Age at menarche is associated with divergent alcohol use patterns in early adolescence and early adulthood.

A cross-sectional retrospective design was employed to examine the relationship between age at menarche (AAM) and alcohol use patterns from middle childhood (age 7) to early adulthood in 265 University-aged women. Earlier menarche was associated with: (a) earlier ages at first drink and first intoxication, (b) greater use between ages 9 and 14 (i.e., frequency, amount, vomiting), and (c) binge drinking between ages 11 and 14. In contrast, late menarche was associated with greater current use in the adult women (i.e., frequency, amount, hangovers). Early timing of first intoxication relative to menarche (FIRM) strongly predicted higher current drinking. These findings suggest: (a) a link between AAM and alcohol use as early as age 9, (b) opposite relationships between AAM and alcohol use during two distinct developmental periods separated by a period of use unassociated with AAM, and (c) that the impact of early FIRM on adult consumption deserves further study.