Impact of Maternal Communication About Skin, Cervical, and Lung Cancer Prevention on Adolescent Prevention Behaviors

Division of Adolescent Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 45229, USA.
Journal of Adolescent Health (Impact Factor: 3.61). 07/2011; 49(1):93-6. DOI: 10.1016/j.jadohealth.2010.11.247
Source: PubMed


To explore whether maternal communication about behaviors that prevent skin, cervical, and lung cancer is associated with adolescent cancer prevention behaviors.
The study sample consisted of 10,409 girls and boys (14-21 years) who participated in a longitudinal survey study of U.S. adolescents. The independent variables were adolescent report of how often mothers had spoken with them (never, once, occasionally, sometimes, often) about sunscreen use, Pap screening, and quitting smoking. Outcome variables included adolescent self-report of sunscreen use, Pap screening, and quitting smoking (among past-year smokers). We used multivariate logistic regression models to determine whether maternal communication in 2001 was associated independently with the three adolescent cancer prevention behaviors in 2001 and 2003.
In adjusted logistic regression models, maternal communication about sunscreen use and Pap screening was positively associated with adolescent behaviors in 2001 and 2003, and maternal communication about quitting smoking was positively associated with adolescent behavior in 2001.
In a national sample, maternal communication encouraging sunscreen use, Pap screening, and quitting smoking was associated with the corresponding behaviors in their adolescent children. The findings suggest that intergenerational interventions could enhance adolescent practice of cancer prevention behaviors.

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    • "Findings from previous research suggest that girls are more likely to discuss topics related to sexuality with their mothers than with their fathers [23], and mothers are more likely than fathers to select their child's doctor and take children to doctor appointments [24]. Previous research demonstrates that mothers who engage in their own preventive health behaviors are more likely to accept vaccination for their children [25] [26] and that maternal communication about Pap screening is associated with adolescent Pap screening [27]. Further, mother– daughter communication about HPV vaccination is more common among mothers who have been advised by doctors to vaccinate their daughters [19]. "
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    ABSTRACT: Purpose: 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.
    Full-text · Article · Feb 2013 · Journal of Adolescent Health