Nongenetic determinants of age at menarche: a systematic review.

Biomed Res Int · 2014 · PMC4094877 · PMID 25050345

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a positive trendno p-value reported

Lower AAM is considered as a positive trend reflecting better socioeconomic conditions and welfare in the countries where famine, drought, and local conflicts are still serious problems.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.