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Survival analysis models were fit to examine ELA exposures, representing childhood socioeconomic status (SES), maternal sensitivity, mother\u2013child attachment, and negative life events, along with child health indicators and covariates, in relation to pubertal timing outcomes, including age at menarche and ages at Tanner stage II for breast and pubic hair development.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>\u2003Higher childhood SES emerged as an independent predictor of older age at menarche, showing each one standard deviation increase in childhood SES corresponded to a 1.3% increase in age at menarche (factor change\u2009=\u20091.013; 1.003\u20131.022; p &amp;lt; .01), but did not predict breast or pubic hair development (ps &amp;gt; .05). In mediation analyses, indirect (mediated) effects of mother\u2013child attachment on the pubertal timing outcomes, via pre-pubertal BMI, were all statistically significant (ps &amp;lt; .05).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>\u2003Higher childhood SES predicted directly, and secure (vs. insecure) mother\u2013child attachment predicted indirectly (via pre-pubertal BMI), later pubertal timing, suggesting these factors may protect girls from earlier pubertal development. By extension, clinical implications are that intervention strategies designed to lessen ELA- and pre-pubertal obesity-related risk may be effective in remediating life course pathways linking ELA, accelerated pubertal development, and cardiometabolic risk.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jpepsy\/jsaa082","type":"journal-article","created":{"date-parts":[[2020,8,26]],"date-time":"2020-08-26T11:10:29Z","timestamp":1598440229000},"page":"36-48","source":"Crossref","is-referenced-by-count":22,"title":["Early Life Adversity and Pubertal Timing: Implications for Cardiometabolic Health"],"prefix":"10.1093","volume":"46","author":[{"given":"Maria E","family":"Bleil","sequence":"first","affiliation":[{"name":"Child, Family, & Population Health Nursing, University of Washington"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan J","family":"Spieker","sequence":"additional","affiliation":[{"name":"Child, Family, & Population Health Nursing, University 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