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Early menarche: A systematic review of its effect on sexual and reproductive health in low- and middle-income countries

Mobolaji Omowumi Ibitoye; Cecilia Choi; Hina Tai; Grace Lee; Marni Sommer

Title:
Early menarche: A systematic review of its effect on sexual and reproductive health in low- and middle-income countries
Author(s):
Ibitoye, Mobolaji Omowumi
Choi, Cecilia
Tai, Hina
Lee, Grace
Sommer, Marni
Date:
Type:
Articles
Department(s):
Sociomedical Sciences
Population and Family Health
Volume:
12
Persistent URL:
Book/Journal Title:
PLoS ONE
Abstract:
Background Adolescent girls aged 15–19 bear a disproportionate burden of negative sexual and reproductive health outcomes in low- and middle-income countries. Research from several high-income countries suggests that early age at menarche is an important determinant of sexual and reproductive health. We conducted this systematic review to better understand whether and how early menarche is associated with various negative sexual and reproductive health outcomes in low- and middle-income countries and the implications of such associations. Methods We systematically searched eight health and social sciences databases for peer-reviewed literature on menarche and sexual and reproductive health in low- and middle-income countries. Two reviewers independently assessed all studies for inclusion, overall quality and risk of bias, and performed data extraction on all included studies. Results Twenty-four articles met all inclusion criteria–nine of moderate quality and fifteen with several methodological weaknesses. Our review of the minimal existing literature showed that early menarche is associated with early sexual initiation, early pregnancy and some sexually transmitted infections in low- and middle-income countries, similar to what has been observed in high-income countries. Early menarche is also associated with early marriage–an association that may have particularly important implications for countries with high child marriage rates. Conclusions Early age at menarche may be an important factor affecting the sexual and reproductive health of adolescent girls and young women in low- and middle-income countries. More research is needed to confirm the existence of the identified associations across different settings and to better understand the process through which early menarche and other markers of early pubertal development may contribute to the increased vulnerability of girls to negative sexual and reproductive health outcomes in low- and middle-income countries. Given the association of early menarche with early marriage, ongoing efforts to reduce child marriage may benefit from targeting efforts to early maturing girls.
Subject(s):
Menarche
Sexual health
Developing countries
Teenage girls--Health and hygiene
Reproductive health
Publisher DOI:
https://doi.org/10.1371/journal.pone.0178884
Item views
40
Metadata:
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Suggested Citation:
Mobolaji Omowumi Ibitoye, Cecilia Choi, Hina Tai, Grace Lee, Marni Sommer, , Early menarche: A systematic review of its effect on sexual and reproductive health in low- and middle-income countries, Columbia University Academic Commons, .

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