title: Association between mother-child sexual communication and HPV vaccine uptake.
abstract: OBJECTIVE
  To examine the association between mother-child communication about sex, sexually transmitted diseases (STDs), and contraception/condoms and HPV vaccine uptake by gender.
  
  
  METHODS
  Women (n = 1372) with ≥ 1 child aged 9-17 years receiving care in reproductive health clinics in Southeast Texas were asked to complete a self-administered questionnaire between September 2011 and October 2013.
  
  
  RESULTS
  The majority of mothers with ≥ 1 eligible daughter (n = 886) reported having talked about 'sex' (77.7%), 'STDs' (76.6%) and 'contraception' (73.2%) with their daughters. The respective figures for mothers with ≥ 1 son (n = 836) were 68.8%, 69.0% and 65.3%. Mothers who discussed sex, STDs, or contraception with their daughters compared to those who did not were more likely to report that their daughter initiated (≥ 1 dose) HPV vaccination after adjusting for confounders (all p < .05). Similarly, mother-son discussions about STDs or condoms, but not sex, were associated with HPV vaccine initiation for their sons compared to those who did not discuss these topics. These associations were not significant with regard to HPV vaccine completion (3 doses) for neither daughters nor sons.
  
  
  CONCLUSIONS
  Mother-child communication on STDs and contraception/condoms is associated with HPV vaccine initiation, but not completion, among both daughters and sons.
authors.affiliation: Department of Obstetrics & Gynecology, Center for Interdisciplinary Research in Women's Health, University of Texas Medical Branch, Galveston, TX, United States.
authors.forename: Tyra T
authors.initials: TT
authors.lastname: Gross
authors.affiliation: Department of Obstetrics & Gynecology, Center for Interdisciplinary Research in Women's Health, University of Texas Medical Branch, Galveston, TX, United States.
authors.forename: Tabassum H
authors.initials: TH
authors.lastname: Laz
authors.affiliation: Department of Obstetrics & Gynecology, Center for Interdisciplinary Research in Women's Health, University of Texas Medical Branch, Galveston, TX, United States.
authors.forename: Mahbubur
authors.initials: M
authors.lastname: Rahman
authors.affiliation: Department of Obstetrics & Gynecology, Center for Interdisciplinary Research in Women's Health, University of Texas Medical Branch, Galveston, TX, United States. Electronic address: abberens@utmb.edu.
authors.forename: Abbey B
authors.initials: AB
authors.lastname: Berenson
mesh_terms: D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D002648:Child; D003142:Communication; D017280:Condoms; D003267:Contraception; D005260:Female; D006801:Humans; D008297:Male; D009034:Mother-Child Relations; D009035:Mothers / Q000523:psychology / Q000706:statistics & numerical data*; D053918:Papillomavirus Vaccines / Q000008:administration & dosage*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D057566:Self Report; D017678:Sex Distribution; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000150:complications / Q000517:prevention & control; D012959:Socioeconomic Factors; D013781:Texas
chemical_list: D053918:Papillomavirus Vaccines
keywords: Adolescent; Communication; HPV; HPV vaccination; Maternal behavior