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CDC HIV/AIDS/Viral Hepatitis/STD/TB Prevention News Update
UNITED STATES: Is There an Association Between Maternal Pap Test Use and Adolescent Human Papillomavirus Vaccination?
Shannon M Monnat, PhD; Sherrie Flynt Wallington, PhD
August 28, 2012
Journal of Adolescent Health doi:10.1016/j.jadohealth.2012.05.015 (08.03.12)

In the current study, the authors sought to “identify the association between mother’s recent receipt of a Pap test and daughter’s update and completion of the three-shot human papillomavirus (HPV) vaccination series.” Cross-sectional data for the study came from the 2008 to 2010 Behavioral Risk Factor Surveillance System in nine US states and Puerto Rico. Logistic regression models examined the association between mother’s Pap test in the past three years and daughter’s uptake and completion of the HPV series among girls ages nine to 17 (n=4,776). Roughly one-quarter of the girls started the three-shot HPV vaccine series, and 13.6 percent completed it. Uptake and completion were more likely among girls whose mothers had had a Pap test within the previous three years - for HPV uptake, odds ratio: 1.342, 95 percent confidence interval: 1.073-1.692; for HPV completion, OR: 1.904; 95 percent CI: 1.372-2.721. However, the relationship between mother’s recent Pap test and vaccine uptake was explained by the mother’s use of a personal doctor and receiving a routine physical examination in the past year. “HPV vaccination uptake and completion were more likely among adolescent girls whose mother 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,” the study authors concluded.