title: Project conducted in Hirakata to improve cervical cancer screening rates in 20-year-old Japanese: Influencing parents to recommend that their daughters undergo cervical cancer screening.
abstract: OBJECTIVE
  In Japan, the rate of routine cervical cancer screening is quite low, and the incidence of cervical cancer has recently been increasing. Our objective was to investigate ways to effectively influence parental willingness to recommend that their 20-year-old daughters undergo cervical cancer screening.
  
  
  METHODS
  We targeted parents whose 20-year-old daughters were living with them. In fiscal year 2013, as usual, the daughter received a reminder postcard several months after they had received a free coupon for cervical cancer screening. In fiscal year 2014, the targeted parents received a cervical cancer information leaflet, as well as a cartoon about cervical cancer to show to their daughters, with a request that they recommend to their daughter that she undergo cervical cancer screening. The subsequent screening rates for fiscal years 2013 and 2014 were compared.
  
  
  RESULTS
  The cervical cancer screening rate of 20-year-old women whose parents received the information packet in fiscal year 2014 was significantly higher than for the women who, in fiscal year 2013, received only a simple reminder postcard (P < 0.001). As a result, the total screening rate for 20-year-old women for the whole of the 2014 fiscal year was significantly increased over 2013 (P < 0.001).
  
  
  CONCLUSIONS
  For the first time, we have shown that the parents of 20-year-old daughters can be motivated to recommend that their daughters receive their first cervical cancer screening. This was achieved by sending a cervical cancer information leaflet and a cartoon about cervical cancer for these parents to show to their daughters. This method was significantly effective for improving cervical cancer screening rates.
authors.affiliation: OCEAN Study Group (Obstetrical Gynecological Society of Osaka), Osaka, Japan.|Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan.
authors.forename: Asami
authors.initials: A
authors.lastname: Yagi
authors.affiliation: OCEAN Study Group (Obstetrical Gynecological Society of Osaka), Osaka, Japan.|Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan.
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Ueda
authors.affiliation: OCEAN Study Group (Obstetrical Gynecological Society of Osaka), Osaka, Japan.|Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan.
authors.forename: Tomomi
authors.initials: T
authors.lastname: Egawa-Takata
authors.affiliation: OCEAN Study Group (Obstetrical Gynecological Society of Osaka), Osaka, Japan.|Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan.
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Tanaka
authors.affiliation: OCEAN Study Group (Obstetrical Gynecological Society of Osaka), Osaka, Japan.|Department of Obstetrics and Gynecology, Osaka Medical College Graduate School of Medical Sciences, Osaka, Japan.
authors.forename: Yoshito
authors.initials: Y
authors.lastname: Terai
authors.affiliation: OCEAN Study Group (Obstetrical Gynecological Society of Osaka), Osaka, Japan.|Department of Obstetrics and Gynecology, Osaka Medical College Graduate School of Medical Sciences, Osaka, Japan.
authors.forename: Masahide
authors.initials: M
authors.lastname: Ohmichi
authors.affiliation: OCEAN Study Group (Obstetrical Gynecological Society of Osaka), Osaka, Japan.|Department of Obstetrics and Gynecology, Osaka City University Graduate School and Faculty of Medicine, Osaka, Japan.
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Ichimura
authors.affiliation: OCEAN Study Group (Obstetrical Gynecological Society of Osaka), Osaka, Japan.|Department of Obstetrics and Gynecology, Osaka City University Graduate School and Faculty of Medicine, Osaka, Japan.
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Sumi
authors.affiliation: OCEAN Study Group (Obstetrical Gynecological Society of Osaka), Osaka, Japan.|Department of Obstetrics and Gynecology, Kansai Medical University Graduate School of Medicine, Osaka, Japan.
authors.forename: Hiromi
authors.initials: H
authors.lastname: Murata
authors.affiliation: OCEAN Study Group (Obstetrical Gynecological Society of Osaka), Osaka, Japan.|Department of Obstetrics and Gynecology, Kansai Medical University Graduate School of Medicine, Osaka, Japan.
authors.forename: Hidetaka
authors.initials: H
authors.lastname: Okada
authors.affiliation: OCEAN Study Group (Obstetrical Gynecological Society of Osaka), Osaka, Japan.|Department of Obstetrics and Gynecology, Kinki University Graduate School of Medical Sciences, Osaka, Japan.
authors.forename: Hidekatsu
authors.initials: H
authors.lastname: Nakai
authors.affiliation: OCEAN Study Group (Obstetrical Gynecological Society of Osaka), Osaka, Japan.|Department of Obstetrics and Gynecology, Kinki University Graduate School of Medical Sciences, Osaka, Japan.
authors.forename: Masaki
authors.initials: M
authors.lastname: Mandai
authors.affiliation: OCEAN Study Group (Obstetrical Gynecological Society of Osaka), Osaka, Japan.|Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan.
authors.forename: Shinya
authors.initials: S
authors.lastname: Matsuzaki
authors.affiliation: OCEAN Study Group (Obstetrical Gynecological Society of Osaka), Osaka, Japan.|Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan.
authors.forename: Eiji
authors.initials: E
authors.lastname: Kobayashi
authors.affiliation: OCEAN Study Group (Obstetrical Gynecological Society of Osaka), Osaka, Japan.|Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan.
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Yoshino
authors.affiliation: OCEAN Study Group (Obstetrical Gynecological Society of Osaka), Osaka, Japan.|Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan.
authors.forename: Tadashi
authors.initials: T
authors.lastname: Kimura
authors.affiliation: OCEAN Study Group (Obstetrical Gynecological Society of Osaka), Osaka, Japan.
authors.forename: Junko
authors.initials: J
authors.lastname: Saito
authors.affiliation: Department of Pathology, Osaka University Graduate School of Medicine, Osaka, Japan.
authors.forename: Yumiko
authors.initials: Y
authors.lastname: Hori
authors.affiliation: Department of Pathology, Osaka University Graduate School of Medicine, Osaka, Japan.
authors.forename: Eiichi
authors.initials: E
authors.lastname: Morii
authors.affiliation: Center for Cancer Control and Statistics, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan.
authors.forename: Tomio
authors.initials: T
authors.lastname: Nakayama
authors.affiliation: Department of Obstetrics and Gynecology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
authors.forename: Yukio
authors.initials: Y
authors.lastname: Suzuki
authors.affiliation: Department of Obstetrics and Gynecology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
authors.forename: Yoko
authors.initials: Y
authors.lastname: Motoki
authors.affiliation: Department of Obstetrics and Gynecology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
authors.forename: Akiko
authors.initials: A
authors.lastname: Sukegawa
authors.affiliation: Department of Obstetrics and Gynecology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
authors.forename: Mikiko
authors.initials: M
authors.lastname: Asai-Sato
authors.affiliation: Department of Obstetrics and Gynecology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
authors.forename: Etsuko
authors.initials: E
authors.lastname: Miyagi
authors.affiliation: Department of Obstetrics and Gynecology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
authors.forename: Manako
authors.initials: M
authors.lastname: Yamaguchi
authors.affiliation: Department of Obstetrics and Gynecology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
authors.forename: Risa
authors.initials: R
authors.lastname: Kudo
authors.affiliation: Department of Obstetrics and Gynecology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
authors.forename: Sosuke
authors.initials: S
authors.lastname: Adachi
authors.affiliation: Department of Obstetrics and Gynecology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
authors.forename: Masayuki
authors.initials: M
authors.lastname: Sekine
authors.affiliation: OCEAN Study Group (Obstetrical Gynecological Society of Osaka), Osaka, Japan.|Department of Obstetrics and Gynecology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
authors.forename: Takayuki
authors.initials: T
authors.lastname: Enomoto
authors.affiliation: OCEAN Study Group (Obstetrical Gynecological Society of Osaka), Osaka, Japan.
authors.forename: Yorihiko
authors.initials: Y
authors.lastname: Horikoshi
authors.affiliation: OCEAN Study Group (Obstetrical Gynecological Society of Osaka), Osaka, Japan.
authors.forename: Tetsu
authors.initials: T
authors.lastname: Takagi
authors.affiliation: OCEAN Study Group (Obstetrical Gynecological Society of Osaka), Osaka, Japan.
authors.forename: Kentaro
authors.initials: K
authors.lastname: Shimura
mesh_terms: D000328:Adult; D055088:Early Detection of Cancer / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007564:Japan; D008389:Marketing of Health Services; D009679:Nuclear Family; D010290:Parents; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control*; D055815:Young Adult
keywords: cervical cancer screening; daughter; parent; recommendation