187402 "Because I want her to be alive:" Young girls' cervical cancer knowledge in South Africa and willingness to share that information with their mother

Tuesday, October 28, 2008

Maghboeba Mosavel, PhD , Department of Social and Behavioral Health, School of Medicine, Virginia Commonwealth Universtiy, Richmond, VA
Catherine Oakar , Research Associate, University of Michigan, Ann Arbor, MI
Despite a myriad of educational programs, screening campaigns, and advancements in cancer therapy, cancer disparities continue to exist in underserved populations. Incidence and mortality rates of cervical cancer in low-income women remain high and there is a significant lack of knowledge about the disease and the need to get screened. We conducted in-depth interviews with 157 randomly selected mother-daughter pairs (N=314) in a low-income, urban neighborhood in Cape Town, South Africa to examine the mother-daughter relationship, cervical cancer knowledge, and the potential of daughter-initiated advice. 91% of daughters said they had never heard of a test that can be done to check for cervical cancer or cancer of the womb and 92% stated that their mother had never talked to them about cervical cancer. However, 82% of daughters said if they learned about cervical cancer, they would be willing to give their mother advice about it. In response to the question as to why they would give their mother advice about cervical cancer, 69% said it is important to provide their mother with life-saving, cancer screening information, 10% said to provide assistance such as identifying symptoms or providing emotional support, 10% said they needed more information or confidence to share such information and 8% said they felt a sense of responsibility to share such information. The emotional need of daughters to share cancer information with their mothers suggests that by educating daughters about important health issues, they may serve as valuable conveyors of health information, particularly about cervical cancer, to their mothers and even to the family.

Learning Objectives:
1. To understand the perceptions about cancer of adolescent girls from low-income, urban communities in South Africa. 2. To articulate why daughters can potentially be valuable conveyors of health information to their mothers and to the family

Keywords: Health Information, Health Education Strategies

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: A great deal of my work involves community-based participatory research and developing community-based partnerships to conduct research. I have a PhD in Social Welfare Policy and I have conducted multiple studies related to the mother-daughter relationship, health promotion and cervical cancer. I have translated my research findings into several community-based, mother-daughter workshops related to HPV, cervical cancer, and the mother-daughter relationship. I also have multiple publications related to this work, including: Mosavel, M., Simon, C., & Van Stade, D. (2006). The mother-daughter relationship: What is its potential as a locus for health promotion? Health Care for Women International 27, (7) 646-664; Mosavel, M., Simon, C., van Stade, D., and Buchbinder, M. (2005). Community Based Participatory Research (CBPR) in South Africa: Engaging Multiple Constituents to Shape the Research Question. Social Science & Medicine, 61(12): 2577-87; Simon, C., & Mosavel, M.. (in press). Key conceptual issues in the forging of “culturally competent” community health initiatives: A South African example" Cambridge Quarterly of Healthcare Ethics.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.