Tomomi Egawa-Takata1,2, Yutaka Ueda3,4, Yusuke Tanaka1,2, Akiko Morimoto1,2, Satoshi Kubota1,2, Asami Yagi2, Yoshito Terai1,5, Masahide Ohmichi1,5, Tomoyuki Ichimura1,6, Toshiyuki Sumi1,6, Hiromi Murata1,7, Hidetaka Okada1,7, Hidekatsu Nakai1,8, Masaki Mandai1,8, Kiyoshi Yoshino1,2, Tadashi Kimura1,2, Junko Saito1, Risa Kudo9, Masayuki Sekine9, Takayuki Enomoto1,9, Yorihiko Horikoshi1, Tetsu Takagi1, Kentaro Shimura1. 1. The Obstetrical Gynecological Society of Osaka, 4-4-3 Kawaramachi, Chuo-ku, Osaka, 541-0048, Japan. 2. Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan. 3. The Obstetrical Gynecological Society of Osaka, 4-4-3 Kawaramachi, Chuo-ku, Osaka, 541-0048, Japan. ZVF03563@nifty.ne.jp. 4. Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan. ZVF03563@nifty.ne.jp. 5. Department of Obstetrics and Gynecology, Osaka Medical College Graduate School of Medical Sciences, 2-7 Daigakumachi, Takatsuki, Osaka, 569- 8686, Japan. 6. Department of Obstetrics and Gynecology, Osaka City University Graduate School and Faculty of Medicine, 1-4-3 Asahimachi, Abeno-ku, Osaka, 545-8585, Japan. 7. Department of Obstetrics and Gynecology, Kansai Medical University Graduate School of Medicine, 2-3-1 Shin-machi, Hirakata, Osaka, 573-1191, Japan. 8. Department of Obstetrics and Gynecology, Kinki University Graduate School of Medical Sciences, 377-2 Ono-Higashi, Osaka-Sayama, Osaka, 589-8511, Japan. 9. Department of Obstetrics and Gynecology, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi-dori, Chuo-ku, Niigata, 951-8510, Japan.
Abstract
BACKGROUND: Cervical cancer and its precancerous lesions caused by human papilloma virus (HPV) are steadily increasing in women in Japan. In comparison with women in other resource-rich countries, young women in Japan have a dismally low screening rate for cervical cancer. Our preliminary research has shown that 20-year-old women in Japan usually ask their mothers for advice regarding their initial cervical cancer screening. The objective of our current research is to determine the social factors among mothers in Japan that are causing them to give advice to their daughters regarding the HPV vaccine and cervical cancer screening. METHODS: The survey's targets were mothers who had 20-year-old daughters. We recruited respondents from the roster of a commercial internet survey panel. We analyzed for correlations between a mother's knowledge concerning cervical cancer, her recent cancer screening history, and the advice she gave to her daughter regarding cervical cancer screening. RESULTS: We obtained 618 valid answers to the survey. Compared with mothers who did not get screening, mothers who had cervical cancer screening had significantly more knowledge about cervical cancer and its screening (p < 0.05). The daughters of mothers with recent screening had received HPV vaccination more often than those of mothers without recent screening (p = 0.018). Mothers with recent screening histories tended more often to encourage their daughters to have cervical cancer screening (p < 0.05). When mothers were properly educated concerning cervical cancer and its screening, they were significantly more likely than before to recommend that their daughters have it (p < 0.0001). CONCLUSIONS: In young Japanese women, given the important role their mothers have in their lives, it is probable that we could improve their cervical cancer screening rate significantly by giving their mothers better medical information, and a chance to experience cervical cancer screening for themselves.
BACKGROUND:Cervical cancer and its precancerous lesions caused by human papilloma virus (HPV) are steadily increasing in women in Japan. In comparison with women in other resource-rich countries, young women in Japan have a dismally low screening rate for cervical cancer. Our preliminary research has shown that 20-year-old women in Japan usually ask their mothers for advice regarding their initial cervical cancer screening. The objective of our current research is to determine the social factors among mothers in Japan that are causing them to give advice to their daughters regarding the HPV vaccine and cervical cancer screening. METHODS: The survey's targets were mothers who had 20-year-old daughters. We recruited respondents from the roster of a commercial internet survey panel. We analyzed for correlations between a mother's knowledge concerning cervical cancer, her recent cancer screening history, and the advice she gave to her daughter regarding cervical cancer screening. RESULTS: We obtained 618 valid answers to the survey. Compared with mothers who did not get screening, mothers who had cervical cancer screening had significantly more knowledge about cervical cancer and its screening (p < 0.05). The daughters of mothers with recent screening had received HPV vaccination more often than those of mothers without recent screening (p = 0.018). Mothers with recent screening histories tended more often to encourage their daughters to have cervical cancer screening (p < 0.05). When mothers were properly educated concerning cervical cancer and its screening, they were significantly more likely than before to recommend that their daughters have it (p < 0.0001). CONCLUSIONS: In young Japanese women, given the important role their mothers have in their lives, it is probable that we could improve their cervical cancer screening rate significantly by giving their mothers better medical information, and a chance to experience cervical cancer screening for themselves.
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