1. Factors associated with early menarche: results from the French Health Behaviour in School-aged Children (HBSC) study
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Christophe Vayssière, Catherine Arnaud, Emmanuelle Godeau, Adrien Gaudineau, Virginie Ehlinger, Béatrice Jouret, Hôpital hautepierre, CHU Strasbourg-Université Louis Pasteur - Strasbourg I, Epidémiologie et Analyses en Santé Publique : risques, maladies chroniques et handicap (LEASP), Institut National de la Santé et de la Recherche Médicale (INSERM), Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées, Maternité Paule de Viguier, CHU Toulouse [Toulouse], Service d'endocrinologie pédiatrique, Service d'épidémiologie [Toulouse], Service Médical du Rectorat, Rectorat Toulouse, funded by INPES, OFDT and Caisse nationale RSI, BMC, Ed., Service Obstétrique [CHU Toulouse], Pôle Femme-Mère-Couple [CHU Toulouse], Centre Hospitalier Universitaire de Toulouse (CHU Toulouse)-Centre Hospitalier Universitaire de Toulouse (CHU Toulouse), Service Endocrinologie, génétique et gynécologie médicale pédiatrique [CHU Toulouse], Pôle Enfants [CHU Toulouse], Service Epidémiologie clinique et santé publique [CHU Toulouse], and Pôle Santé publique et médecine publique [CHU Toulouse]
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MESH: Sexual Behavior ,MESH: Self Report ,Cross-sectional study ,Health Behavior ,MESH: Logistic Models ,Overweight ,Social Environment ,0302 clinical medicine ,Surveys and Questionnaires ,Epidemiology ,Medicine ,MESH: Puberty ,030212 general & internal medicine ,MESH: Social Environment ,Schools ,lcsh:Public aspects of medicine ,3. Good health ,MESH: Menarche ,MESH: Risk-Taking ,Menarche ,Female ,France ,medicine.symptom ,medicine.medical_specialty ,MESH: Schools ,Adolescent ,MESH: Health Behavior ,Sexual Behavior ,030209 endocrinology & metabolism ,Context (language use) ,03 medical and health sciences ,MESH: Cross-Sectional Studies ,Risk-Taking ,Research article ,Humans ,Psychiatry ,Students ,MESH: Adolescent ,MESH: Humans ,business.industry ,Public health ,MESH: Questionnaires ,Puberty ,Public Health, Environmental and Occupational Health ,Social environment ,lcsh:RA1-1270 ,MESH: Adolescent Behavior ,MESH: France ,Cross-Sectional Studies ,Logistic Models ,[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie ,Adolescent Behavior ,MESH: Students ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ,Self Report ,Biostatistics ,business ,MESH: Female ,Demography - Abstract
Background Puberty 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 ( Methods Early 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). Results Median 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]). Conclusion Early-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.
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