ArticleWorld journal of pediatrics : WJP2023
Secular trends and urban-rural disparities in the median age at menarche among Chinese han girls from 1985 to 2019.
Article in World journal of pediatrics : WJP, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Age at menarche and depression: an updated systematic review and meta-analysis.Archives of women's mental health · 2025Pooled it
- Assessment of the differences in Mean Age at Menarche (MAM) among adolescent girls in rural and urban Nigeria: a systematic review.BMC public health · 2024Pooled it
- Early in, early out: reproductive lifespan timing and cardiometabolic risk in women.Journal of endocrinological investigation · 2026Review
- Spatiotemporal Patterns of Age at Menarche or Spermarche in Chinese Children and Adolescents and Socioeconomic and Environmental Determinants: Findings from a Series of Nation-Wide Surveys, 1995 to 2019.Environment & health (Washington, D.C.) · 2026Article
- Secular trends and ethnic disparities in age at menarche among ethnic minority girls in China: a 35-year nationwide repeated cross-sectional study from 1985 to 2019.Journal of global health · 2026Article
- Genetic insights into the relationship between age at menarche and mental health-related phenotypes.European psychiatry : the journal of the Association of European Psychiatrists · 2026Article
- Article
- The early onset of puberty and at the early onset of myopia: a cross-sectional evidence from girls at age 12 in Chongqing, China.Frontiers in medicine · 2026Article
- Trends and distributional characteristics in handgrip strength of 1,082,296 children and adolescents in China: an analysis from five representative cross-sectional surveys from 2000 to 2019.BMC public health · 2025Article
- The incidence of early and precocious puberty of children in two Chinese cities: a multi-center prospective cohort study.BMC endocrine disorders · 2025Article
- Secular trends in age at menarche among Han Chinese females in Shanghai: a large-scale community-based study.BMC women's health · 2025Article
- Trends in meat consumption and its association with menarche timing: findings from CHNS 1997-2015.Scientific reports · 2025Article
- Population-based trends and distributional characteristics in sit-ups performance among school-aged girls in urban China over three decades.Scientific reports · 2025Article
- Association between age at menarche and the risk of myopia at the age of 15 in Chongqing, China: a cross-sectional study.Frontiers in medicine · 2025Article
- Socioeconomic Status and Age at Menarche in Türkiye.American journal of human biology : the official journal of the Human Biology Council · 2025Article
- Decomposition analysis of anxiety symptom differences between urban and rural Chinese university students: cross-sectional study.Frontiers in psychiatry · 2025Article
- Association between BMI and age at menarche or spermarche among both sexes: Findings from six successive national surveys in China.Journal of global health · 2024Article
- Long-term exposure to ambient PMBMC public health · 2024Article
- Article
- Temporal changes in the physical fitness of Chinese adolescents aged 13-18 years: an analysis of eight national successive surveys over three decades.Frontiers in public health · 2024Article
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Authors and funding
10 authors.
Funding
Abstract
backgroundMenarche is a substantial milestone of female puberty. Timing of age at menarche is considered the key to understanding the potential linkages with women's health outcomes later in life. This study aimed to explore the secular trends and urban‒rural disparities in the median age at menarche among Chinese Han girls from 1985 to 2019.
methodsData were extracted from the 1985, 1995, 2005, 2014, and 2019 Chinese National Surveys on Students' Constitution and Health, which were nationally representative cross-sectional studies, and a total of 173,535 Han girls aged 9-18 years were examined. Girls were asked whether menarche had occurred. The median age at menarche was estimated by probit analysis. Z tests were used to compare the differences between survey years and between urban and rural areas.
resultsThe median age at menarche among Chinese Han girls decreased from 13.37 years in 1985 to 12.00 years in 2019, and the overall decrease was more significant in rural areas (1.77 years) than in urban areas (0.99 years). The average five-year change in the decrease in the median age at menarche showed an accelerating and then slowing pace; and it was observed similarly in both urban and rural areas. The urban‒rural disparities shrank from 0.64 years in 1985 to 0.44 years in 1995, then to 0.27 years in 2005, 0.24 years in 2014, and finally to - 0.14 years in 2019.
conclusionsThe median age at menarche among Chinese Han girls continued to decline from 1985 to 2019 but at a slowing pace in the last five years. Urban‒rural disparities gradually narrowed. Sexual and reproductive health education and interventions to prevent the decline in the age of menarche are needed, especially in rural areas.
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