RT Book
T1 Socio-Environmental Factors Associated With Pubertal Development in Female Adolescents: The Role of Prepubertal Tobacco and Alcohol Use
A1 Fukushima, Miyuki
A2 Skaggs, Valerie J.
A2 Peck, B Mitchell
A2 Peck
A2 Kaplan, Howard B
LA English
YR 2011
UL https://krimdok.uni-tuebingen.de/Record/1866141805
AB This cross-sectional study of 3,106 female adolescents, aged 11–21 years, evaluated the association between prepubertal alcohol and tobacco use and the onset of puberty. Ages at initial breast development, body hair growth, and menarche were self-reported. Prepubertal alcohol and tobacco use were defined as the age at first use before the age of pubertal development and accompanied by regular use. Hazard ratios (HR) and 95% confidence intervals (CI) were calculated using Cox proportional hazard models. Logistic regression was used to estimate the association between substance use and delayed puberty, defined as lack of breast development by the age of 13 years