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So Young Roh 1 Article
Sexual maturation, Body image, and Self-esteem among Girls of Lower Grades in Elementary School
So Young Roh, Kye Ha Kim
J Korean Acad Community Health Nurs. 2012;23(4):405-414.   Published online December 31, 2012
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AbstractAbstract PDF
The purpose of this study was to examine the sexual maturation, body image, and self-esteem of Korean elementary school girls with symptoms of precocious puberty compared to those with no symptoms of precocious puberty.
The subjects were 309 girls of lower grades in elementary school. Tanner's Sexual Maturation Rating (SMR), Self Image Scale, and Self-esteem Scale were utilized to determine the presence of symptoms of precocious puberty, body image, and self esteem. Collected data were analyzed by Chi-square test, independent t-test, and one-way ANOVA using the SPSS/WIN 17.0 program.
The percentage of the girls with breast development was 14.9%. Breast development usually began in the third grade (56.5%). Of the subjects, 0.3% were experiencing menstruation. Breast development was related to grade, age, height, weight, and a cause of worry. There was a significant difference of body image between girls with breast development in the first grade and in the second grade.
An effective intervention that can improve the self-image of children with symptoms of precocious puberty should be developed to prevent and treat physical and mental problems related to sexual maturation.


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  • Experiences of Precocious Puberty in Primary School Girls with Hormone Therapeutics
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  • Sexual Maturation, Attitudes towards Sexual Maturity, and Body Esteem in Elementary-School Children
    Sunah Park, Eunyoung Choi, Eunhee Lee, Mikyeong Byeon, Byeongju Lee, Kyea Jung
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  • Association of Sexual Maturation and Parent-Child Communication on Maturity Fears in Elementary School Girls
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RCPHN : Research in Community and Public Health Nursing