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Description:To our knowledge, no study has assessed parental involvement in educating MA daughters about puberty, nor have the dynamics of MA parent—daughter relationships during this period been explored. Kalman reported that female adolescents who lived with their fathers as a primary caretaker believed that their fathers lacked credibility regarding pubertal issues, and were embarrassed to discuss such information with their fathers. Focus groups Three sets of focus groups were conducted over the course of the study, with a total of 37 participants 8 fathers, 13 mothers, and 16 daughters. All focus groups were conducted separately for mothers, fathers, and daughters. Additionally, to our knowledge, familial attitudes toward such changes in the context of the MA community have not been reported. Figure 1 presents a depiction of recruitment results, showing mothers as our primary unit of recruitment.

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