Our sample may not be similar to a sample of women from other areas outside the university community. The study was a cross-sectional design. Any changes in knowledge or attitudes over time were not identified in this study design. The use of self-report may be a limitation of the study with a bias for reporting a socially desirable response. Finally, the data were not collected as mother– daughter pairs. The additional information may reveal the types of mother–daughter relationships for communication and openness for this topic.