205951 Maternal-child communication about cervical cancer, HPV, and sexual health among South Africa women

Monday, November 9, 2009

Shelley A. Francis, DrPH, MPH, CHES , College of Public Health, The Ohio State University, Columbus, OH
Jennifer Nelson , Epidemiology and Biostatistics Department, Case Western Reserve University, Cleveland, OH
Joan Liverpool, EdD , Deskan Institute, Stone Mountain, GA
Roland J. Thorpe Jr., PhD , Hopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Soji Shogun, MBBS , Dr. Soji Shogun's Clinic, Johannesburg, South Africa
Nokuthula Mofammere, CHW , Dr. Soji Shogun's Clinic, Johannesburg, South Africa
Although Pap tests can detect changes in the cervix and early stage cervical cancer, women and girls who do not have access to routine PAPs are at significant risk for developing cervical cancer. Given that the vaccine that prevents cervical cancer is recommended for girls, 9 – 12 years, parents will determine if their children get the vaccine. The purpose of this formative study was to assess maternal-child communication, assess frequency of medical screenings, identify barriers to accessing the vaccine, mother's willingness to vaccinate, and assess the role of parents and providers in cervical cancer prevention.

Eighty-five women with at least one child were recruited to complete a brief questionnaire. Twenty-five participated in focus groups where qualitative methods were used to assess reoccurring themes.

Key findings:

1) Moms' talk to their children about sex, peer pressure, and discipline,

2) They made decisions about their child's health; fathers' were less involved

3) The majority felt the government should pay for the vaccine or that it should be free,

4) Provider attitudes' influenced their health care decisions

5) Although the majority of women were not familiar with cervical cancer, HPV, or the vaccine, they were willing to vaccinate their children to keep them healthy, and

6) Moms' shared concerns about the vaccine's side effects, cost, and availability.

Women and girls need access to information about cervical cancer prevention and need affordable screening and vaccinations. South African health officials must utilize a multifaceted approach to develop and disseminate prevention messages to women and girls.

Learning Objectives:
1.Identify two topics that participants identified they wanted to learn more about 2.Name one concern that mother’s have about talking to their child about HPV or cervical cancer 3.List at least two concerns that mothers have about the HPV vaccine

Keywords: Maternal and Child Health, Cancer Prevention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have an DrPH and MPH and over 13 years of public health research. I conceptualized this study and collected the data.
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.