R. Kaltiala-heino et al., Early puberty and early sexual activity are associated with bulimic-type eating pathology in middle adolescence, J ADOLES H, 28(4), 2001, pp. 346-352
Purpose: To examine the associations between early pubertal timing and earl
y advanced sexual development with bulimic-type eating pathology in middle
adolescents.
Methods: A total of 19,321 boys and 19,196 girls aged 14-16 years (mean age
15.3 years, standard deviation 0.59) responded to the School Health Promot
ion Study, a class-room survey among Finnish adolescents about health, heal
th behavior, and school experiences. Bulimic-type eating pathology was asse
ssed with a questionnaire formulated according to the fourth edition of the
Diagnostic and Statistical Manual for Mental Disorders IV (DSM-IV) criteri
a. Pubertal timing was assessed by self-reported age at menarche or oigarch
e. Statistical methods were used chi-square and logistic regression.
Results: Bulimic-type eating pathology among girls was associated with earl
y menarche, early sexual experiences, and increasing age. Among boys, onset
of ejaculations at the normative age was protective for bulimic-type eatin
g pathology, and the risk was elevated among very early and late maturers.
Early sexual experience was associated with bulimic-type eating pathology.
Conclusion: To prevent bulimia nervosa and to create opportunities for earl
y intervention, attention should be paid to early maturing girls and off-ti
me maturing boys, as well as those with early onset of sexual activity. (C)
Society for Adolescent Medicine, 2001.