Secular Trends and Socioeconomic Differentials in Menarcheal Age for South Korean Women

  • Heeran CHUN Dept. of Health Administration, Jungwon University, Chungbuk, Korea
  • Eunhee SHIN Dept. of Nursing Science, Sangji University, Wonju, Korea
Keywords: Menarche, Trends, Socioeconomic factors


 Background: In this study, we assessed the secular trends and socioeconomic differentials in menarcheal age among women aged 25-64 year.Methods: Using the 5th Korea National Health and Nutrition Examination Survey (KNHANES, 2010-2012), bivariate analysis and one-way analysis of variance were used to test the statistical differences between age groups.Results: The mean age at menarche was 14.3 yr with a steep decrease in the younger cohort: from 15.9 yr in 1951-1955 to 13.1 yr in 1986-1990. Height as a proxy marker for early nutrition showed an inverse relationship with menarcheal age. The earlier menarcheal age patterns in women of higher socioeconomic position were observed according to one's education, monthly family income, occupation, region (urban vs. rural), and parental education.Conclusion: This result suggests a fast and ongoing trend in age at menarche and the socioeconomic discrepancy among Korean women in the last four decades.  


Sloboda DM, Hart R, Doherty DA et al (2007). Age at menarche: Influences of prenatal and postnatal growth. J Clin En-docrinol Metab, 92:46-50.

Thomas F, Renaud F, Benefice E et al (2001). International variability of ages at menar-che and menopause: Patterns and main determinants. Hum Biol,73:271-90.

Speroff L, Fritz MA (2005). Clinical gynaecologic endocrinology and infertili-ty. 7th edn, Lippincott Williams & Wil-kins, Philadelphia, USA, pp. 366–70.

Cabanes A, Ascunce N, Vidal E et al (2009). Decline in age at menarche among Span-ish women born from 1925 to 1962. BMC Public Health, 9: 449.

Demerath EW, Towne B, Chumlea WC et al (2004). Recent decline in age at menarche: the Fels Longitudinal Study. Am J Hum Biol, 16: 453–7.

Fredriks AM, van Buuren S, Burgmeijer RJ et al (2000). Continuing positive secular growth change in The Netherlands 1955–1997. Pediatr Res, 47: 316–23.

Herman-Giddens ME (2006). Recent data on pubertal milestones in United States children: the secular trend toward earlier development. Int J Androl, 29: 241–6.

McDowell MA, Brody DJ, Hughes JP (2007). Has age at menarche changed? Results from the National Health and Nutrition Examination Survey (NHANES) 1999–2004. J Adolesc Health, 40: 227–31.

Ong KK, Ahmed ML, Dunger DB (2006). Lessons from large population studies on timing and tempo of puberty (secular trends and relation to body size): The European trend. Mol Cell Endocrinol, 254-255: 8-12.

Adair LS (2001). Size at birth predicts age at menarche. Pediatrics, 107:E59.

Baum CL 2nd, Ruhm CJ (2009). Age, socio-economic status and obesity growth. J Health Econ, 28:635–48.

Murasko JE (2009). Socioeconomic status, height, and obesity in children. Econ Hum Biol, 7:376–86.

Freedman DS, Khan LK, Serdula MK et al (2003). The relation of menarcheal age to obesity in childhood and adulthood: the Bogalusa heart study. BMC Pediatr, 3:3.

Kaplowitz PB (2008). Link between body fat and the timing of puberty. Pediatrics, 3: S208–17.

Wattigney WA, Srinivasan SR, Chen W et al (1999). Secular trend of earlier onset of menarche with increasing obesity in black and white girls: the Bogalusa Heart Study. Ethn Dis, 9:181–9.

Comings DE, Muhleman D, Johnson JP et al (2002). Parent-daughter transmission of the androgen receptor gene as an ex-planation of the effect of father absence on age of menarche. Child Dev, 73:1046–51.

Kim K, Smith PK (1998). Childhood stress, behavioural symptoms and mother-daughter pubertal development. J Adolesc, 21:231–40.

Cho GJ, Park HT, Shin JH et al (2010). Age at menarche in a Korean population: sec-ular trends and influencing factors. Eur J Pediatr, 169(1):89-94.

Hwang JY, Shin C, Frongillo EA et al (2003). Secular trend in age at menarche for South Korean women born between 1920 and 1986: the Ansan Study. Ann Hum Biol, 30(4):434-42.

Kweon S, Kim Y, Jang MJ et al (2014). Data resource profile: the Korea. National Health and Nutrition Examination Survey (KNHANES). Int J Epidemiol, 43(1):69-77.

Kac G, Auxiliadora de Santa Cruz Coel, Ve-lasquez-Melendez G (2000). Secular trend in age at menarche for women born be-tween 1920 and 1979 in Rio de Janeiro, Brazil. Ann Hum Biol, 27(4):423-8.

Rosenberg M (1991). Menarcheal age for Norwegian women born 1830-1960. Ann Hum Biol, 18(3):207-19.

Jones LL, Griffiths PL, Norris SA et al (2009). Age at menarche and the evidence for a positive secular trend in urban South Africa. Am J Hum Biol, 21:130–2.

Graham MJ, Larsen U, Xu X (1999). Secular trend in age at menarche in China: a case study of two rural counties in Anhui Province. J Biosoc Sci, 31:257–67.

Mul D, Fredriks AM, van Buuren S et al (2001). Pubertal development in The Netherlands 1965–1997. Pediatr Res, 50:479–86.

Tsuzaki S, Matsuo N, Ogata T et al (1989). Lack of linkage between height and weight and age at menarche during the secular shift in growth of Japanese chil-dren. Ann Hum Biol, 16(5):429-36.

Chavarro J, Villamor E, Naraez J et al (2004). Socio-demographic predictors of age at menarche in a group of Columbian Uni-versity women. Ann Hum Biol, 31:245–57.

Pasquet P, Biyong AM, Rikong-Adie H et al (1999). Age at menarche and urbanisation in Cameroon, current status and secular trends. Ann Hum Biol, 26:89–97.

Bielicki T (1998). Growth as an indicator of social inequalities. In: Ulijaszek SJ, John-ston FE, Preece MA (eds.) The Cam-bridge encyclopedia of human growth and development. Cambridge: Cam-bridge University Press, pp. 54–7.

French SA, Story M, Jeffery RW (2001). En-vironmental influences on eating and physical activity. Annu Rev Public Health, 22:309–35.

Marrodan MD, Mesa MS, Arechiga J, Perez-Magdaleno A (2000). Trend in menarche-al age in Spain, rural and urban compari-son during a recent period. Ann Hum Biol, 27:313–9.

Padez C, Rocha MA (2003). Age at menar-che in Coimbra (Portugal) schoolgirls: a note on the secular change. Ann Hum Biol, 30:622–32.

Hesketh T, Ding QJ, Tomkins A (2002). Growth status and menarche in urban and rural China. Ann Hum Biol, 29:348–52.

Koprowski C, Coates RJ, Bernstein L (2001). Ability of young women to recall past body size and age at menarche. Obes Res, 9:478–85.

Must A, Phillips SM, Naumova EN et al (2002). Recall of early menstrual history and menarcheal body size: after 30 yr, how well do women remember? Am J Epidemiol, 155:672–9.

How to Cite
CHUN H, SHIN E. Secular Trends and Socioeconomic Differentials in Menarcheal Age for South Korean Women. IJPH. 47(9):1253-9.
Original Article(s)