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Measles-Mumps-Rubella Vaccination and Asthma-like Disease in Early Childhood
Open accessAbstract
The authors evaluated the association between receipt of measles-mumps-rubella (MMR) vaccine and asthma-like disease in early childhood in a Danish nationwide cohort study (N = 871,234). Two outcomes were included: hospitalizations with asthma diagnoses and use of anti-asthma medications (for a subset of the cohort only). Poisson regression was used to estimate rate ratios according to vaccination status. MMR-vaccinated children were less often hospitalized with an asthma diagnosis (rate ratio (RR) = 0.75, 95% confidence interval (CI): 0.73, 0.78) and used fewer courses of anti-asthma medication (RR = 0.92, 95% CI: 0.91, 0.92) than unvaccinated children. This "protective" effect of MMR vaccine was more pronounced for hospitalizations with severe asthma diagnoses (status asthmaticus: RR = 0.63, 95% CI: 0.49, 0.82) and use of medication that was highly specific for asthma (long-acting beta2-agonist inhalant: RR = 0.68, 95% CI: 0.63, 0.73). MMR vaccine was not negatively associated with anti-asthma medications often used for wheezing illnesses in early childhood (systemic beta2-agonist: RR = 1.02, 95% CI: 1.01, 1.02). These results are compatible not with an increased risk of asthma following MMR vaccination but rather with the hypothesis that MMR vaccination is associated with a reduced risk of asthma-like disease in young children.
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Metadata
- Authors
- Hviid, A., & Melbye, M.
- Affiliations
- Statens Serum Institut (DK)
- ORCID
- Venue
- American Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 2008-10-15
- Volume
- 168
- Issue
- 11
- Pages
- 1277-1283
- ISSN
- 0002-9262 (ISSN-L)
- 1476-6256
- OpenAlex
- W2099997910
- Cited by
- 35
- References
- 26
- Citations by year
- 2023: 1 · 2021: 2 · 2020: 1 · 2019: 4 · 2018: 3 · 2017: 4 · 2016: 2 · 2015: 2 · 2014: 1 · 2013: 3 · 2012: 5
- FWCI
- 1.58
- Type
- journal article
- Language
- en
- Open access
- Licence
- other-oa
- Locations
- American Journal of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (publishedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Asthma and respiratory diseases
- Social Sciences › Health › Vaccine Coverage and Hesitancy
- Life Sciences › Immunology and Microbiology › Immunology › Immune responses and vaccinations
- Keywords
- MMR vaccine, asthma, childhood asthma, asthma hospitalization, status asthmaticus, wheezing, vaccine safety, early childhood
- MeSH terms
- Asthma, Child, Preschool, Denmark, Drug Utilization, Female, Hospitalization, Humans, Infant, Male, Cohort Studies, Confidence Intervals, Poisson Distribution, Odds Ratio, Treatment Outcome, Anti-Asthmatic Agents, Measles-Mumps-Rubella Vaccine
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