title: Factors affecting uptake of measles, mumps, and rubella immunisation.
abstract: OBJECTIVE
  To study factors affecting uptake of measles, mumps, and rubella immunisation.
  
  
  METHODS
  Cohort study using data from computerised child health systems.
  
  
  METHODS
  10 health districts in North East Thames and North West Thames regions.
  
  
  METHODS
  7841 children born in January to March 1990 and resident in the districts up till the end of October 1991.
  
  
  METHODS
  Overall uptake of measles, mumps, and rubella immunisation, variation of uptake among groups of children, and odds ratio of being vaccinated against measles, mumps, and rubella.
  
  
  RESULTS
  The overall uptake rate of measles, mumps, and rubella immunisation for the study cohort in the 10 districts was 82%. Wide variation was identified among children with different demographic characteristics. Lower uptake was associated with absent or incomplete primary immunisation, including omission of pertussis vaccine. Other factors affecting uptake included the type of resident district, birth order, where registered for immunisation (general practitioner or clinic), and one parent family status.
  
  
  CONCLUSIONS
  Many districts have difficulties in meeting the 90% target for measles, mumps, and rubella immunisation, mainly because of the characteristics of their local population. To increase overall coverage, the health service should target families with adverse factors, especially those whose children have missed previous immunisations.
authors.affiliation: Department of Community Child Health, Royal Free Hospital School of Medicine, London.
authors.forename: J
authors.initials: J
authors.lastname: Li
authors.forename: B
authors.initials: B
authors.lastname: Taylor
mesh_terms: D001722:Birth Order; D015331:Cohort Studies; D004338:Drug Combinations; D004739:England; D005192:Family Health; D005260:Female; D006801:Humans; D007114:Immunization / Q000706:statistics & numerical data*; D007115:Immunization Schedule; D007223:Infant; D008297:Male; D008458:Measles Vaccine; D022542:Measles-Mumps-Rubella Vaccine; D009108:Mumps Vaccine; D010342:Patient Acceptance of Health Care; D012111:Residence Characteristics; D012411:Rubella Vaccine; D012423:Rural Health; D012959:Socioeconomic Factors; D014504:Urban Health
chemical_list: D004338:Drug Combinations; D008458:Measles Vaccine; D022542:Measles-Mumps-Rubella Vaccine; D009108:Mumps Vaccine; D012411:Rubella Vaccine