Abstract

Early and late puberty pose a risk for many problems later in life. Various theories suggest that child sexual abuse victimization may either accelerate or delay the onset of puberty. This systematic literature review examines the relationship between child sexual abuse victimization and age of onset of puberty in girls. Fourteen scientific studies were included and analyzed. There is an association between child sexual abuse victimization and early age at menarche in girls, but there is insufficient evidence for an association with puberty onset in general. These findings may inform more effective prevention, identification, and assistance to victims of child sexual abuse.

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