{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T22:15:46Z","timestamp":1783635346401,"version":"3.55.0"},"reference-count":26,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T00:00:00Z","timestamp":1776470400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100007172","name":"Cincinnati Children's Hospital Medical Center","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007172","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jpeds.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Pediatrics"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.jpeds.2026.115116","type":"journal-article","created":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T15:56:16Z","timestamp":1776873376000},"page":"115116","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Examining Racial and Ethnic Differences in Referral and Management of Central Precocious Puberty in a Pediatric Endocrinology Clinic"],"prefix":"10.1016","volume":"295","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4981-1491","authenticated-orcid":false,"given":"Chineze","family":"Ebo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gajanthan","family":"Muthuvel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordyn","family":"McCray","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Penix","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsey","family":"Hornung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nana-Hawa","family":"Yayah Jones","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iris","family":"Gutmark-Little","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jpeds.2026.115116_bib1","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1007\/s40272-015-0130-8","article-title":"Central precocious puberty: update on diagnosis and treatment","volume":"17","author":"Chen","year":"2015","journal-title":"Paediatr Drugs"},{"key":"10.1016\/j.jpeds.2026.115116_bib2","series-title":"StatPearls [Internet]","article-title":"Precocious puberty","author":"Kota","year":"2023"},{"key":"10.1016\/j.jpeds.2026.115116_bib3","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1515\/jpem-2016-0425","article-title":"Assessment of stress levels in girls with central precocious puberty before and during long-acting gonadotropin-releasing hormone agonist treatment: a pilot study","volume":"30","author":"Menk","year":"2017","journal-title":"J Pediatr Endocrinol Metab"},{"key":"10.1016\/j.jpeds.2026.115116_bib4","doi-asserted-by":"crossref","first-page":"914","DOI":"10.1177\/00099228221149551","article-title":"A clinical study of girls with idiopathic central precocious puberty and psychological behavior problems","volume":"62","author":"Xie","year":"2023","journal-title":"Clin Pediatr (Phila)"},{"key":"10.1016\/j.jpeds.2026.115116_bib5","doi-asserted-by":"crossref","first-page":"2198","DOI":"10.1210\/jc.2013-1024","article-title":"Treatment and outcomes of precocious puberty: an update","volume":"98","author":"Fuqua","year":"2013","journal-title":"J Clin Endocrinol Metab"},{"key":"10.1016\/j.jpeds.2026.115116_bib6","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1016\/j.jadohealth.2020.07.016","article-title":"Pubertal growth, IGF-1, and windows of susceptibility: puberty and future breast cancer risk","volume":"68","author":"Biro","year":"2021","journal-title":"J Adolesc Health"},{"key":"10.1016\/j.jpeds.2026.115116_bib7","doi-asserted-by":"crossref","first-page":"25","DOI":"10.4306\/pi.2012.9.1.25","article-title":"Psychosocial aspects in girls with idiopathic precocious puberty","volume":"9","author":"Kim","year":"2012","journal-title":"Psychiatry Investig"},{"key":"10.1016\/j.jpeds.2026.115116_bib8","doi-asserted-by":"crossref","first-page":"718","DOI":"10.1097\/01.chi.0000120022.14101.11","article-title":"Is pubertal timing associated with psychopathology in young adulthood?","volume":"43","author":"Graber","year":"2004","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"10.1016\/j.jpeds.2026.115116_bib9","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1111\/cdev.13221","article-title":"Perceptions of pubertal timing and discrimination among African American and Caribbean Black girls","volume":"90","author":"Seaton","year":"2019","journal-title":"Child Dev"},{"key":"10.1016\/j.jpeds.2026.115116_bib10","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1542\/peds.99.4.505","article-title":"Secondary sexual characteristics and menses in young girls seen in office practice: a study from the Pediatric Research in Office Settings network","volume":"99","author":"Herman-Giddens","year":"1997","journal-title":"Pediatrics"},{"key":"10.1016\/j.jpeds.2026.115116_bib11","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1016\/j.jadohealth.2022.10.013","article-title":"Neighborhood racial and economic privilege and timing of pubertal onset in girls","volume":"72","author":"Acker","year":"2023","journal-title":"J Adolesc Health"},{"key":"10.1016\/j.jpeds.2026.115116_bib12","article-title":"AAP perspective: race-based medicine","volume":"148","year":"2021","journal-title":"Pediatrics"},{"key":"10.1016\/j.jpeds.2026.115116_bib13","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2021-055595","article-title":"Are Black girls exhibiting puberty earlier? Examining implications of race-based guidelines","volume":"150","author":"Osinubi","year":"2022","journal-title":"Pediatrics"},{"key":"10.1016\/j.jpeds.2026.115116_bib14","article-title":"Eliminating race-based medicine","volume":"150","author":"Roberts","year":"2021","journal-title":"Pediatrics"},{"key":"10.1016\/j.jpeds.2026.115116_bib15","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1542\/pir.2020-004366","article-title":"The intersection of race, racism, and child and adolescent health","volume":"43","author":"Jindal","year":"2022","journal-title":"Pediatr Rev"},{"key":"10.1016\/j.jpeds.2026.115116_bib16","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2019-1765","article-title":"The impact of racism on child and adolescent health","volume":"144","author":"Trent","year":"2019","journal-title":"Pediatrics"},{"key":"10.1016\/j.jpeds.2026.115116_bib17","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/j.annepidem.2018.11.008","article-title":"Material community deprivation and hospital utilization during the first year of life: an urban population-based cohort study","volume":"30","author":"Brokamp","year":"2019","journal-title":"Ann Epidemiol"},{"key":"10.1016\/j.jpeds.2026.115116_bib18","series-title":"QuickFacts: cincinnati city, Ohio","year":"2024"},{"key":"10.1016\/j.jpeds.2026.115116_bib19","doi-asserted-by":"crossref","DOI":"10.1016\/j.psyneuen.2022.105727","article-title":"Association between racial\/ethnic discrimination and pubertal development in early adolescence","volume":"140","author":"Argabright","year":"2022","journal-title":"Psychoneuroendocrinology"},{"key":"10.1016\/j.jpeds.2026.115116_bib20","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-025-00378-8","article-title":"Associations between structural stigma and earlier pubertal timing persist for 1 year among Black girls and latinx youth","volume":"15","author":"Martino","year":"2025","journal-title":"Sci Rep"},{"key":"10.1016\/j.jpeds.2026.115116_bib21","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1055\/s-0033-1348891","article-title":"Racial disparities in pubertal development","volume":"31","author":"Ramnitz","year":"2013","journal-title":"Semin Reprod Med"},{"key":"10.1016\/j.jpeds.2026.115116_bib22","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1016\/j.jpeds.2021.04.034","article-title":"Racial and ethnic disparities in the investigation and treatment of growth hormone deficiency","volume":"236","author":"Hawkes","year":"2021","journal-title":"J Pediatr"},{"key":"10.1016\/j.jpeds.2026.115116_bib23","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1542\/peds.2014-1774","article-title":"T1D Exchange Clinic Network. Racial-ethnic disparities in management and outcomes among children with type 1 diabetes","volume":"135","author":"Willi","year":"2015","journal-title":"Pediatrics"},{"key":"10.1016\/j.jpeds.2026.115116_bib24","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1542\/peds.111.1.47","article-title":"Are pubertal changes in girls before age 8 benign?","volume":"111","author":"Midyett","year":"2003","journal-title":"Pediatrics"},{"key":"10.1016\/j.jpeds.2026.115116_bib25","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.jadohealth.2022.03.017","article-title":"Reframing \u201cnormal\u201d puberty: pivoting from a White standard","volume":"71","author":"Creo","year":"2022","journal-title":"J Adolesc Health"},{"key":"10.1016\/j.jpeds.2026.115116_bib26","doi-asserted-by":"crossref","first-page":"936","DOI":"10.1542\/peds.104.4.936","article-title":"Drug and Therapeutics and Executive Committees of the Lawson Wilkins Pediatric Endocrine Society. Reexamination of the age limit for defining when puberty is precocious in girls in the United States: implications for evaluation and treatment","volume":"104","author":"Kaplowitz","year":"1999","journal-title":"Pediatrics"}],"container-title":["The Journal of Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022347626001447?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022347626001447?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T21:29:31Z","timestamp":1783632571000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022347626001447"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":26,"alternative-id":["S0022347626001447"],"URL":"https:\/\/doi.org\/10.1016\/j.jpeds.2026.115116","relation":{},"ISSN":["0022-3476"],"issn-type":[{"value":"0022-3476","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Examining Racial and Ethnic Differences in Referral and Management of Central Precocious Puberty in a Pediatric Endocrinology Clinic","name":"articletitle","label":"Article Title"},{"value":"The Journal of Pediatrics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jpeds.2026.115116","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Inc.","name":"copyright","label":"Copyright"}],"article-number":"115116"}}