Ethnic differences in the presence of secondary sex characteristics and menarche among US girls: the Third National Health and Nutrition Examination Survey, 1988–1994
Abstract
Objective To assess measures of puberty-presence of pubic hair, breast development, and menarche-for 3 racial/ethnic groups of girls in the United States. Methods Using data from the Third National Health and Nutrition Examination Survey, this study sample was restricted to 1623 girls aged 8 to 16 years (466 non-Hispanic white, 589 non-Hispanic black, and 568 Mexican American) for whom information was available on Tanner stages of pubic hair and breast development. Subsequently, the sample was restricted to 1168 girls aged 10 to 16 years (330 non-Hispanic white, 419 non-Hispanic black, and 419 Mexican American) for whom menarche data were available. Tanner stage II or higher was used to define pubic hair and breast development; menarche status was self-reported. The percentage of girls who had pubic hair and breast development and had achieved menarche was computed by age and race/ethnicity. Probit and failure time models were applied to estimate mean ages at onset of pubic hair, breast development, and menarche. The racial/ethnic differences also were examined after adjustment for social and economic variables and current body mass index. Results Black and Mexican American girls had pubic hair and breast development and had achieved menarche at younger ages than white girls. For example, 49.4% of black girls aged 9 years had breast development compared with 24.5% of Mexican American girls and 15.8% of white girls. The mean age at onset of pubic hair, breast development, and…
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The age at puberty onset varies greatly between individuals, different ethnic populations, and between the sexes; girls on average experience the onset of puberty at younger ages than boys and are more likely to have idiopathic central precocious puberty, whereas boys are more predisposed to idiopathic delayed puberty.
“The age at puberty onset varies greatly between individuals, different ethnic populations, and between the sexes; girls on average experience the onset of puberty at younger ages than boys and are more likely to have idiopathic central precocious puberty, whereas boys are more predisposed to idiopathic delayed puberty.12,13”
From Pubertal development and regulation (2016) · cites this paper as [13]
There are substantial racial differences in sexual maturation; non-Hispanic black and Mexican-American ethnic origins are independently associated with earlier pubertal development in girls.
“There are substantial racial differences in sexual maturation; it is thought that non-Hispanic black and Mexican-American ethnic origins are independently associated with earlier pubertal development in girls.13”
From Pubertal development and regulation (2016) · cites this paper as [13]
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Puberty, obesity and ethnicity
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The Neuroscience of Adolescence
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Regulation and Disorders of Pubertal Timing
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Biomarkers for assessing reproductive development and health: Part 1--Pubertal development.
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Approach to the Girl with Early Onset of Pubic Hair
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Puberty: Its role in development.
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The Decline in the Age of Menarche in the United States: Should We Be Concerned?
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- Authors
- Wu, T., Mendola, P., & Buck, G. M.
- Affiliations
- University at Buffalo, State University of New York (US)
- Environmental Protection Agency (US)
- Division of Epidemiology, Statistics and Prevention Research, National Institute of Child Health and Human Development, Rockville, Maryland
- ORCID
- Mendola, Pauline
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2002-10-01
- Volume
- 110
- Issue
- 4
- Pages
- 752-757
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W1985818849
- Cited by
- 394
- References
- 21
- Citations by year
- 2026: 4 · 2025: 12 · 2024: 5 · 2023: 14 · 2022: 13 · 2021: 23 · 2020: 11 · 2019: 14 · 2018: 30 · 2017: 16 · 2016: 14 · 2015: 14 · 2014: 20 · 2013: 26 · 2012: 26
- FWCI
- 12.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
- Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Human Health and Disease
- Keywords
- puberty onset, menarche, secondary sexual characteristics, pubic hair, breast development, racial and ethnic differences, Black girls, age at menarche, body mass index, socioeconomic factors
- MeSH terms
- Adolescent, Child, Female, Health Surveys, Humans, Menarche, Nutrition Surveys, Sex Characteristics, Sexual Maturation, United States
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