University of Tennessee at Chattanooga

Place of Publication

Chattanooga (Tenn.)


We examined racial and ethnic disparities and whether adolescent-perceived maternal relationship quality was associated with pap smear uptake among women emerging adulthood. Longitudinal data were derived from 7,224 emerging adult women who participated in the National Longitudinal Study of Adolescent Health (Add Health) waves I and III. Women who were older, non-Hispanic white, born in the U.S., had higher education and health insurance were more likely to report pap smears (p<0.05). In crude and multivariable regression analyses, every one unit increase in maternal relationship quality was associated with an increase in odds of pap smear uptake OR=1.14, 95% CI [1.03-1.28] and OR=1.11, 95% CI [1.00-1.24], respectively. This study contributes to the literature by evaluating adolescent-perceived maternal relationship quality as a predictor of preventive health decision-making in women emerging adulthood. These results suggest that women with higher quality maternal relationships were more likely to adhere to cervical cancer screening guidelines.

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Funding: This research uses data from Add Health, a program project directed by Kathleen Mullan Harris and designed by J. Richard Udry, Peter S. Bearman, and Kathleen Mullan Harris at the University of North Carolina at Chapel Hill, and funded by grant P01-HD31921 from the Eunice Kennedy Shriver National Institute of Child Health and Human Development, with cooperative funding from 23 other federal agencies and foundations. Special acknowledgment is due to Ronald R. Rindfuss and Barbara Entwisle for assistance in the original design. No direct support was received from grant P01-HD31921 for this analysis. Conflicts of interest: No financial conflicts of interest involving any of the co-authors.


pap smear, maternal relationship, young adult, Add Health


Social and Behavioral Sciences

Document Type





Under copyright.