Imperial College London

ProfessorJ SimonKroll

Faculty of MedicineDepartment of Infectious Disease

Emeritus Professor,Paediatrics&Molecular Infectious Diseases
 
 
 
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Contact

 

+44 (0)20 7594 3695s.kroll

 
 
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Assistant

 

Dr Robert Boyle +44 (0)20 7594 3990

 
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Location

 

245Wright Fleming WingSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Brown:2011:10.1371/journal.pone.0019381,
author = {Brown, K and Fraser, G and Ramsay, M and Shanley, R and Cowley, N and van, Wijgerden J and Toff, P and Falconer, M and Hudson, M and Green, J and Kroll, JS and Vincent, C and Sevdalis, N},
doi = {10.1371/journal.pone.0019381},
journal = {PLOS One},
title = {Attitudinal and demographic predictors of measles-mumps-rubella vaccine (MMR) uptake during the UK catch-up campaign 2008-09: cross-sectional survey},
url = {http://dx.doi.org/10.1371/journal.pone.0019381},
volume = {6},
year = {2011}
}

RIS format (EndNote, RefMan)

TY  - JOUR
AB - Background and ObjectiveContinued suboptimal measles-mumps-rubella (MMR) vaccine uptake has re-established measles epidemic risk, prompting a UK catch-up campaign in 2008–09 for children who missed MMR doses at scheduled age. Predictors of vaccine uptake during catch-ups are poorly understood, however evidence from routine schedule uptake suggests demographics and attitudes may be central. This work explored this hypothesis using a robust evidence-based measure.DesignCross-sectional self-administered questionnaire with objective behavioural outcome.Setting and Participants365 UK parents, whose children were aged 5–18 years and had received <2 MMR doses before the 2008–09 UK catch-up started.Main Outcome MeasuresParents' attitudes and demographics, parent-reported receipt of invitation to receive catch-up MMR dose(s), and catch-up MMR uptake according to child's medical record (receipt of MMR doses during year 1 of the catch-up).ResultsPerceived social desirability/benefit of MMR uptake (OR=1.76, 95% CI=1.09–2.87) and younger child age (OR=0.78, 95% CI=0.68–0.89) were the only independent predictors of catch-up MMR uptake in the sample overall. Uptake predictors differed by whether the child had received 0 MMR doses or 1 MMR dose before the catch-up. Receipt of catch-up invitation predicted uptake only in the 0 dose group (OR=3.45, 95% CI=1.18–10.05), whilst perceived social desirability/benefit of MMR uptake predicted uptake only in the 1 dose group (OR=9.61, 95% CI=2.57–35.97). Attitudes and demographics explained only 28% of MMR uptake in the 0 dose group compared with 61% in the 1 dose group.ConclusionsCatch-up MMR invitations may effectively move children from 0 to 1 MMR doses (unimmunised to partially immunised), whilst attitudinal interventions highlighting social benefits of MMR may effectively move children from 1 to 2 MMR doses (partially to fully immunised). Older children may be best targeted th
AU - Brown,K
AU - Fraser,G
AU - Ramsay,M
AU - Shanley,R
AU - Cowley,N
AU - van,Wijgerden J
AU - Toff,P
AU - Falconer,M
AU - Hudson,M
AU - Green,J
AU - Kroll,JS
AU - Vincent,C
AU - Sevdalis,N
DO - 10.1371/journal.pone.0019381
PY - 2011///
SN - 1932-6203
TI - Attitudinal and demographic predictors of measles-mumps-rubella vaccine (MMR) uptake during the UK catch-up campaign 2008-09: cross-sectional survey
T2 - PLOS One
UR - http://dx.doi.org/10.1371/journal.pone.0019381
UR - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000290558500009&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR - http://hdl.handle.net/10044/1/43716
VL - 6
ER -