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Titolo:
Parents' perspectives on the MMR immunisation: a focus group study
Autore:
Evans, M; Stoddart, H; Condon, L; Freeman, E; Grizzell, M; Mullen, R;
Indirizzi:
Univ Bristol, Div Primary Hlth Care, Bristol BS6 6JL, Avon, England Univ Bristol Bristol Avon England BS6 6JL Bristol BS6 6JL, Avon, England United Bristol Hlth Care Trust, Bristol, Avon, England United Bristol HlthCare Trust Bristol Avon England istol, Avon, England Gloucestershire Hlth Author, Gloucestershire Res & Dev Support Unit, Gloucester, England Gloucestershire Hlth Author Gloucester England nit, Gloucester, England Frenchay Hlth Trust, Bristol, Avon, England Frenchay Hlth Trust Bristol Avon England h Trust, Bristol, Avon, England
Titolo Testata:
BRITISH JOURNAL OF GENERAL PRACTICE
fascicolo: 472, volume: 51, anno: 2001,
pagine: 904 - 910
SICI:
0960-1643(200111)51:472<904:PPOTMI>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
INFLAMMATORY BOWEL-DISEASE; QUALITATIVE-RESEARCH; IMMUNIZATION; VACCINATION; CHILDREN; MEASLES; AUTISM; HEALTH; MUMPS;
Keywords:
immunisation; measles, mumps and rubella vaccine; primary health care; attitude to health; decision making;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Evans, M Univ Bristol, Div Primary Hlth Care, Cotham House,Cotham Hill, Bristol BS66JL, Avon, England Univ Bristol Cotham House,Cotham Hill Bristol Avon England BS6 6JL
Citazione:
M. Evans et al., "Parents' perspectives on the MMR immunisation: a focus group study", BR J GEN PR, 51(472), 2001, pp. 904-910

Abstract

Background: The uptake of the combined measles, mumps and rubella immunisation (MMR) in Britain has fallen since 1998, when a link was hypothesised with the development of bowel disorders and childhood autism. Despite reassurances about the safely of MMR, uptake levels remain lower than optimal. weneed to understand what influences parents' decisions on whether to acceptMMR or not so that health professionals can provide a service responsive to their needs. Aim: To investigate what influences parents' decisions on whether to accept or refuse the primary MMR immunisation and the impact of the recent controversy over its safety. Design: Qualitative study using focus group discussions. Setting. Forty-eight parents, whose youngest child was between 14 months and three years old, attended groups at community halls in six localities inAvon and Gloucestershire. Methods Purposive sampling strategy was used to include parents from a variety of socioeconomic backgrounds. Three groups comprised parents who had accepted MMR and three groups comprised parents who had refused MMR. Data analysis used modified grounded theory techniques incorporating the constant comparative method. Results. All parents felt that the decision about MMR was difficult and stressful, and experienced unwelcome pressure from health professionals to comply, Parents were not convinced by Department of Health reassurances that MMR was the safest and best option for their children and many had acceptedMMR unwillingly. Four key factors influenced parents' decisions: (a) beliefs about the risks and benefits of MMR compared with contracting the diseases, (b) information from the media and other sources about the safely of MMR, (c) confidence and trust in the advice of health professionals and attitudes towards compliance with this advice, and (d) views on the importance of individual choice within Government policy on immunisation. Conclusions. Parents wanted up-to-date information about the risks and benefits of MMR to be available in advance of their immunisation appointment. Many parents did not have confidence in the recommendations of health professionals because they were aware that GPs needed to reach immunisation targets. Most parents would, however, welcome more open discussion about immunisation with health professionals.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/04/20 alle ore 05:42:57