Factors associated with early menarche: results from the French Health Behaviour in School-aged Children (HBSC) study

BMC Public Health

Research Article

Virginie Ehlinger¹  Adrien Gaudineau²  Catherine Arnaud³  Christophe Vayssiere⁴  Beatrice Jouret⁵  Emmanuelle Godeau⁶ 

[1] UMR Inserm U558/University Paul Sabatier, Toulouse, France;UMR Inserm U558/University Paul Sabatier, Toulouse, France;CHU Hautepierre/University Louis Pasteur, Strasbourg, France;UMR Inserm U558/University Paul Sabatier, Toulouse, France;Clinical epidemiology departement/University hospital, Toulouse, France;UMR Inserm U558/University Paul Sabatier, Toulouse, France;Maternity Paule de Viguier/University hospital, Toulouse, France;UMR Inserm U558/University Paul Sabatier, Toulouse, France;Pediatric endocrinology departement/University hospital, Toulouse, France;UMR Inserm U558/University Paul Sabatier, Toulouse, France;Service Médical du Rectorat, Toulouse, France;

关键词: Risk Behaviour;    Pubertal Development;    Pubertal Timing;    Sexual Initiation;    Early Menarche;   

DOI  :  10.1186/1471-2458-10-175

 received in 2009-12-21, accepted in 2010-03-30,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundPuberty is a transition period making physiological development a challenge adolescents have to face. Early pubertal development could be associated with higher risks of poor health. Our objective was to examine risk behaviours, physical and psychological determinants associated with early menarche (<11 years).MethodsEarly menarche was assessed in the Health Behaviour in School-aged Children French cross-sectional survey. Data were collected in 2006 by anonymous self-reported standardized questionnaire from a nationally representative sample of 1072 15 years old girls in school classrooms. Family environment, school experience, physical and psychological factors, risk behaviours (substance use and sexual initiation) were recorded. Logistic regression models were applied (analysing for crude and adjusted relationships between early menarche and risk behaviours controlled for family context).ResultsMedian age at menarche was 13.0 years; 57 girls (5.3%) were early-matured. Controlled for familial environment, early menarche was associated with having had more than two life-drunkenness episodes (adjusted OR = 2.5 [1.3-4.6]), early sexual initiation (adjusted OR = 2.8 [1.3-6.0]) and overweight (adjusted OR = 7.3 [3.6-14.9]).ConclusionEarly-maturing girls may affiliate with older adolescents, hence engage in risk behaviours linked to their appearance rather than their maturity level. Factors associated with early menarche highlight the need to focus attention on early-matured girls to prevent further health problems linked to risk behaviours.

【 授权许可】

CC BY   
© Gaudineau et al; licensee BioMed Central Ltd. 2010