title: Association between maternal preventive care utilization and adolescent vaccination: it's not just about Pap testing.
abstract: OBJECTIVE
  To examine the association between maternal preventive care utilization and human papillomavirus (HPV) vaccine uptake by their adolescent daughters.
  
  
  METHODS
  A cross-sectional study using immunization records from administrative claims and the state health department's immunization information system from June 2006 through May 2011.
  
  
  METHODS
  Commercially-insured Michigan females aged 13-17 in May 2011 and their mothers. Mothers were identified using relationship information on the insurance contract.
  
  
  METHODS
  Using logistic regression, we investigated whether initiating and/or completing the HPV vaccine series were associated with maternal preventive care utilization (Papaniculou testing, mammograms, primary care office visits) independently and using a combined maternal preventive care utilization index.
  
  
  RESULTS
  Among 38,604 mother-daughter pairs, 36% of daughters initiated and 22% completed the HPV vaccine series. Maternal utilization of each recommended service was modestly associated with both daughter's initiation and completion of the HPV vaccine. Effect estimates for receipt of Papaniculou test on vaccine initiation (OR = 1.07, 95% CI = 1.06-1.08) were not any higher than for mammograms (OR = 1.10, 95% CI = 1.08-1.11) or primary care office visits (OR = 1.07, 95% CI = 1.06-1.09). Using a maternal preventive care utilization index, vaccine uptake increased with an increasing number of received services.
  
  
  CONCLUSIONS
  Maternal receipt of recommended preventive care, which may reflect general attitudes toward prevention, is as or more predictive of daughter's vaccination status than cervical cancer screening alone. Engaging women in broad routine preventive care practices may have additional positive effects on adolescent HPV vaccination beyond those achieved through cervical cancer prevention efforts alone.
authors: Department of Epidemiology and Biostatistics, Blue Cross Blue Shield of Michigan, Detroit, Michigan.
authors: Amanda R
authors: AR
authors: Markovitz
authors: Department of Epidemiology and Biostatistics, Blue Cross Blue Shield of Michigan, Detroit, Michigan.
authors: Ji Young
authors: JY
authors: Song
authors: Department of Epidemiology and Biostatistics, Blue Cross Blue Shield of Michigan, Detroit, Michigan.
authors: Michael L
authors: ML
authors: Paustian
authors: Department of Epidemiology and Biostatistics, Blue Cross Blue Shield of Michigan, Detroit, Michigan. Electronic address: delreda@bcbsm.com.
authors: Darline K
authors: DK
authors: El Reda
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data; D008875:Middle Aged; D009035:Mothers / Q000706:statistics & numerical data*; D009679:Nuclear Family; D009819:Office Visits / Q000706:statistics & numerical data; D065006:Papanicolaou Test / Q000706:statistics & numerical data; D030361:Papillomavirus Infections / Q000517:prevention & control*; D053918:Papillomavirus Vaccines; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D011314:Preventive Health Services / Q000706:statistics & numerical data*; D011320:Primary Health Care / Q000706:statistics & numerical data; D014626:Vaginal Smears / Q000706:statistics & numerical data
chemical_list: D053918:Papillomavirus Vaccines
keywords: Adolescents; Cancer screening and prevention; Clinical preventive services; Family; HPV vaccine; Human papillomavirus; Vaccine uptake