{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T13:33:04Z","timestamp":1759411984808},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,3,7]],"date-time":"2017-03-07T00:00:00Z","timestamp":1488844800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"University of Greenwich Research and Enterprise Investment Programme","award":["RAE HHSCH 05\/13"],"award-info":[{"award-number":["RAE HHSCH 05\/13"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Child"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Increasing immunization in the Gypsy, Roma and Traveller (G&amp;T) community is a key priority for improving health outcomes in this community. This study aimed to explore G&amp;T parents: (1) beliefs about childhood immunization; (2) beliefs about the risks of immunization and non\u2010immunization; (3) perceived obstacles to, and facilitators of, immunization and (4) views on increasing immunization levels.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A cross\u2010sectional, qualitative study was conducted comprising of five focus groups with 16 site\u2010dwelling G&amp;T women with pre\u2010school aged children. Data were transcribed verbatim and analysed thematically.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Five main themes were identified:\n<jats:list>\n<jats:list-item><jats:p>Lay understandings of causation and risk;<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Timing of immunization;<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Children being perceived as vulnerable;<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>The fit between lifestyle and healthcare provision;<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>The impact of living with a high burden of disease.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>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\u2010standing 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.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cch.12453","type":"journal-article","created":{"date-parts":[[2017,3,8]],"date-time":"2017-03-08T04:32:48Z","timestamp":1488947568000},"page":"504-510","source":"Crossref","is-referenced-by-count":12,"title":["Factors influencing uptake of measles, mumps and rubella (MMR) immunization in site\u2010dwelling Gypsy, Roma and Traveller (G&amp;T) communities: a qualitative study of G&amp;T parents' beliefs and experiences"],"prefix":"10.1111","volume":"43","author":[{"given":"P.","family":"Newton","sequence":"first","affiliation":[{"name":"Department of Adult Nursing and Paramedic Science University of Greenwich  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D. M.","family":"Smith","sequence":"additional","affiliation":[{"name":"Psychology, Social Work and Counselling University of Greenwich  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,3,7]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.322.7294.1115"},{"key":"e_1_2_6_3_1","first-page":"8","article-title":"Immunisation Policy: health inequalities","volume":"3","author":"Baugh V.","year":"2010","journal-title":"Vaccines in Practice"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-11-26"},{"key":"e_1_2_6_5_1","volume-title":"Inequalities Experienced by Gypsy and Traveller Communities: A Review, Research report 12","author":"Cemlyn S.","year":"2009"},{"key":"e_1_2_6_6_1","volume-title":"Common Ground: Equality, Good Race Relations and Sites for Gypsies and Irish Travellers","author":"Commission for Racial Equality","year":"2006"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00038-013-0518-6"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdt052"},{"key":"e_1_2_6_9_1","volume-title":"Progress Report by the Ministerial Group on Tackling Inequalities Experienced by Gypsies and Travellers","author":"Department for Communities and Local Government","year":"2012"},{"key":"e_1_2_6_10_1","unstructured":"Department of Health(2012) \u2018Immunisation\u2019. Available at:https:\/\/www.gov.uk\/government\/collections\/immunisation(Accessed 6 October 2015)."},{"key":"e_1_2_6_11_1","first-page":"281","article-title":"Traveller Gypsies and childhood immunization: a study in east London","volume":"43","author":"Feder G.","year":"1993","journal-title":"British Journal of General Practice"},{"key":"e_1_2_6_12_1","volume-title":"NHS Immunisation Statistics 2012\u201313","author":"Health and Social Care Information Centre (HSCIC)","year":"2013"},{"key":"e_1_2_6_13_1","unstructured":"Health Protection Agency (HPA)(2007)Health protection report Vol. 1 No. 21. Available at:http:\/\/webarchive.nationalarchives.gov.uk\/20140714084352\/http:\/\/www.hpa.org.uk\/hpr\/archives\/2007\/hpr2107.pdf(Accessed 6 October 2015)."},{"key":"e_1_2_6_14_1","unstructured":"Health Protection Agency (HPA)(2010)Health protection report Vol. 4 No. 30. Available at:http:\/\/webarchive.nationalarchives.gov.uk\/20140714084352\/http:\/\/www.hpa.org.uk\/hpr\/archives\/2010\/hpr3010.pdf(Accessed 6 October 2015)."},{"key":"e_1_2_6_15_1","unstructured":"Health Protection Report (HPR)(2012)Confirmed measles and rubella cases in England and Wales: update to end\u2010June 2012Vol. 6 No. 34. Available at:http:\/\/webarchive.nationalarchives.gov.uk\/20140714084352\/http:\/www.hpa.org.uk\/hpr\/archives\/2012\/news3412.htm(Accessed 6 October 2015)."},{"key":"e_1_2_6_16_1","unstructured":"Kent and Medway Public Health Observatory (KMPHO)(2014)JSNA Gypsy\/Traveller populations2013\/14. Available at:http:\/\/www.kmpho.nhs.uk\/search\/?q=gypsies(Accessed 6 October 2015)."},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fds052"},{"key":"e_1_2_6_18_1","unstructured":"Office for National Statistics(2013) \u2018What does the 2011 Census tell us about the characteristics of Gypsies or Irish Travellers in England and Wales?\u2019. Available at:http:\/\/www.ons.gov.uk\/ons\/rel\/census\/2011\u2010census\u2010analysis\/what\u2010does\u2010the\u20102011\u2010census\u2010tell\u2010us\u2010about\u2010the\u2010characteristics\u2010of\u2010gypsy\u2010or\u2010irish\u2010travellers\u2010in\u2010england\u2010and\u2010wales\u2010\/rpt\u2010characteristics\u2010of\u2010gypsy\u2010or\u2010irish\u2010travellers.html(last accessed 10 January 2015)."},{"key":"e_1_2_6_19_1","volume-title":"The Health Status of Gypsies and Travellers in England","author":"Parry G.","year":"2004"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2007.07.020"},{"key":"e_1_2_6_21_1","volume-title":"Interpreting Qualitative Data: Methods for Analyzing Talk, Text and Interaction","author":"Silverman D.","year":"2006"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1332\/policypress\/9781847428738.001.0001"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.12029"},{"key":"e_1_2_6_24_1","volume-title":"Health Needs Assessment: Cumbria Gypsies Travellers","author":"Twiselton I.","year":"2009"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-007-0652-3"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(97)11096-0"}],"container-title":["Child: Care, Health and Development"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcch.12453","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cch.12453","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T12:01:57Z","timestamp":1696334517000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cch.12453"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,7]]},"references-count":25,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2017,7]]}},"alternative-id":["10.1111\/cch.12453"],"URL":"https:\/\/doi.org\/10.1111\/cch.12453","archive":["Portico"],"relation":{},"ISSN":["0305-1862","1365-2214"],"issn-type":[{"value":"0305-1862","type":"print"},{"value":"1365-2214","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3,7]]}}}