Tavares C H, Haeffner L S, Barbieri M A, Bettiol H, Barbieri M R, Souza L
Departamento de Puericultura e Pediatria, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, 14049-900, Brasil.
Cad Saude Publica. 2000 Jul-Sep;16(3):709-15. doi: 10.1590/s0102-311x2000000300019.
The purpose of this study was to determine the 3rd percentile (P3), 50th percentile (P50 = median age at menarche = MAM), and amplitude between the extremes (P97 and P3) of age at menarche among schoolgirls in the county of Barrinha, São Paulo, Brazil. Values were correlated with socioeconomic conditions such as social class, number of siblings, and father's employment status. This was a cross-sectional study based on the use of status quo adjusted by logit for calculation of percentiles. A questionnaire was applied to 1,602 schoolgirls aged 8 to 17 years (incomplete). MAM was 12 years (y) and 6 months (m), with a P97 of 10 y and 2 m and a P3 of 14 y and 10 m. Girls from lower-income families and those with unemployed fathers showed later MAM. No difference in MAM was observed with respect to number of siblings. Amplitude between P97 ad P3 was great in the overall sample. We conclude that Barrinha presented a MAM similar to and even lower than regional values for Brazil and for some developed countries. The study of the interval between extreme percentiles proved to be a better indicator of biological diversity and socioeconomic inequality than MAM alone.
本研究旨在确定巴西圣保罗州巴林尼亚县女学生月经初潮年龄的第3百分位数(P3)、第50百分位数(P50 = 月经初潮的中位年龄 = MAM)以及极端值(P97和P3)之间的幅度。这些数值与社会经济状况相关,如社会阶层、兄弟姐妹数量和父亲的就业状况。这是一项横断面研究,基于使用经对数单位调整的现状来计算百分位数。对1602名8至17岁的女学生(数据不完整)进行了问卷调查。MAM为12岁6个月,P97为10岁2个月,P3为14岁10个月。来自低收入家庭的女孩和父亲失业的女孩月经初潮年龄较晚。未观察到兄弟姐妹数量对MAM有影响。总体样本中P97和P3之间的幅度较大。我们得出结论,巴林尼亚的MAM与巴西及一些发达国家的地区值相似甚至更低。对极端百分位数之间区间的研究被证明是比单独的MAM更好的生物多样性和社会经济不平等指标。