreak occurred in South Wales in 2012/2013. The outbreak has been attributed to low take-up of measles-mumps-rubella (MMR) immunization in the early 2000s. To understand better the factors that led to this outbreak we present the findings of a case-control study carried out in the outbreak area in 2001 to investigate parents' decision on whether to accept MMR. Parents who decided not to take-up MMR at the time were more likely to be older and better educated, more likely to report being influenced by newspapers [adjusted odds ratio (aOR) 3·07, 95% confidence interval (CI) 1·62-5·80], television (aOR 3·30, 95% CI 1·70-6·43), the internet (aOR 7·23, 3·26-16·06) and vaccine pressure groups (aOR 5·20, 95% CI 2·22-12·16), and less likely to be influenced by a health visitor (aOR 0·30, 95% CI 0·16-0·57). In this area of Wales, daily English-language regional newspapers, UK news programmes and the internet appeared to have a powerful negative influence. We consider the relevance of these findings to the epidemiology of the outbreak and the subsequent public health response.

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References

2011Wakefield's article linking MMR vaccine and autism was fraudulent 2010Factors underlying parental decisions about combination childhood vaccinations including MMR: A systematic review 2013Measuring vaccine confidence: analysis of data obtained by a media surveillance system used to analyse public concerns about vaccines 2011Target the fence-sitters 2000Impact of a local newspaper campaign on the uptake of the measles mumps and rubella vaccine: Table 1 2000The two-dose measles, mumps, and rubella (MMR) immunisation schedule: factors affecting maternal intention to vaccinate.2001Second dose of measles, mumps, and rubella vaccine: questionnaire survey of health professionals 1993Factors affecting uptake of measles, mumps, and rubella immunisation.

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2017The impact of a vaccine scare on parental views, trust and information needs: a qualitative study in Sydney, Australia 2021MMR Vaccine Attitude and Uptake Research in the United Kingdom: A Critical Review 2020The Impact of Online Media on Parents’ Attitudes toward Vaccination of Children—Social Marketing and Public Health 2021Associating Measles Vaccine Uptake Classification and its Underlying Factors Using an Ensemble of Machine Learning Models

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