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Age at menarche in Nigerian demographic surveys

Published online by Cambridge University Press:  11 September 2020

Michel Garenne*
Affiliation:
Institut Pasteur, Epidémiologie des Maladies Emergentes, Paris, France Institut de Recherche pour le Développement (IRD), UMI Résiliences, Bondy, France MRC/Wits Rural Public Health and Health Transitions Research Unit, University of the Witwatersrand, Johannesburg FERDI, Université d’Auvergne, Clermont-Ferrand, France
*
Corresponding author. Email: [email protected]

Abstract

Age at menarche was investigated using data collected from demographic surveys (WFS, DHS) conducted in Nigeria between 1982 and 2018, all of which were based on large representative samples of the female population. Linear-logistic regressions were used to estimate mean age at menarche, its trends and its risk factors. Mean age at menarche had underwent a marked secular decline from 15.02 years for girls born in 1933 to 13.78 years for girls born in 2003. In multivariate analysis, height (stature), body mass index (BMI), level of education and household wealth had independent effects on age at menarche, whereas urban residence had no effect. Socioeconomic gradients were large: +9 years of schooling was associated with a –0.52 year decrease in age at menarche, and +2 standard deviations in household wealth with a –0.33 year decrease. The impact of anthropometry was even greater: +2 standard deviations in height was associated with a –0.99 year decrease in age at menarche, and +2 standard deviations in BMI with a –1.42 year decrease. Northern provinces had a higher mean age at menarche than southern provinces. Compared with independent sources, long-term trends in age at menarche, as well as their fluctuations, appeared to be correlated with trends and fluctuations in income per capita and in under-five mortality, but not with divergent trends in adult height.

Type
Research Article
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

Abioye-Kuteyi, EA, Ojofeitimi, EO, Aina, OI, Kio, F, Aluko, Y and Mosuro, O (1997) The influence of socio-economic and nutritional status on menarche in Nigeria school girls. Nutrition and Health 11, 185195.CrossRefGoogle ScholarPubMed
Akachi, Y and Canning, D (2007) The height of women in sub-Saharan Africa: the role of health, nutrition, and income in childhood. Annals of Human Biology 34(4), 397410.CrossRefGoogle ScholarPubMed
Anyanwu, OU, Ibekwe, RC, Nwokocha, AR and Ibe, CB (2016) An assessment of sexual maturation among school girls in Abakaliki Metropolis, Ebonyi State, South-East Nigeria. Nigerian Postgraduate Medical Journal 23(3), 121126.CrossRefGoogle ScholarPubMed
Bellis, MA, Downing, J and Ashton, JR (2006) Adults at 12? Trends in puberty and their public health consequences. Journal of Epidemiology and Community Health 60(11), 910911.CrossRefGoogle ScholarPubMed
Brierre de Boismont, A (1842) De la menstruation considérée dans ses rapports physiologiques et pathologiques [in French]. G. Baillière, Paris, pp. XVI–560.Google Scholar
Dare, FO, Ogunniyi, SO and Makinde, OO (1992) Biosocial factors affecting menarche in a mixed Nigerian population. Central African Journal of Medicine 38(2), 7781.Google Scholar
De La Rochebrochard, É (2000) Age at puberty of girls and boys in France. Measurements from a survey on adolescent sexuality. Population, an English selection 12(1), 5179.Google Scholar
De Muinck Keizer-Schrama, SMPF (2001) Trends in pubertal development in Europe. Human Reproduction Update 7(3), 287291.CrossRefGoogle Scholar
Ducros, A and Pasquet, P (1978) Évolution de l’âge d’apparition des premières règles (ménarche) en France [in French]. Biométrie Humaine 13(1–2), 3543.Google Scholar
Ekele, BA, Udoeyop, EU and Otubu, JA (1996) Age at menarche amongst school girls in a high altitude Nigerian town. West African Journal of Medicine 15(3), 170172.Google Scholar
Ellis, RWB (1950) Age at puberty in the tropics. British Medical Journal 10, 8589.CrossRefGoogle Scholar
Fagbamigbe, AF, Obiyan, MO and Fawole, OI (2018). Parametric survival analysis of menarche onset timing among Nigerian girls. Heliyon 4(12), e01105.CrossRefGoogle ScholarPubMed
Fakeye, O and Fagbule, D (1990) Age and anthropometric status of Nigerian girls at puberty: implication for the introduction of sex education into secondary schools. West African Journal of Medicine 9(3), 226231.Google ScholarPubMed
Freedman, DS, Khan, LK, Serdula, MK, Dietz, WH, Srinivasan, SR and Berenson, GS (2002) Relation of age at menarche to race, time period, and anthropometric dimensions: the Bogalusa Heart Study. Pediatrics 110(4), e43.CrossRefGoogle ScholarPubMed
Frisch, RE (1987) Body fat, menarche, fitness and fertility. Human Reproduction 2(6), 521533.CrossRefGoogle ScholarPubMed
Garenne, M (2007) Health transitions and regressions in Southern Africa. Scandinavian Journal of Public Health 35 (Supplement 69), 6667.CrossRefGoogle Scholar
Garenne, M (2011) Trends in nutritional status of adult women in sub-Saharan Africa. DHS Comparative Reports No 27. ICF Macro, Calverton, MD, USA, p. 115.Google Scholar
Garenne, M (2012) Education and fertility in sub-Saharan Africa: a longitudinal perspective. DHS Analytical Studies No 33. ICF International, Calverton, MD, USA.Google Scholar
Garenne, M (2019) France and Nigeria: two divergent demographic trajectories. In Nwokocha, EE & Fayehun, O (eds) Concise Demography of Nigeria. Bumble Publishing, Nigeria.Google Scholar
Garenne, M (2020) Trends in age at menarche and adult height in selected African countries (1950–1980). Annals of Human Biology, https://doi.org/10.1080/03014460.2020.1716994 CrossRefGoogle Scholar
Garenne, M and Gakusi, E (2005) Reconstructing under-five mortality trends in Africa from demographic sample surveys. DHS Working Paper No 26. IRD-Macro, Calverton, MD, USA.Google Scholar
Garenne, M, Gakusi, E (2006). Health transitions in sub-Saharan Africa: overview of mortality trends in children under-5-years-olds (1950–2000). Bulletin of the WHO 84(6), 470478.Google Scholar
Garenne, M and Hohmann, S (2003) A wealth index to screen high risk families: application to Morocco. Journal of Health, Population and Nutrition 21(3), 235242.Google ScholarPubMed
Gaudineau, A, Ehlinger, V, Vayssière, C, Jouret, B, Arnaud, C and Godeau, E (2010) Âge à la ménarche: résultats français de l’étude [in French]. Gynécologie Obstétrique & Fertilité 38(6), 385387.CrossRefGoogle Scholar
Goon, DT, Toriola, AL, Uever, J, Wuam, S and Toriola, OM (2010) Growth status and menarcheal age among adolescent school girls in Wannune, Benue State, Nigeria. BMC Pediatrics 10, 60.CrossRefGoogle ScholarPubMed
Gray, R (1983) The impact of health and nutrition on natural fertility. In Bulatao, RA & Lee, RD (eds) Determinants of Fertility in Developing Countries. A Summary of Knowledge. Part A. Washington: National Academy Press, National Research Council; Committee on Population and Demography, pp. 115132.Google Scholar
Hohmann, S and Garenne, M (2011) Absolute versus relative measures of poverty. Application to DHS African surveys. Journal of US-China Public Administration 8(7), 748762.Google Scholar
Jacobson-Dickman, E and Lee, MM (2009) The influence of endocrine disruptors on pubertal timing. Current Opinion in Endocrinology, Diabetes, and Obesity 16(1), 2530.CrossRefGoogle ScholarPubMed
Karapanou, O and Papadimitriou, A (2010) Determinants of menarche. Reproductive Biology and Endocrinology 8, 115.CrossRefGoogle ScholarPubMed
Lee, PA, Guo, S and Kulin, H (2001) Age of puberty: data from the United States of America. Acta Pathologica, Microbiologica et Immunologica Scandinavica 109(S103), S156S163.CrossRefGoogle ScholarPubMed
MacMahon, B (1973) Age at menarche: United States. Department of health, Education and welfare (DHEW). Vital and Health Statistics Series 11, Report No 133. National Centre for Health Statistics, Rockville, MD, USA.Google Scholar
Maddison, A (2010) The World Economy. Volume 1: A Millennial Perspective. OECD, Paris.Google Scholar
Modebe, O (1987) The effect of homozygous cell disease on the age at menarche in Nigerians schoolgirls. Annals of Human Biology 14, 181185.CrossRefGoogle Scholar
Moradi, A (2010) Nutritional status and economic development in sub-Saharan Africa, 1950–1980. Economics and Human Biology 8(1), 1629.CrossRefGoogle ScholarPubMed
Morris, DH, Jones, ME, Schoemaker, MJ, Ashworth, A and Swerdlow, AJ (2010) Determinants of age at menarche in the UK: analyses from the Breakthrough Generations Study. British Journal of Cancer 103(11), 17601764.CrossRefGoogle ScholarPubMed
Neal, S, Matthews, Z, Frost, M, Fogstad, H, Camacho, AV and Laski, L (2012) Childbearing in adolescents aged 12–15 years in low resource countries: a neglected issue. New estimates from demographic and household surveys in 42 countries. Acta Obstetricia et Gynecologica Scandinavica 91(9), 11141118.CrossRefGoogle ScholarPubMed
Nwokocha, AR, Chinawa, JM, Ubesie, AC, Onukwuli, VI and Manyike, PC (2016) Pattern of teen menstruation among secondary school girls in south east Nigeria. Journal of Pediatric Endocrinology & Metabolism 29(3), 343350.CrossRefGoogle ScholarPubMed
Oduntan, SO, Ayeni, O and Kale, OO (1976) The age of menarche in Nigerian girls. Annals of Human Biology 3, 269274.CrossRefGoogle ScholarPubMed
Onland-Moret, NC, Peeters, PH, van Gils, CH, Clavel-Chapelon, F, Key, T and Tjønneland, A (2005) Age at menarche in relation to adult height: the EPIC study, American Journal of Epidemiology 162(7), 623632.CrossRefGoogle ScholarPubMed
Onyiriuka, AN and Egbagbe, EE (2013) Anthropometry and menarcheal status of adolescent Nigerian urban senior secondary school girls. International Journal of Endocrinology and Metabolism 11(2), 7175.CrossRefGoogle ScholarPubMed
Rehan, N (1994) Characteristics of the menarche in Hausa girls in Nigeria. Journal of Obstetrics and Gynaecology (Lahore) 14(4), 265268.CrossRefGoogle ScholarPubMed
Shorter, E (1981) L’âge des premières règles en France, 1750–1950 [in French]. Annales Economies, Sociétés, Civilisations 36(3), 495511.CrossRefGoogle Scholar
Sommer, M (2013) Menarche: a missing indicator in population health from low-income countries. Public Health Reports 128(5), 399404.CrossRefGoogle ScholarPubMed
Tanner, JM (1973) Trend towards earlier menarche in London, Olso, Copenhagen, the Netherlands and Hungary. Nature 243(5402), 9596.CrossRefGoogle ScholarPubMed
Tanner, JM (1981) Menarcheal age. Science 214(4521), 604606.CrossRefGoogle ScholarPubMed
Tanner, JM and O’Keeffe, B (1962) Age at menarche in Nigerian school girls with a note on their heights and weights from age 12 to 19. Human Biology 34, 187196.Google ScholarPubMed
Thomas, KD, Okonofua, FE and Chiboka, O (1990) A study of the menstrual patterns of adolescents in Ile-Ife, Nigeria. International Journal of Gynaecology and Obstetrics 33, 3134.CrossRefGoogle ScholarPubMed
Thomas, F, Renaud, F, Benefice, E, De Meeüs, T and Guegan, JF (2001) International variability of ages at menarche and menopause: patterns and main determinants. Human Biology 73(2), 271290.CrossRefGoogle ScholarPubMed
Towne, B, Czerwinski, SA, Demerath, EW, Blangero, J, Roche, AF and Siervogel, RM (2005) Heritability of age at menarche in girls from the Fels Longitudinal Study. American Journal of Physical Anthropology 128, 210219.CrossRefGoogle ScholarPubMed
Tunau, KA, Adamu, AN, Hassan, MA, Ahmed, Y and Ekele, BA (2012) Age at menarche among school girls in Sokoto, Northern Nigeria. Annals of African Medicine 11(2), 103107.CrossRefGoogle ScholarPubMed
Uche, GO and Okorafor, AE (1979) The age of menarche in Nigerian urban schoolgirls. Annals of Human Biology 6, 395398.CrossRefGoogle Scholar
UNPD (2019) World Population Prospects: 2019 Revision. United Nations, Department of Economic and Social Affairs, Population Division (UNPD), New York.Google Scholar
Woldemichael, G (2010) Teenage childbearing and its health consequences on the mother and child in Eritrea. Journal of the Eritrean Medical Association 1(1), 5358.CrossRefGoogle Scholar
World Bank (2019) World Development Indicators. World Bank, Washington DC.Google Scholar
Wyshak, G and Frisch, RE (1982) Evidence for a secular trend in age of menarche. New England Journal of Medicine 306, 10331035.CrossRefGoogle ScholarPubMed
Zacharias, L and Wurtman, R (1969) Age at menarche: genetic and environmental influences. New England Journal of Medicine 280(16), 868875.CrossRefGoogle Scholar