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Maternal Factors in Cervical Cancer Prevention

Womens Health Issues; ePub 2019 Jan 10; Charlton, et al

Maternal factors did not explain much of the sexual orientation-related disparities in cervical cancer prevention in a recent study. Researchers examined 8,143 mother-daughter dyads from the Nurses’ Health Study 2 and Growing Up Today Study. During the daughter’s adolescence, each mother reported her beliefs about the importance of regular Pap testing for her daughter, the frequency of communication with her daughter about Pap testing, her beliefs about Pap testing and human papillomavirus (HPV) vaccines, and her acceptance of minorities. Mothers and daughters separately reported relationship satisfaction. Among the findings:

  • Nearly all maternal factors predicted the daughter’s likelihood to have a Pap test and HPV vaccination.
  • Higher levels of acceptance for sexual minorities and better relationship quality were also positively associated with cervical cancer prevention behaviors.
  • However, after adjusting for maternal factors, there was little attenuation of the existing sexual orientation-related disparities in Pap tests or HPV vaccination.


Charlton BM, Kahn JA, Sarda V, et al. Maternal factors and sexual orientation-related disparities in cervical cancer prevention. [Published online ahead of print January 10, 2019]. Womens Health Issues. doi:10.1016/j.whi.2018.12.001.