“…For example, in females, earlier pubertal onset is associated with an increased risk of type II diabetes, breast cancer, and adult obesity (Ahmed et al, 2009), in addition to mental outcomes related to risk-taking (Braams et al, 2015;Collado-Rodriguez et al, 2014), depression and anxiety (Copeland et al, 2019;McNeilly et al, 2022;Mendle et al, 2010;Mendle & Ferrero, 2012), and substance use (Marceau et al, 2019;Patton et al, 2004;Stumper et al, 2019). In males, health risks are better understood by the 'off-time' hypothesis (either very early or very late pubertal onset), with worse mental health outcomes (Hayward, 2003), such as depression, anxiety, attention deficit/hyperactivity disorder (ADHD), and risk-.…”