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Menarcheal and pubertal development and determining factors among schoolgirls in Kumasi, Ghana

Details

Publisher
Informa Health
Copyright
© 2012 Informa UK, Ltd.
ISSN
0144-3615
eISSN
1364-6893
D.O.I.
10.3109/01443615.2011.638092
Publisher site
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Menarcheal and pubertal development and determining factors among schoolgirls in Kumasi, Ghana

Abstract

To determine menarcheal and pubertal ages and possible factors responsible for current pubertal trends in Kumasi, Ghana, a cross-sectional study was conducted among 720 urban and rural Kumasi 7–17-year-old schoolgirls and their mothers in 2008. Heights and weights were measured and additional information obtained by survey. Mantel–Haenzsel, χ 2 , ordered logistic regression and probit analyses were used to analyse the data collected. With 40.42% menarcheal prevalence, median menarcheal ages were significantly different: 12.37 ± 1.48 years urban and 13.41 ± 2.25 years rural; 12.89 ± 1.93 years, overall. Obesity (OR == 2.57; p == 0.033) and high socioeconomic status (OR == 2.12; p == 0.008) were predictors of early menarche, while a younger mother was protective against early menarche (OR == 0.32; p == 0.039). Age at menarche among Kumasi schoolgirls has dropped 0.76 years since it was last determined among similarly aged girls in 1986, declining at a rate of about 0.32 years/decade. The predicting factors provide an important opportunity for intervention through school curricula and targeted education of adolescents.
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