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• W204087893 abstract "Since Wakefield, Murch, Anthony, Linnell, Casson, Malik, Berelowitz, Dhillon, Thomson, Harvey, Valentine, Davies and Walker-Smith’s (1998) proposed a causal link between the MMR vaccine and autism and Crohn’s disease (a form of irritable bowel disease: IBD), vaccine uptake rates gradually declined in the UK. Parents of young children began to question the safety of MMR immunisation and were required to assess the risks and benefits of MMR immunisation during their decision-making process. The studies in the present thesis aimed to investigate factors influencing parents’ risk assessment, MMR intentions and behaviour to gain an understanding of parents’ decision-making process. A mixed method approach was taken, using both quantitative and qualitative methods. Four studies involving parents of young children and students were carried out in Scotland. The first study was a cross-sectional questionnaire-based study which used Protection Motivation Theory (PMT) and Subjective Norm (SN) to understand parents’ MMR immunisation intentions and behaviour for first dose and second dose MMR vaccine. The results suggest PMT was a useful psychometric risk model when examining first-dose and second-dose MMR immunisation and associated risks. The inclusion of SN in the model increased its overall robustness. Differences between immunising parents and non-immunising parents were identified. Immunisers perceived measles, mumps and rubella to be severe diseases and reported greater susceptibility and fear in relation to the diseases, whereas non-immunisers reported more concern about the associated risks of autism and IBD. Additionally, immunisers were more likely to follow the advice of health professionals (GP and health visitor) and reported them to be important sources of information, whereas non-immunisers were less likely to follow advice from health professionals and reported the media and internet to be important sources of information.The second study used a similar methodology to the first study but used PMT and SN to investigate MMR immunisation decision-making in a sample of 90 previously non-immunised university students during a mumps outbreak on campus. PMT and SN were found to be important constructs when understanding the students’ immunisation behaviour. In comparison with non-immunising students, immunising students reported greater fear, severity and perceived risks of the vaccine-preventable diseases. Non-immunisers perceived greater external barriers to immunisation and anxiety about immunisation to be an internal barrier. Both groups valued the information provided by health professionals and were more likely to follow the advice from these referents than any other referent group. Comparisons were made between the results of the first two studies. The findings indicate PMT, including SN, was a useful model when examining the MMR decision-making process for immunisers and non-immunisers in different population groups. Parents and students reported similar threat appraisals in relation to the…" @default.
• W204087893 created "2016-06-24" @default.
• W204087893 creator A5054193044 @default.
• W204087893 date "2011-09-01" @default.
• W204087893 modified "2023-09-26" @default.
• W204087893 title "Attitudes, Risks and Norms: Understanding Parents' Measles-Mumps-Rubella (MMR) Immunisation Decision-Making" @default.
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