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'MMR talk' and vaccination choices: An ethnographic study in Brighton

Author

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  • Poltorak, Mike
  • Leach, Melissa
  • Fairhead, James
  • Cassell, Jackie

Abstract

In the context of the high-profile controversy that has unfolded in the UK around the measles, mumps and rubella (MMR) vaccine and its possible adverse effects, this paper explores how parents in Brighton, southern England, are thinking about MMR for their own children. Research focusing on parents' engagement with MMR has been dominated by analysis of the proximate influences on their choices, and in particular scientific and media information, which have led health policy to focus on information and education campaigns. This paper reports ethnographic work including narratives by mothers in Brighton. Our work questions such reasoning in showing how wider personal and social issues shape parents' immunisation actions. The narratives by mothers show how practices around MMR are shaped by personal histories, by birth experiences and related feelings of control, by family health histories, by their readings of their child's health and particular strengths and vulnerabilities, by particular engagements with health services, by processes building or undermining confidence, and by friendships and conversations with others, which are themselves shaped by wider social differences and transformations. Although many see vaccination as a personal decision which must respond to the particularities of a child's immune system, 'MMR talk', which affirms these conceptualisations, has become a social phenomenon in itself. These perspectives suggest ways in which people's engagements with MMR reflect wider changes in their relations with science and the state.

Suggested Citation

  • Poltorak, Mike & Leach, Melissa & Fairhead, James & Cassell, Jackie, 2005. "'MMR talk' and vaccination choices: An ethnographic study in Brighton," Social Science & Medicine, Elsevier, vol. 61(3), pages 709-719, August.
  • Handle: RePEc:eee:socmed:v:61:y:2005:i:3:p:709-719
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    References listed on IDEAS

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    1. Ford, Sarah & Schofield, Theo & Hope, Tony, 2003. "What are the ingredients for a successful evidence-based patient choice consultation?: A qualitative study," Social Science & Medicine, Elsevier, pages 589-602.
    2. Williams, Simon J. & Calnan, Michael, 1996. "The 'limits' of medicalization?: Modern medicine and the lay populace in 'late' modernity," Social Science & Medicine, Elsevier, pages 1609-1620.
    3. Streefland, Pieter & Chowdhury, A. M. R. & Ramos-Jimenez, Pilar, 1999. "Patterns of vaccination acceptance," Social Science & Medicine, Elsevier, pages 1705-1716.
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    Cited by:

    1. Amelia Sharman, 2013. "Mapping the climate sceptical blogosphere," GRI Working Papers 124, Grantham Research Institute on Climate Change and the Environment.
    2. Kaler, Amy, 2009. "Health interventions and the persistence of rumour: The circulation of sterility stories in African public health campaigns," Social Science & Medicine, Elsevier, vol. 68(9), pages 1711-1719, May.
    3. Yaqub, Ohid & Nightingale, Paul, 2012. "Vaccine innovation, translational research and the management of knowledge accumulation," Social Science & Medicine, Elsevier, pages 2143-2150.
    4. Yaqub, Ohid & Castle-Clarke, Sophie & Sevdalis, Nick & Chataway, Joanna, 2014. "Attitudes to vaccination: A critical review," Social Science & Medicine, Elsevier, pages 1-11.
    5. repec:eur:ejmsjr:272 is not listed on IDEAS
    6. repec:eur:ejisjr:151 is not listed on IDEAS
    7. Reich, Jennifer A., 2016. "Of natural bodies and antibodies: Parents' vaccine refusal and the dichotomies of natural and artificial," Social Science & Medicine, Elsevier, pages 103-110.

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