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Factors influencing uptake of measles, mumps and rubella (MMR) immunization in site-dwelling Gypsy, Roma and Traveller (G&T) communities: a qualitative study of G&T parents' beliefs and experiences

Factors influencing uptake of measles, mumps and rubella (MMR) immunization in site-dwelling Gypsy, Roma and Traveller (G&T) communities: a qualitative study of G&T parents' beliefs and experiences

Newton, P. ORCID: 0000-0002-8525-6763 and Smith, D. M. (2017) Factors influencing uptake of measles, mumps and rubella (MMR) immunization in site-dwelling Gypsy, Roma and Traveller (G&T) communities: a qualitative study of G&T parents' beliefs and experiences. Child: care, health and development, 43 (4). pp. 504-510. ISSN 0305-1862 (Print), 1365-2214 (Online) (doi:10.1111/cch.12453)

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Abstract

Background: Increasing immunization in the Gypsy, Roma and Traveller (G&T) community is a key priority for improving health outcomes in this community. This study aimed to explore G&T parents: (1) beliefs about childhood immunization; (2) beliefs about the risks of immunization and nonimmunization; (3) perceived obstacles to, and facilitators of, immunization and (4) views on increasing immunization levels.

Method: A cross-sectional, qualitative study was conducted comprising of five focus groups with 16 site-dwelling G&T women with pre-school aged children. Data were transcribed verbatim and analysed thematically.

Results: Five main themes were identified:
1 Lay understandings of causation and risk;
2 Timing of immunization;
3 Children being perceived as vulnerable;
4 The fit between lifestyle and healthcare provision;
5 The impact of living with a high burden of disease.

Conclusion: Understanding of the risks and benefits of measles, mumps and rubella immunization did not differ significantly from the wider population or those promoted by the health service. The majority of barriers stemmed from living with the effects of long-standing health inequalities, which posed further barriers to accessing immunization, and shaped beliefs about immunization. Factors facilitating uptake occurred where access to immunization services was made flexible, e.g. immunization on traveller sites.

Item Type: Article
Uncontrolled Keywords: Child health; Ethnicity; Health beliefs; Immunization
Subjects: H Social Sciences > HT Communities. Classes. Races
Faculty / Department / Research Group: Faculty of Education & Health
Faculty of Education & Health > Department of Adult Nursing & Paramedic Science
Faculty of Education & Health > Department of Psychology, Social Work & Counselling
Faculty of Education & Health > Health & Society Research Group
Last Modified: 28 Sep 2017 15:57
Selected for GREAT 2016: None
Selected for GREAT 2017: GREAT b
Selected for GREAT 2018: None
URI: http://gala.gre.ac.uk/id/eprint/16429

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