Family composition and age at menarche: Findings from the international Health Behaviour in School-aged Children study

Autor: Candace Currie, Juliet McEachran, Ross Whitehead, Martin Steppan
Přispěvatelé: University of St Andrews. Population and Behavioural Science Division, University of St Andrews. School of Medicine
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
RJ101
Health Behavior
Global Health
Fathers
Pubertal timing
0302 clinical medicine
RJ101 Child Health. Child health services
Surveys and Questionnaires
HQ
030212 general & internal medicine
Child
Body mass index
Age at menarche
Family Characteristics
School age child
Schools
05 social sciences
Age Factors
Obstetrics and Gynecology
3rd-DAS
Psychological and psychosomatic problems
Menarche
Female
Psychology
050104 developmental & child psychology
medicine.medical_specialty
BF Psychology
Adolescent
education
Reproductive medicine
BF
Mothers
lcsh:Gynecology and obstetrics
03 medical and health sciences
Early menarche
medicine
Life history theory
Humans
0501 psychology and cognitive sciences
lcsh:RG1-991
business.industry
Family structure
Public health
Research
International health
HQ The family. Marriage. Woman
Cross-Sectional Studies
Reproductive Medicine
business
Demography
Zdroj: Reproductive Health, Vol 16, Iss 1, Pp 1-13 (2019)
Reproductive Health
ISSN: 1742-4755
Popis: BackgroundEarly menarche has been associated with father absence, stepfather presence and adverse health consequences in later life. This article assesses the association of different family compositions with the age at menarche. Pathways are explored which may explain any association between family characteristics and pubertal timing.MethodsCross-sectional, international data on the age at menarche, family structure and covariates (age, psychosomatic complaints, media consumption, physical activity) were collected from the 2009–2010 Health Behaviour in School-aged Children (HBSC) survey. The sample focuses on 15-year old girls comprising 36,175 individuals across 40 countries in Europe and North America (N = 21,075 for age at menarche). The study examined the association of different family characteristics with age at menarche. Regression and path analyses were applied incorporating multilevel techniques to adjust for the nested nature of data within countries.ResultsLiving with mother (Cohen’s d = .12), father (d = .08), brothers (d = .04) and sisters (d = .06) are independently associated with later age at menarche. Living in a foster home (d = −.16), with ‘someone else’ (d = −.11), stepmother (d = −.10) or stepfather (d = −.06) was associated with earlier menarche. Path models show that up to 89% of these effects can be explained through lifestyle and psychological variables.ConclusionsEarlier menarche is reported amongst those with living conditions other than a family consisting of two biological parents. This can partly be explained by girls’ higher Body Mass Index in these families which is a biological determinant of early menarche. Lower physical activity and elevated psychosomatic complaints were also more often found in girls in these family environments.
Databáze: OpenAIRE
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