Evidence map›Paper›PMID 17391507›Full record

ArticleBMC public health2007

Parents' champions vs. vested interests: who do parents believe about MMR? A qualitative study.

Shona Hilton, Mark Petticrew, Kate Hunt

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
4.4field-weighted citation impact, top 6% of its field
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, 3 syntheses or guidelines pooled it, 90 citations in OpenAlex.

  1. Pooled it
  2. Measuring trust in vaccination: A systematic review.Human vaccines & immunotherapeutics · 2018
    Pooled it
  3. Pooled it
  4. Trial
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  9. Why are people antiscience, and what can we do about it?Proceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  10. Article
  11. Vaccine Information Sources and Parental Trust in Their Child's Health Care Provider.Health education & behavior : the official publication of the Society for Public Health Education · 2019
    Article
  12. Conflicting health information: a critical research need.Health expectations : an international journal of public participation in health care and health policy · 2016
    Article
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  18. Story in health and social care.Health care analysis : HCA : journal of health philosophy and policy · 2009
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Shona HiltonMRC Social and Public Health Sciences Unit, Glasgow, UK. shona@msoc.mrc.gla.ac.uk
Mark Petticrew
Kate Hunt
MRC/CSO Social and Public Health Sciences Unit · GB

Funding

Chief Scientist Office SPHSU1Medical Research Council MC_U130059811Medical Research Council MC_U130059812Medical Research Council MC_U130085862
6 · The paper itself

Abstract

backgroundDespite the Government acting quickly to reassure parents about MMR safety following the publication of the 1998 paper by Wakefield and colleagues, MMR uptake declined. One of the reasons suggested for this decline is a loss of public trust in politicians and health professionals. The purpose of this analysis was to examine parents' views on the role the media, politicians and health professionals have played in providing credible evidence about MMR safety.

methodsA qualitative focus group study conducted with parents living in Central Scotland. Eighteen focus groups were conducted with 72 parents (64 mothers and 8 fathers) between November 2002 and March 2003. Purposive sampling was used to ensure maximum variation among parents.

resultsIn the period after the MMR controversy, parents found it difficult to know who to trust to offer balanced and accurate information. The general consensus was that politicians were untrustworthy in matters of health. The motives of primary health care providers were suspected by some parents, who saw them as having a range of vested interests (including financial incentives). Among the sources of evidence seen by some parents as more credible were other parents, and Andrew Wakefield who was viewed as an important whistle-blower and champion of ordinary parents.

conclusionThe provision of accurate information is only one aspect of helping parents make immunisation decisions. Establishing and maintaining trust in the information provided is also important. The MMR controversy may provide useful lessons for health professionals about trust and credibility that may be generalisable to future health controversies.

Indexed as

Attitude to HealthAdolescentAdultChildChild, PreschoolFemaleFocus GroupsHumansInfantMaleMeasles-Mumps-Rubella VaccineMiddle AgedParentsRisk AssessmentScotlandWhistleblowingMeasles-Mumps-Rubella Vaccine

Identifiers

PMID17391507
PMCPMC1851707
OpenAlexW2134180949

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.