Impacts of a puberty and period education intervention among 9- to 12-year-old girls in the New York metropolitan area: a randomized trial

Abstract Objectives To evaluate the immediate impacts of an illustrated book on puberty and periods for girls in the United States (US). Methods We conducted a randomized educational intervention between February–May 2023 among girls ages 9–12 years in after-school programs in the New York metropoli...

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Main Authors: Angela-Maithy N. Nguyen, Micaela Camozzi, Marni Sommer
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-024-21167-4
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author Angela-Maithy N. Nguyen
Micaela Camozzi
Marni Sommer
author_facet Angela-Maithy N. Nguyen
Micaela Camozzi
Marni Sommer
author_sort Angela-Maithy N. Nguyen
collection DOAJ
description Abstract Objectives To evaluate the immediate impacts of an illustrated book on puberty and periods for girls in the United States (US). Methods We conducted a randomized educational intervention between February–May 2023 among girls ages 9–12 years in after-school programs in the New York metropolitan area (n = 123). Girls were assigned to read a book on puberty and periods or an alternative book on healthy eating. We conducted multivariate linear and logistic models to examine changes in knowledge, beliefs/attitudes, and comfort in communicating about puberty and periods between treatment groups using pre- and post-test surveys. We also examined for effect measure modification to assess if changes in knowledge about puberty and periods significantly differed by menarchal status. Results The intervention produced an increase in knowledge score (p < 0.05). Girls in the treatment group compared to the control group were more likely to report positive shifts in beliefs/attitudes towards physical activity during their period and asking questions about periods. Knowledge scores were significantly higher among girls of pre-menarche status compared to girls who had already experienced their first period (p = 0.05). Conclusion Findings from our educational intervention demonstrated that a simple distribution of an illustrated puberty and period book, without the support of formal instruction, had positive attitude shifts and educational impacts among girls ages 9–12 years. The intervention was efficacious in improving knowledge, particularly among girls who had not yet experienced their first period. Follow-up is needed to assess long-term health and social impacts of simple delivery of pubertal content to adolescents. Our study contributes to filling the gap in understanding the utility of puberty education in the US and our findings underscore the importance of appropriately timed puberty education.
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spelling doaj-art-0fbdaef855624bdfb9f1e07883253a562025-01-12T12:42:27ZengBMCBMC Public Health1471-24582025-01-0125111110.1186/s12889-024-21167-4Impacts of a puberty and period education intervention among 9- to 12-year-old girls in the New York metropolitan area: a randomized trialAngela-Maithy N. Nguyen0Micaela Camozzi1Marni Sommer2Department of Sociomedical Sciences, Mailman School of Public Health, Columbia UniversityDepartment of Sociomedical Sciences, Mailman School of Public Health, Columbia UniversityDepartment of Sociomedical Sciences, Mailman School of Public Health, Columbia UniversityAbstract Objectives To evaluate the immediate impacts of an illustrated book on puberty and periods for girls in the United States (US). Methods We conducted a randomized educational intervention between February–May 2023 among girls ages 9–12 years in after-school programs in the New York metropolitan area (n = 123). Girls were assigned to read a book on puberty and periods or an alternative book on healthy eating. We conducted multivariate linear and logistic models to examine changes in knowledge, beliefs/attitudes, and comfort in communicating about puberty and periods between treatment groups using pre- and post-test surveys. We also examined for effect measure modification to assess if changes in knowledge about puberty and periods significantly differed by menarchal status. Results The intervention produced an increase in knowledge score (p < 0.05). Girls in the treatment group compared to the control group were more likely to report positive shifts in beliefs/attitudes towards physical activity during their period and asking questions about periods. Knowledge scores were significantly higher among girls of pre-menarche status compared to girls who had already experienced their first period (p = 0.05). Conclusion Findings from our educational intervention demonstrated that a simple distribution of an illustrated puberty and period book, without the support of formal instruction, had positive attitude shifts and educational impacts among girls ages 9–12 years. The intervention was efficacious in improving knowledge, particularly among girls who had not yet experienced their first period. Follow-up is needed to assess long-term health and social impacts of simple delivery of pubertal content to adolescents. Our study contributes to filling the gap in understanding the utility of puberty education in the US and our findings underscore the importance of appropriately timed puberty education.https://doi.org/10.1186/s12889-024-21167-4Puberty educationAdolescent healthEducational interventionMenstrual healthEarly adolescence
spellingShingle Angela-Maithy N. Nguyen
Micaela Camozzi
Marni Sommer
Impacts of a puberty and period education intervention among 9- to 12-year-old girls in the New York metropolitan area: a randomized trial
BMC Public Health
Puberty education
Adolescent health
Educational intervention
Menstrual health
Early adolescence
title Impacts of a puberty and period education intervention among 9- to 12-year-old girls in the New York metropolitan area: a randomized trial
title_full Impacts of a puberty and period education intervention among 9- to 12-year-old girls in the New York metropolitan area: a randomized trial
title_fullStr Impacts of a puberty and period education intervention among 9- to 12-year-old girls in the New York metropolitan area: a randomized trial
title_full_unstemmed Impacts of a puberty and period education intervention among 9- to 12-year-old girls in the New York metropolitan area: a randomized trial
title_short Impacts of a puberty and period education intervention among 9- to 12-year-old girls in the New York metropolitan area: a randomized trial
title_sort impacts of a puberty and period education intervention among 9 to 12 year old girls in the new york metropolitan area a randomized trial
topic Puberty education
Adolescent health
Educational intervention
Menstrual health
Early adolescence
url https://doi.org/10.1186/s12889-024-21167-4
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