Evidence map›Paper›PMID 11224968›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2000

The two-dose measles, mumps, and rubella (MMR) immunisation schedule: factors affecting maternal intention to vaccinate.

M Pareek, H M Pattison

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. A systematic review of decision support needs of parents making child health decisions.Health expectations : an international journal of public participation in health care and health policy · 2008
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  16. Managing controversy through consultation: a qualitative study of communication and trust around MMR vaccination decisions.The British journal of general practice : the journal of the Royal College of General Practitioners · 2004
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  17. Parents' perspectives on the MMR immunisation: a focus group study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2001
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  19. MMR vaccine: the continuing saga.BMJ (Clinical research ed.) · 2001
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

M PareekDepartment of Primary Care and General Practice, University of Birmingham Medical School.
H M Pattison

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the light of sub-optimal uptake of the measles, mumps, and rubella (MMR) vaccination, we investigated the factors that influence the intentions of mothers to vaccinate.

methodA cross-sectional survey of 300 mothers in Birmingham with children approaching a routine MMR vaccination was conducted using a postal questionnaire to measure: intention to vaccinate, psychological variables, knowledge of the vaccine, and socioeconomic status. The vaccination status of the children was obtained from South Birmingham Child Health Surveillance Unit.

resultsThe response rate was 59%. Fewer mothers approaching the second MMR vaccination (Group 2) intended to take their children for this vaccination than Group 1 (mothers approaching the first MMR vaccination) (Mann-Whitney U = 2180, P < 0.0001). Group 2 expressed more negative beliefs about the outcome of having the MMR vaccine ('vaccine outcome beliefs') (Mann-Whitney U = 2155, P < 0.0001), were more likely to believe it was 'unsafe' (chi 2 = 9.114, P = 0.004) and that it rarely protected (chi 2 = 6.882, P = 0.014) than Group 1. The commonest side-effect cited was general malaise, but 29.8% cited autism. The most trusted source of information was the general practitioner but the most common source of information on side-effects was television (34.6%). Multiple linear regression revealed that, in Group 1, only 'vaccine outcome beliefs' significantly predicted intention (77.1% of the variance). In Group 2 'vaccine outcome beliefs', attitude to the MMR vaccine, and prior MMR status all predicted intention (93% of the variance).

conclusionA major reason for the low uptake of the MMR vaccination is that it is not perceived to be important for children's health, particularly the second dose. Health education from GPs is likely to have a considerable impact.

Indexed as

Attitude to HealthChild, PreschoolCohort StudiesCross-Sectional StudiesEnglandFemaleHumansImmunization ProgramsInfantMeaslesMeasles-Mumps-Rubella VaccineMothersMumpsPatient Acceptance of Health CareProspective StudiesRubellaMeasles-Mumps-Rubella Vaccine

Identifiers

PMID11224968
PMCPMC1313883

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.