Self-assessment of sexual maturation in Thai children by Tanner photograph.

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dc.contributor.authorWacharasindhu, Suttipongen_US
dc.contributor.authorPri-Ngam, Praneeen_US
dc.contributor.authorKongchonrak, Thidaen_US
dc.date.accessioned2009-05-27T17:58:36Z
dc.date.available2009-05-27T17:58:36Z
dc.date.issued2002-03-16en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractAssessment of sexual maturation in adolescence is crucially important in clinical practice, because the possibility of concealed disease during the earlier period of child development needs to be detected. However, to undress children sometimes is problematic and unethical in several countries. Therefore, in this study the authors evaluated the concordance between children's self-assessment by Tanner photograph with a written description, and examination by pediatricians. One hundred and ninety four children (100 girls, 94 boys), aged 7-15 years, were recruited in this study. The outcome demonstrated that the two processes of investigation were in good concord: the weight kappa of 0.76 and 0.79 for the breast stage (B) and pubic hair stage (PH), respectively, in girls. In boys, the weight kappa were 0.59 and 0.73 for genital stage (G) and pubic hair (PH) stage, respectively. However, the weight kappa for genital stage was improved after the subjects were provided more time to examine themselves before choosing the photograph. In girls, the mean chronological age (CA) for B stage II, III, IV was 10.4+/-1.3, 12.5+/-1.3, 13.6+/-0.7 years and for PH stage II, III, IV was 11.9+/-1.4, 12.9+/-1.2, 13.5+/-0.9 years. The normal CA for the onset of puberty in girls was between 7.8-13.0 years. In boys, the mean CA for G stage II, III, IV was 11.3+/-1.7, 12.4+/-1.2, 13.2+/-1.2 years, and for PH II, III, IV was 12.2+/-1.3, 13.1+/-1.0, 13.9+/-1.7 years. The normal CA for the onset of puberty in boys was 7.9-14.7 years. In addition, the authors constructed the normal value for penile length in Thai boys, aged between 9-15 years, to be used as a reference. Therefore, this study demonstrated a good concordance between the self-assessment by Tanner photograph and examination by pediatricians. This can be applied for use in filed research, school screening and clinical practice.en_US
dc.description.affiliationDepartment of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.en_US
dc.identifier.citationWacharasindhu S, Pri-Ngam P, Kongchonrak T. Self-assessment of sexual maturation in Thai children by Tanner photograph. Journal of the Medical Association of Thailand. 2002 Mar; 85(3): 308-19en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/38196
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshAdolescenten_US
dc.subject.meshBreast --growth & developmenten_US
dc.subject.meshChilden_US
dc.subject.meshFemaleen_US
dc.subject.meshGenitalia, Male --growth & developmenten_US
dc.subject.meshHair --physiologyen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshPhotographyen_US
dc.subject.meshPhysical Examinationen_US
dc.subject.meshPilot Projectsen_US
dc.subject.meshSexual Maturationen_US
dc.titleSelf-assessment of sexual maturation in Thai children by Tanner photograph.en_US
dc.typeJournal Articleen_US
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