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. 2009 Nov;94(11):831-3.
doi: 10.1136/adc.2008.154310. Epub 2009 May 3.

Reporting of MMR evidence in professional publications: 1988-2007

S Hilton  1 , K Hunt, M Langan, V Hamilton, M Petticrew
Affiliations

Reporting of MMR evidence in professional publications: 1988-2007

S Hilton et al. Arch Dis Child. 2009 Nov.

Abstract

Objective: To examine how journals and magazines disseminate research evidence and guidance on best practice to health professionals by aligning commentaries on measles, mumps, and rubella vaccine (MMR) evidence in journals with key events in the MMR controversy.

Design: Content analysis.

Data sources: Comment articles in six commonly read UK publications.

Main outcome measures: Number of comment pieces by publication, year and article type; trends in the focus, tone and inclusion of recommendations on MMR.

Results: 860 articles met the inclusion criteria (BMJ n = 104, Community Practitioner n = 45, Health Visitor n = 24, Practice Nurse n = 61, Nursing Standard n = 61 and Pulse n = 565). Of these 860 comment pieces, 264 made some reference to evidence endorsing the safety of MMR. Around one in 10 were rated as negative (10.9%, n = 29) or neutral (11.3%, n = 30) in relation to MMR safety, and nearly a quarter (22.7%, n = 60) were rated as mixed. Following the publication of Wakefield et al's 1998 paper there was a period of neutrality. In 2000, despite growing public concerns and widespread media coverage, fewer than 20 comment pieces were published. Less than a quarter of comment pieces (n = 196, 22.7%) included recommendations.

Conclusion: While a period of neutrality may reflect a professional response to uncertainty by holding back until consensus emerges, it may also represent a missed opportunity to promote evidence-based practice.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Comment pieces (n = 860) published between 1988 and 2007 on childhood immunisation in 60 publications.
Figure 2
Figure 2
Trends in tone on MMR safety.
See this image and copyright information in PMC

Comment in

  • Editors should not be propagandists.
    Marcovitch H. Marcovitch H. Arch Dis Child. 2009 Nov;94(11):827-8. doi: 10.1136/adc.2009.169011. Arch Dis Child. 2009. PMID: 19846996 No abstract available.

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