UCL logo

UCL Discovery

UCL home » Library Services » Electronic resources » UCL Discovery

Is the cultural context of MMR rejection a key to an effective public health discourse?

Cassell, JA; Leach, M; Poltorak, MS; Mercer, CH; Iversen, A; Fairhead, JR; (2006) Is the cultural context of MMR rejection a key to an effective public health discourse? PUBLIC HEALTH , 120 (9) 783 - 794. 10.1016/j.puhe.2006.03.011.

Full text not available from this repository.

Abstract

Objectives: (1) To explore the social and cultural influences, and health beliefs associated with low uptake of MMR (meastes, mumps and rubella vaccine). (2) To describe and explore the prevalence of health beliefs associated with noncompliance with MMR, with a view to improving the personal relevance and impact of information for parents, in the context of persisting low uptake following public controversy.Methods: We undertook a survey of mothers' experiences of and attitudes to the MMR, developed through ethnographic study, which was linked to maternal and child information on the Child Health Database in Brighton, England.Results: Mothers interpret MMR risk through concepts of child health embedded in family health history, with a majority both of compliers and non-compliers holding that each child's immune system is unique. Cultural 'risk factors' for non-compliance relate strongly to the use of complementary healthcare, such as homeopathy, with evidence that rejection of vitamin K is associated with MMR non-compliance. Forty per cent, both of compliers and non-compliers, did not consider the possible benefits to other children of MMR.Conclusions: These findings have paradoxical and challenging consequences for the promotion of immunization in the policy context of increasing emphasis on healthy choices. They demonstrate the need for immunization information that acknowledges and addresses lay concepts of immunity. (c) 2006 The Royal Institute of Public Health. Published by Elsevier Ltd. All rights reserved.

Type: Article
Title: Is the cultural context of MMR rejection a key to an effective public health discourse?
DOI: 10.1016/j.puhe.2006.03.011
Keywords: MMR, choice, homeopathy, vitamin K, survey, RUBELLA VACCINE, IMMUNIZATION, MEASLES, MUMPS, RISK, STATEMENT, AUTISM
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute for Global Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute for Global Health > Infection and Population Health
URI: http://discovery.ucl.ac.uk/id/eprint/156097
Downloads since deposit
0Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item