Early puberty in 11-year-old girls: Millennium Cohort Study findings.
Arch Dis Child
; 102(3): 232-237, 2017 Mar.
Article
in En
| MEDLINE
| ID: mdl-27672135
ABSTRACT
OBJECTIVE:
Early puberty in girls is linked to some adverse outcomes in adolescence and mid-life. We address two research questions (1) Are socioeconomic circumstances and ethnicity associated with early onset puberty? (2) Are adiposity and/or psychosocial stress associated with observed associations?DESIGN:
Longitudinal data on 5839 girls from the UK Millennium Cohort Study were used to estimate associations between ethnicity, family income, adiposity and psychosocial stress with a marker of puberty. MAIN OUTCOMEMEASURE:
Reported menstruation at age 11 years.RESULTS:
All quoted ORs are statistically significant. Girls in the poorest income quintile were twice as likely (OR=2.1), and the second poorest quintile nearly twice as likely (OR=1.9) to have begun menstruation compared with girls in the richest income quintile. Estimates were roughly halved on adjustment for Body Mass Index and markers of psychosocial stress (poorest, OR=1.5; second poorest, OR=1.5). Indian girls were over 3 times as likely compared with whites to have started menstruation (OR=3.5) and statistical adjustments did not attenuate estimates. The raised odds of menstruation for Pakistani (OR=1.9), Bangladeshi (OR=3.3) and black African (OR=3.0) girls were attenuated to varying extents, from about a third to a half, on adjustment for income and adiposity.CONCLUSIONS:
In contemporary UK, excess adiposity and psychosocial stress were associated with social inequalities in early puberty, while material disadvantage and adiposity were linked to ethnic inequalities in early puberty among girls.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Puberty, Precocious
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limits:
Child
/
Female
/
Humans
Country/Region as subject:
Asia
/
Caribe
/
Europa
Language:
En
Journal:
Arch Dis Child
Year:
2017
Type:
Article
Affiliation country:
United kingdom