To jab or not to jab?

Every, Jemma M. (2006) To jab or not to jab? BA dissertation, University of Portsmouth.

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    Abstract

    Background: Coverage of the Measles-Mumps-Rubella combined vaccine (MMR) has declined in the UK in recent years, following adverse publicity about possible links between the vaccine, autism, and Crohn's disease. This study attempts to explore patterns in the decline, and considers possible factors which have a causal effect on the uptake of the vaccine. Methods: An ecological study of immunisation coverage by second birthday, based on routinely collected data from 1997 and 2004 for England. Trends in MMR uptake were assessed in 100 Health Authorities for 1997 and 303 Primary Care Trusts for 2004. Both mapping and statistical analysis is used to explore patterns of uptake and the factors affecting uptake including socio economic status, ethnicity and lone parenting. Results: There has been a definite decline in uptake of the MMR vaccine and it can be suggested that this is resultant from the release of the Wakefield et al paper (1998) and the subsequent media frenzy. Statistical analysis showed no significance in the 1997 model whereas three out of the five variables appeared to be significant in the 2004 model and these included car ownership, lone parents and accommodation. Conclusion: Decline in MMR coverage now affects most areas of England, with outbreaks of measles becoming more and more apparent. Public health resources should continue to target inner city areas, as well as focus on the concerns of the better education about vaccine safety.

    Item Type: Dissertation
    Departments/Research Groups: Faculty of Science > Department of Geography
    Depositing User: Jane Polwin
    Date Deposited: 20 Jan 2011 12:47
    Last Modified: 28 Jan 2015 11:13
    URI: http://eprints.port.ac.uk/id/eprint/190

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