SynthesisJournal of epidemiology and global health2020
Resurgence of Measles in Europe: A Systematic Review on Parental Attitudes and Beliefs of Measles Vaccine.
Synthesis in Journal of epidemiology and global health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
59 citing papers in PubMed, 2 syntheses or guidelines pooled it, 98 citations in OpenAlex.
- A scoping review of COVID-19 modelling studies in Belgium 2020-2024: incorporation of behaviour and lessons learned.Archives of public health = Archives belges de sante publique · 2026Pooled it
- Multi-perspectives systematic review on the applications of sentiment analysis for vaccine hesitancy.Computers in biology and medicine · 2021Pooled it
- Completeness of MMR Vaccination and Durability of Vaccine-Induced Antibody Responses in Children with Inflammatory Bowel Disease.Biomedicines · 2026Article
- Opinion-driven vaccination and epidemic dynamics on heterogeneous networks.Scientific reports · 2026Article
- Evaluation of Coverage Rates of 3 Pediatric Vaccines (Measles-Mumps-Rubella, Hexavalent, and Varicella) in a Southern Italian Province (2016-2022): Effect of the Pandemic and Interregional Comparisons.Medical science monitor : international medical journal of experimental and clinical research · 2026Article
- Review
- Parental concerns, behaviours, and attitudes associated with childhood vaccinations in Albania: a cross-sectional study.BMC public health · 2025Article
- Examination of the Publication Quality of Abstracts of Systematic Reviews and Meta-Analyses on Measles, Published between 2009-2023 and Indexed in the PubMed Article Database.Iranian journal of public health · 2025Article
- Factors influencing vaccine hesitancy among United Kingdom adolescents in a senior high school environment and actions to address it.Human vaccines & immunotherapeutics · 2025Article
- Measles containing vaccine hesitancy and readiness in the post-COVID-19 era: A 7C model commentary.Global health & medicine · 2025Article
- Trust in institutions and misinformation susceptibility both independently explain vaccine skepticism.Scientific reports · 2025Article
- Positive Impact of Vaccinal Status Among Notified Measles Cases in Romania in 2020-2024.Epidemiologia (Basel, Switzerland) · 2025Article
- A Qualitative Study of Social Processes, HPV Vaccine Attitudes, and Vaccination Behavior Among Hesitant Adopter Parents.Clinical pediatrics · 2025Article
- Measles: The Re-emergence of a Vaccine-Preventable Disease.Infectious diseases & clinical microbiology · 2025Article
- Determinants of vaccine hesitancy among healthcare workers in an international multicenter study within the EuCARE project.Scientific reports · 2025Article
- Article
- Vaccination rate and symptoms of long COVID among dental teams in Germany.Scientific reports · 2025Article
- Association Between the Information Environment, Knowledge, Perceived Lack of Information, and Uptake of the HPV Vaccine in Female and Male Undergraduate Students in Belgrade, Serbia.European journal of investigation in health, psychology and education · 2025Article
- Measles Vaccination Coverage and Anti-Measles Herd Immunity Levels in the World and WHO Regions Worsened from 2019 to 2023.Vaccines · 2025Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesEurope has experienced a major resurgence of measles in recent years, despite the availability and free access to a safe, effective, and affordable vaccination measles, mumps and rubella vaccine (MMR). The main driver for this is suboptimal vaccine coverage. The three objectives of this study are to synthesize and critically assess parental attitudes and beliefs toward MMR uptake, to develop strategies and policy recommendations to effectively improve MMR vaccine uptake accordingly, and ultimately to identify areas for further research.
methodsA systematic review was conducted using primary studies from PubMed, Medline, Embase, and Scopus published between 2011 and April 2019. Inclusion criteria comprised primary studies in English conducted in Europe and studying parental attitudes and behavior regarding MMR uptake. Data were extracted using an inductive grounded theory approach.
resultsIn all, 20 high-quality studies were identified. Vaccine hesitancy or refusal were mainly due to concerns about vaccine safety, effectiveness, perception of measles risk and burden, mistrust in experts, and accessibility. Factors for MMR uptake included a sense of responsibility toward child and community health, peer judgement, trust in experts and vaccine, and measles severity. Anthroposophical and Gypsy, Roma, and Traveler populations presented unique barriers such as accessibility.
conclusionA multi-interventional, evidence-based approach is vital to improve confidence, competence, and convenience of measles vaccination uptake. Healthcare professionals need an understanding of individual contextual attitudes and barriers to MMR uptake to tailor effective communication. Effective surveillance is needed to identify under-vaccinated populations for vaccination outreach programs to improve accessibility and uptake.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.