title: Effect of Human Papillomavirus vaccination of daughters on the cervical screening uptake of their non-vaccinated mothers.
abstract: OBJECTIVE
  This study investigated return to cervical screening rates for 112,451 under-screened mothers of daughters offered Human Papillomavirus (HPV) vaccination over two school academic years and a comparator group of women with no vaccine-eligible daughter.
  
  
  RESULTS
  Mothers returned to screening more often than the comparator group: odds ratio (OR) 1.04 (95% confidence intervals 1.02-1.07) for lapsed and 1.57 (1.48-1.67) for never screened. Screening return was significantly higher in the year prior to HPV vaccination for lapsed mothers (OR = 1.06) and in the current vaccination year for lapsed and never screened mothers (OR = 1.05 and 1.16 respectively).
  
  
  CONCLUSIONS
  The modest increase in screening attendance indicates a potential for the HPV vaccine programme to increase screening uptake of mothers.
authors.affiliation: 1 Manchester Urban Collaboration on Health Centre for Epidemiology, Institute of Population Health, Manchester Academic Health Sciences Centre, University of Manchester, Stopford Building, Oxford Road, Manchester M13 9PT, UK angela.spencer@manchester.ac.uk.
authors.forename: Angela M
authors.initials: AM
authors.lastname: Spencer
authors.affiliation: 2 Centre for Biostatistics, Institute of Population Health, Manchester Academic Health Sciences Centre, Jean McFarlane Building, University of Manchester, Oxford Road, Manchester, M13 9PL, UK.
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Roberts
authors.affiliation: 1 Manchester Urban Collaboration on Health Centre for Epidemiology, Institute of Population Health, Manchester Academic Health Sciences Centre, University of Manchester, Stopford Building, Oxford Road, Manchester M13 9PT, UK.
authors.forename: Arpana
authors.initials: A
authors.lastname: Verma
authors.affiliation: 3 Public Health England/NHS Cancer Screening Programmes, Fulwood House, Old Fulwood Road, Sheffield S10 3TH, UK.
authors.forename: Julietta
authors.initials: J
authors.lastname: Patnick
authors.affiliation: 4 Greater Manchester, Lancashire, South Cumbria Strategic Clinical Network, 4th Floor, 3 Piccadilly Place, Manchester, M1 3BN, UK.
authors.forename: Peter
authors.initials: P
authors.lastname: Elton
authors.affiliation: 5 Women's Cancer Centre, Institute of Cancer Sciences, Manchester Academic Health Sciences Centre, St Mary's Hospital, University of Manchester, Manchester M13 OJH, UK.
authors.forename: Loretta
authors.initials: L
authors.lastname: Brabin
mesh_terms: D000328:Adult; D055088:Early Detection of Cancer / Q000706:statistics & numerical data*; D004739:England; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008875:Middle Aged; D009035:Mothers / Q000706:statistics & numerical data*; D053918:Papillomavirus Vaccines / Q000008:administration & dosage*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control*
chemical_list: D053918:Papillomavirus Vaccines