Childhood Sexual Abuse and Early Timing of Puberty.
The purpose was to examine whether the timing of puberty, indexed by breast development and pubic hair development, was earlier for sexually abused females compared with a matched comparison group of nonabused females, controlling for key alternative confounds.



A cohort of sexually abused females and matched comparisons was followed longitudinally at mean ages 11 through 20 years. Sexually abused participants (N = 84) were referred by protective services. Comparison participants (N = 89) were recruited to be comparable in terms of age, ethnicity, income level, family constellation, zip codes, and nonsexual trauma histories. Stage of puberty was indexed at each assessment by nurse and participant ratings of breast and pubic hair development using Tanner staging-the gold standard for assessing pubertal onset and development. Cumulative logit mixed models were used to estimate the association between sexual abuse status and the likelihood of transitioning from earlier to later Tanner stage categories controlling for covariates and potential confounds.



Sexual abuse was associated with earlier pubertal onset: 8 months earlier for breasts (odds ratio: 3.06, 95% CI: 1.11-8.49) and 12 months earlier for pubic hair (odds ratio: 3.49, 95% CI: 1.34-9.12). Alternative explanations including ethnicity, obesity, and biological father absence did not eradicate these findings.



This study confirms an association between exposure to childhood sexual abuse and earlier pubertal onset. Results highlight the possibility that, due to this early onset, sexual abuse survivors may be at increased risk for psychosocial difficulties, menstrual and fertility problems, and even reproductive cancers due to prolonged exposure to sex hormones.
Department of Human Development and Family Studies, The Pennsylvania State University College of Health and Human Development, University Park, Pennsylvania. Electronic address: jgn3@psu.edu.
Jennie G
JG
Noll
School of Social Work, University of Southern California, Los Angeles, California.
Penelope K
PK
Trickett
Department of Psychiatry, University of Iowa Carver College of Medicine, Iowa City, Iowa; Department of Biostatistics, University of Iowa College of Public Health, Iowa City, Iowa.
Jeffrey D
JD
Long
School of Social Work, University of Southern California, Los Angeles, California.
Sonya
S
Negriff
Department of Biobehavioral Health, The Pennsylvania State University College of Health and Human Development, University Park, Pennsylvania.
Elizabeth J
EJ
Susman
Department of Biobehavioral Health, The Pennsylvania State University College of Health and Human Development, University Park, Pennsylvania.
Idan
I
Shalev
Department of Human Development and Family Studies, The Pennsylvania State University College of Health and Human Development, University Park, Pennsylvania.
Jacinda C
JC
Li
Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill, North Carolina.
Frank W
FW
Putnam
D000293:Adolescent; D000328:Adult; D002648:Child; D015331:Cohort Studies; D004219:District of Columbia; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D011627:Puberty; D012742:Sex Offenses; D013995:Time; D055815:Young Adult
Female; Puberty; Sexual abuse