Widening inequalities in MMR vaccine uptake rates among ethnic groups in an urban area of the UK during a period of vaccine controversy (1994-2000)

Vaccine. 2007 Oct 23;25(43):7516-9. doi: 10.1016/j.vaccine.2007.08.043. Epub 2007 Sep 12.

Abstract

We examined MMR vaccine uptake among ethnic groups in Birmingham, UK between 1994 and 2000, a period incorporating adverse MMR vaccine publicity. From 1994 to 2000 overall uptake: (1) fell significantly from 91.1% in 1994 to 89.8% (chi(2) for trend p<0.001) in 2000, (2) in Asian children significantly increased (chi(2) for trend p<0.001), and (3) in White children significantly decreased (chi(2) for trend p<0.001). Differences between ethnic groups with the highest (Asian) and the lowest (Black Caribbean) uptake rates increased from 2.1% in 1994 (p=ns) to 6.8% in 2000 (p<0.001). This study suggests underlying ethnic inequalities in MMR vaccine uptake and differential response to adverse vaccine publicity.

MeSH terms

  • African Continental Ancestry Group / statistics & numerical data
  • Asian Continental Ancestry Group / statistics & numerical data
  • European Continental Ancestry Group / statistics & numerical data
  • Humans
  • Immunization Programs / organization & administration
  • Immunization Programs / statistics & numerical data*
  • Measles-Mumps-Rubella Vaccine / administration & dosage*
  • Patient Acceptance of Health Care / ethnology*
  • Patient Acceptance of Health Care / statistics & numerical data
  • Population Surveillance
  • United Kingdom
  • Urban Population / statistics & numerical data*
  • Vaccination / psychology
  • Vaccination / statistics & numerical data

Substances

  • Measles-Mumps-Rubella Vaccine