Comparison of social distribution of immunisation with measles, mumps, and rubella vaccine, England, 1991-2001

doi:10.1136/bmj.326.7394.854

BMJ 2003;326:854 ( 19 April )

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Comparison of social distribution of immunisation with measles, mumps, and rubella vaccine, England, 1991-2001

Elizabeth Middleton, statistician, Deborah Baker, senior research fellow.

National Primary Care Research and Development Centre, University of Manchester, Manchester M13 9PL

Correspondence to: D Baker d.j.baker@salford.ac.uk

The first 150 words of the full text of this article appear below.

Since the late 1990s, the possible adverse effects of the combined measles, mumps, and rubella (MMR) vaccine have caused intensepublic debate. After the vaccine was introduced in 1988, coveragewas high, increasing from 80% in 1989 to 92% in 1997. After 1997coverage began to decline,¹ and by 2001 had fallen by 4.1%,which gave some cause for concern.² We examined the extentto which these trends reflect different patterns of uptake inaffluent and deprived areas and changes in the equitable coverageof immunisation forMMR.

Participants, methods, and results

We selected 60 health authorities in England (defined by 1999 boundaries). The boundaries of these authorities remained stableover a decade. We calculated the Townsend material deprivationindex for each area and used these scores to categorise authoritiesin to three groups of 20 authorities³: deprived (1.27 to 10.59),neither deprived nor affluent ( $-$ 2.41 to 1.13), or affluent ( $-$ 4.51to $-$ 2.79). For each year from 1991 to 2001, we . . . [Full text of this article]

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