title: Is there an association between maternal pap test use and adolescent human papillomavirus vaccination?
abstract: OBJECTIVE
  To identify the association between mother's recent receipt of a Pap test and daughter's uptake and completion of the three-shot human papillomavirus (HPV) vaccination series.
  
  
  METHODS
  We used cross-sectional data from the 2008 to 2010 Behavioral Risk Factor Surveillance System from 9 U.S. states and Puerto Rico and logistic regression models to examine the association between mother's receipt of a Pap test in the past 3 years and daughter's uptake and completion of the three-shot HPV vaccination series among adolescent girls aged 9-17 years (N = 4,776).
  
  
  RESULTS
  Approximately one-quarter of adolescent girls began the HPV vaccination series, and 13.6% completed the three-shot series. Uptake and completion were more likely among girls whose mothers had obtained a Pap test within the past 3 years-for HPV uptake, odds ratio: 1.342, 95% confidence interval: 1.073-1.692; for HPV completion, odds ratio: 1.904; 95% confidence interval: 1.372-2.721-but the relationship between mother's recent Pap test and vaccine uptake was explained by the mother's use of a personal doctor and obtaining a routine physical examination in the past year.
  
  
  CONCLUSIONS
  HPV vaccination uptake and completion were more likely among adolescent girls whose mothers obtained a recent Pap test. Interventions designed to educate mothers on the importance of HPV vaccination and to facilitate relationships between physicians and mothers may prove successful at increasing HPV vaccination among adolescent girls.
authors: Department of Sociology, University of Nevada-Las Vegas, Las Vegas, Nevada 89154-5033, USA. Shannon.Monnat@unlv.edu
authors: Shannon M
authors: SM
authors: Monnat
authors: Sherrie Flynt
authors: SF
authors: Wallington
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D057220:Health Literacy; D006297:Health Services Accessibility; D006801:Humans; D016015:Logistic Models; D009034:Mother-Child Relations; D053918:Papillomavirus Vaccines; D010349:Patient Compliance; D011647:Puerto Rico; D014481:United States; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control*; D014611:Vaccination / Q000706:statistics & numerical data*; D014626:Vaginal Smears / Q000706:statistics & numerical data*
chemical_list: D053918:Papillomavirus Vaccines