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Page 1: Accuracy Analysis of Common Adult Aging MethodsAccuracy Analysis of Common Adult Aging Methods Applied to Near Adult Human Skeletons . A thesis submitted to the . Graduate School
Page 2: Accuracy Analysis of Common Adult Aging MethodsAccuracy Analysis of Common Adult Aging Methods Applied to Near Adult Human Skeletons . A thesis submitted to the . Graduate School

Accuracy Analysis of Common Adult Aging Methods

Applied to Near Adult Human Skeletons

A thesis submitted to the

Graduate School

of the University of Cincinnati

in partial fulfillment of the

requirements for the degree of

Master of Arts

in the Department of Anthropology

of the College of Arts and Sciences

by

Leslie Mersch

B.M. Ithaca College

May, 2010

Committee Chair: Katherine Whitcome, Ph. D.

Committee Member: Heather Norton, Ph.D

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Abstract

Aging individuals from the skeleton is a fundamental part of forensic anthropology and is

achieved by examining the age-related morphology of various bony elements. Reliable age

estimation methods are available for juveniles, in the forms of molar eruption and epiphyseal

fusion (Coqueugniot and Weaver 2007; Rissech et al. 2007; Cunha et al. 2009; Anderson,

Anderson and Wescott 2010; Ubelaker 2010). Aging methods available for adult individuals

rely on macroscopic degenerative changes within specific elements (Krogman 1986; Scheur and

Black 2004; White and Folkens 2005; Anderson, Anderson and Wescott 2010).

The intermediate age range of near adults (ages 15-25 years) is the focus of this study, as

they have not reached complete skeletal maturation, yet are often subjected to the aging methods

created for adult individuals. The primary objective of this research was to apply three primary

adult aging methods (Işcan and Loth 1984, 1985; Lovejoy and Meindl, 1985; Brooks and Suchey

1990) to skeletons between the ages of 15 and 25 years in order to test the accuracy of adult

methods on a near adult population. The use of multifactorial methods was expected to create

higher accuracy compared to the singular age estimation methods. Morphologies of the near

adult skeleton were examined for their potential in age estimation, and select variables in the

original methods were modified to increase usability on a near adult population.

Thirty-two skeletons (15 – 25 years) with known age and ancestry were examined from

the Hamann-Todd Osteological Collection. Age estimation methods were performed on the

individuals, including the Işcan and Loth (1984, 1985) sternal fourth rib end method, Suchey-

Brooks (1990) pubic symphysis method, and Lovejoy and Meindl (1985) auricular surface

method. An independent analysis of molar eruption and epiphyseal fusion was also performed.

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Based on the results of the aging methods, estimated age ranges for each individual were created

and tested against the collection ages by using a Student’s Paired t-test, calculations of

inaccuracy and bias, Chi-square analyses, and bivariate analyses using least squares regression.

The results indicate support for the hypothesis that the rib, pubic symphysis, and auricular

surface method are less accurate on a near adult population, especially when tested against

multifactorial methods such as the combined rib, pubic symphysis, and auricular surface, the

combined independent age factor, and the combined age from all methods. These multifactorial

methods as well as the age estimates based on modifications to the original methods proved to be

superior predictors of age.

The greatest limitation of the study is the small sample size, and future research on aging

near adult populations should aim to use a larger sample with a more robust distribution of each

age in the near adult age range. Modifications to the rib, pubic symphysis and auricular surface

methods should be included in the original methods for use on near adult individuals.

 

 

 

 

 

 

 

 

 

 

 

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Acknowledgements

This project could not have been completed without the assistance of Mr. Lyman Jellema, curator of the Hamann-Todd Collection at the Cleveland Museum of Natural History. Having the opportunity to examine one of the premiere skeletal collections in the world was such an incredible experience.

The completion of this thesis simply would not have been possible without the support and guidance of my thesis advisor, Dr. Katherine Whitcome. This process has been a struggle, to say the least, and she has been an unwaivering pillar of sanity and assistance from the start, supporting me in my quest to study forensic anthropology, and sifting through multiple thesis topics before deciding on this one. The help and support she provided when I felt lost on this journey to a Master’s degree was indispensable. I would also like to thank Dr. Heather Norton for being patient with me for three years and graciously agreeing to read and offer comments on this thesis during her family vacation, and an extremely busy summer. Carol Gundrum, my savior in the graduate school office, also deserves so many accolades for her help. And a pay raise. She's fantastic.

My appreciation also extends to Dr. Steven Symes, who taught a “bone trauma camp” at Mercyhurst College and doesn’t realize how much his instruction opened my eyes to the possibilities of forensic anthropology and made me realize how fascinated I really was with this field. The friends I made during this experience, especially Claudia Marie Astorino, helped inspire me to complete my degree.

Another invaluable experience I had during my graduate study was an internship at the Hamilton County Coroner’s Office. It was surprisingly fascinating and I would like to thank Dr. Bill Ralston and the other coroners and morgue technicians for opening my eyes to another avenue of forensics. During my time in graduate school, I studied taekwondo, and without that stress release I know I couldn’t have created the internal balance needed to finish this project. I would like to thank the owner of the Ahn Taekwondo School, my instructor and friend, Master Jamie Hamilton. My experience as a black belt and instructor at her school helped me to remember that I can be successful at something difficult, which was very helpful when I felt discouraged and was fighting to finish this thesis.

My wonderful family received the brunt of my roller coaster emotions during this whole thing, but they were always there to remind me that I really did want this, and that I could do it! They were so patient when I postponed graduation, and never failed to support me whenever I needed it. I couldn’t have done this without them. My amazing husband has sacrificed so much so that I can finish this degree, and has endured an awful job for more years than he should have so that I can better myself. I want to apologize to him because this degree has taken me so long to complete and he has been so patient. We made it, babe! This is going to be the start of a new, amazing chapter in our lives. Happy third anniversary!

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Table of Contents

Abstract i

Copyright iii

Acknowledgements iv

Table of Contents v

List of Tables vi

List of Figures vii

Chapter 1: Introduction  1 Background 1

Hypotheses 4 Hypothesis 1 5 Hypothesis 2 5 Hypothesis 3 5

Literature Review 6 History of Aging the Sternal Fourth Rib 6 History of Aging the Pubic Symphysis 8 History of Aging the Auricular Surface 13

Chapter 2: Materials and Methods 16 Skeletal Sample 16 Data Collection 19

20 22 25

Independent Age Factors Işcan and Loth Sternal Fourth Rib Method (1984, 1985) Suchey-Brooks Pubic Symphyseal Method (1990) Lovejoy and Meindl Auricular Surface Method (1985) 27

Analyses 28 Chapter 3: Results 33

Age Estimation from Near Adults 33 Age Method Scores for Metric and Non-metric Variables 33

Age Summary for All Estimation Methods 36 Inaccuracy and Bias Across All Aging Methods 39 Bivariate Analysis of Mean Age Estimations 42 Comparison of Age Estimation by Sex 45Comparison of Age Estimation by Ethnicity 47

Chapter 4: Discussion 49 Summary 49

Method Modifications 52 Study Limitations 61

Future Research Directions 63 Conclusion 64 Bibliography 66

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List of Tables

Table 1. Sample information including age, sex, ethnicity and cause of death…… 17

Table 2. Age frequency distribution of the study sample………………………….. 19

Table 3. Işcan and Loth’s (1984, 1985) rib method variables and condition states………………………………………………………………… 24

Table 4. Brooks and Suchey’s (1990) pubic symphysis method variables and condition states………………………………………………………………… 26

Table 5. Lovejoy and Meindl’s (1985) auricular surface method variables and condition states………………………………………………………………… 28

Table 6. Definitions of single and combined age estimation methods…………….. 29

Table 7. Scoring rubric for the rib condition states (Işcan and Loth 1984)……….................................................................................... 29

Table 8. Scoring rubric for the pubic symphysis condition states (Brooks and Suchey 1990)…………………………………………………………. 30

Table 9. Scoring rubric for the auricular surface condition states (Lovejoy and Meindl 1985)………………………………………………………... 30

Table 10. Sternal rib end variables (Işcan and Loth 1984, 1985)………………….. 34

Table 11. Pubic symphysis variables (Brooks and Suchey 1990)…………………. 35

Table 12. Auricular surface variables (Lovejoy and Meindl 1985)………………... 36

Table 13. Mean and median ages of pooled sample……………………………….. 37

Table 14. Age summary for pooled sample………………………………………... 38

Table 15. Mean inaccuracy and bias for all age estimation methods……………… 40

Table 16. Individual inaccuracy and bias of the age estimates from all methods…. 41

Table 17. Chi-square contingency of the percent correctness……………………... 42

Table 18. Inaccuracy and bias for all age estimation methods by sex……………... 45

Table 19. Inaccuracy and bias for all age estimation methods by ethnicity……….. 47

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List of Figures

Figure 1. Sample decision plot of independent factor age ranges…………………. 21

Figure 2. Sternal fourth rib depicting the location of relevant

margins and landmarks…………………………………………………………….. 24

Figure 3. Pit shape variable of the sternal fourth rib end …………..……………… 25

Figure 4. Pubic symphyseal face depicting locations of relevant

margins and landmarks…………………………………………………………….. 25

Figure 5. Auricular surface face depicting the locations of relevant

margins and landmarks…………………………………………………………….. 28

Figure 6. Distribution graphs of mean estimated ages of pooled sample………….. 39

Figure 7. Bivariate analyses comparing collection ages and estimated ages

from all methods…………………………………………………………………… 44

Figure 8. Bivariate analyses grouped by sex………………………………………. 46

Figure 9. Bivariate analyses grouped by ethnicity…………………………………. 48

Figure 10. Modified rim texture variable (rib)…………………………………….. 53

Figure 11. Modified rim shape variable (rib)………………………………………. 53-54

Figure 12. Modified billowing location variable (pubic symphysis)………………. 55

Figure 13. Modified dorsal smoothing variable (pubic symphysis)……………….. 56

Figure 14. Modified subdorsal flare variable (pubic symphysis)………………….. 56-57

Figure 15. Modified apical height variable (auricular surface)……………………. 58

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Chapter 1: Introduction

Background

Forensic anthropology is a critical avenue for obtaining information related to deaths of

medico-legal importance in order to provide assistance to death investigators and law

enforcement (Scheur 2002; Baccino and Schmitt 2006; Crossland 2009; Cunha et al. 2009;

Pickering and Bachman 2009; Fleischman 2011). The expertise of forensic anthropologists is

often required in cases where the identity of a decedent is not obtainable by other means, as

when remains are comingled or skeletonized. These cases can occur as a result of natural

disasters, war, mass casualties, or from extensive taphonomic processes (Scheur 2002; Gupta et

al. 2007; Schaefer 2007). Using the skeletal elements provided, the anthropologist must create a

biological profile of the decedent that includes age, sex, stature, and ancestry (Scheur 2002;

Kimmerle et al. 2008; Cunha et al. 2009; Anderson, Anderson and Wescott 2010; Fleischman

2011).

The assessment of skeletal individuals requires rigorous attention to both ethics and

scientific methodology (Ritz-Timme et al. 2000; Williams and Crews 2003; Crossland 2009).

According to the program of certification in forensic anthropology administered by the American

Board of Forensic Anthropology (www.theabfa.org), the ability to accurately estimate

chronological age across all stages of the human life span is a professional standard of case

reporting. While there are many accurate age estimation methods (Işcan and Loth 1984, 1985;

Lovejoy and Meindl 1985; Brooks and Suchey 1990), it is important to remember that accuracy

is relative. Each method has its own measure of accuracy, and there is no uniform standard

among skeletal aging techniques (Fleischman 2011). Each method attempts to age individuals as

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closely to the recorded age as possible, and the qualified term “accurate” is used to describe the

relationship between the estimated and recorded ages. Quantifying accuracy is not uniform

across skeletal age estimation methods (Fleischman 2011).

Age is a particularly informative aspect of the biological profile, and the methods by

which age is assessed have been widely tested within many different populations (Lucy,

Aykroyd and Pollard 2002; Matrille et al. 2007; Kimmerle, Prince, and Berg 2008). The

techniques for age assessment differ according to developmental and degenerative life stages,

and no single aging method applies equally well to all age groups (Scheur 2002; Matrille et al.

2007; Cunha et al. 2009; Anderson, Anderson and Wescott 2010).

Developmental changes associated with dental eruption and skeletal fusion allow for

straightforward methods that successfully age infants and juveniles from birth to fifteen years of

age (Coqueugniot and Weaver 2007; Rissech et al. 2007; Cunha et al. 2009; Anderson, Anderson

and Wescott 2010; Ubelaker 2010). Aging methods for adults approximately 26 years of age and

older rely heavily on the extent of joint wear and skeletal degeneration and may not be applicable

to juveniles for whom such changes have not occurred (Krogman 1986; Scheur and Black 2004;

White and Folkens 2005; Anderson, Anderson and Wescott 2010). While both age populations

are extensively studied, the population that falls between juvenility and adulthood, referred to

hereafter as near adulthood, is overlooked.

Near adults are often within months of reaching adulthood at time of death, making the

common juvenile and adult tools of age assessment less reliable (McKern and Stewart 1957;

Baccino et al. 1999; Scheur 2002; Baccino and Schmitt 2006; Ubelaker 2010). Individuals in

this near adult age range vary in their rates of maturation, and females undergo an earlier onset of

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epiphyseal fusion than males (McKern and Stewart 1957; Krogman and Işcan 1986; Schaefer

and Black 2007). Furthermore, the final transition from juvenile to adult skeletal maturation lies

on a continuum of epiphyseal fusion that is sensitive to population affinity and individual

variation (Corsini, Schmitt and Bruzek 2005; Cardoso 20081; Wei and Gregory 2009; Anderson,

Anderson and Wescott 2010). These factors coupled with a lack of near adult aging methods

make age assessment for this transitional age group difficult (Krogman 1986; Spear 2002;

Grumbach 2004; Nilsson and Baron 2004; Schaefer and Black 2005; Cardoso 2008²; Emons et

al. 2011).

Individuals between the ages of 15 and 25 years exhibit more complete bony fusion than

juveniles, but have yet to reach full skeletal maturity and adulthood (Scheur and Black 2004).

Fusion occurs once a bone has completed growth, and is observed at the point where the

epiphysis and metaphysis meet on a bone (Parfitt 2002). Typically, in a long bone such as the

femur, the primary epiphyses are those areas where the bone articulates with other skeletal

elements. Primary epiphyses are often located at the ends of the long bone where they lie

adjacent to the metaphyses (Scheur and Black 2004). Metaphyses are cartilaginous growth

plates connecting the epiphyses to the shaft-like diaphysis in juvenile and near adult individuals

(Scheur and Black 2004). Secondary epiphyses on long bones may occur at the sites of muscle

attachments, such as the greater and lesser trochanters of the femur (Scheur and Black 2004).

Irregular bones including the pelvis also have fusion areas. The pelvis fuses at three sites within

the acetabulum: at the junction of the ilium, pubis, and ischium, and at two points where the

pubis and the ischium articulate (Buikstra and Ubelaker 2010).

For each bone and for each individual, elements within the skeleton fuse at different

times, and rates of fusion vary from individual to individual. Given this variation, age estimates

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from skeletal maturation indicators are approximate. According to Buikstra and Ubelaker (1994)

and White and Folkens (2005), eruption of the second molar indicates an approximate age of 12

years (± 36 months), and the eruption of the third molar can occur in individuals as young as 15

years (±36 months). Epiphyses of the femoral head, humeral head, and distal radius begin fusion

by age 16 and complete fusion by the age of twenty-five years. However, the medial epicondyle

of the clavicle may fuse as late as age thirty (Buikstra and Ubelaker 1994; White and Folkens

2005). The majority of individuals complete skeletal fusion by 26 years of age (Krogman 1986;

Scheur and Black 2004; White and Folkens 2005).

The variability of fusion rates by individual and sex contributes to the difficulty in

accurately aging skeletons in a forensic setting, and these potential problems are compounded

when the decedent cannot be reliably aged using juvenile or adult methods. Currently, there is a

gap in age estimation techniques for near adult skeletons. In many cases, skeletal aging methods

are applied to samples with very few individuals who fall into the near adult age range (Işcan

1985; Matrille 2007; Berg 2008; Dedouit 2008; Fanton et al. 2010; Hartnett 2010; Hens and

Belcastro 2012).

Hypotheses

This study aims to evaluate the accuracy of common skeletal aging methods on near adult

individuals. The Işcan and Loth (1984, 1985) sternal rib end method, Suchey-Brooks (1990)

pubic symphysis method, and the Lovejoy and Meindl (1985) auricular surface aging method

were largely developed using adult populations, yet are frequently applied to near adult

skeletons. The following hypotheses related to skeletal aging will be tested:

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Hypothesis 1: The primary prediction for this project is that the three established and widely used

aging methods (Işcan and Loth 1984, 1985; Lovejoy and Meindl 1985; Suchey-Brooks 1990)

will be less accurate in assessing the ages of near adults compared to their original application in

aging fully mature skeletons. Revising the aging methods may be necessary for use on near

adult individuals, and may provide greater accuracy in aging individuals who are approaching

adulthood.

Hypothesis 2: The secondary prediction is that a multifactorial approach using a combination of

aging methods will be more accurate than methods used singularly, because multiple methods

create a broader representation of the effects of aging on a skeleton.

Hypothesis 3: It is also expected that when used as an age estimation method, the combined

independent age factors comprised of molar eruption and epiphyseal fusion will not be a strong

predictor of age due to the intermediate fusion status of the near adult sample.

In order to test the hypotheses, three aging techniques (Işcan and Loth 1985, Brooks and

Suchey 1990, Lovejoy and Meindl 1985) will be applied to their respective areas of the human

skeleton: the fourth sternal rib end, the pubic symphysis, and the auricular surface. The results

of this study are intended to contribute to the literature on estimating age-at-death from human

skeletons primarily by assessing near adult individuals using adult aging methods, and

secondarily by discovering additional skeletal markers or morphology not yet recognized in the

traditional aging methods.

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Literature Review

History of Aging the Sternal Fourth Rib

The rib as a skeletal aging element is widely used today and considered to be one of the

most accurate indicators of adult age (Işcan and Loth 1984, 1985, 1986; Hartnett 2010; Garvin

and Passalacqua 2012). Many researchers use the rib in conjunction with other skeletal elements

in age determination because of its high accuracy in multifactorial methods (Hoppa and Vaupel

2002; Gupta et al. 2007; Garvin and Passalacqua 2012).

The rib, like the pelvis, is sexually dimorphic, with females exhibiting a smaller rib cage

than males. Females have a ten percent lower volume and greater cranio-caudal inclination of

the rib cage than males (Bellemare et al. 2006). There is also sexual dimorphism in the

morphological changes of the fourth rib, with females showing age-related changes at age 14 to

16, and males showing initial age changes slightly later, by age 17. Sexual dimorphism of the rib

increases with age, and can be seen in the metric variants used in the sternal fourth rib method

(Işcan and Loth 1985, 1986; Bellemare et al. 2006). In their test of a female sample, Işcan and

Loth (1986) found that sex differences do not appear to affect the application of the original rib

method.

Işcan and Loth (1984, 1985) were the first to demonstrate the reliability of the rib for

aging the skeleton according to age-related change in sternal pit shape, pit depth and rim

configuration. This method was initially developed using a sample of white males (Işcan and

Loth 1984), and expanded to also include white females (Işcan and Loth 1985, 1986). The

technique focused on the fourth sternal rib end, morphologically assessed by nine phase

descriptions (Phase 0-8). Işcan and Loth compared their method to the McKern and Stewart

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(1957) pubic symphysis method and found that the rib method successfully aged individuals as

old as 65 by using a sample population that included individuals up to 85 years of age. The

oldest age in the sample population for the McKern and Stewart method was fifty years. Overall,

Işcan and Loth found their method to have low intra-observer error, and consistent success in

aging individuals to within one phase of their reported age.

Gupta et al. (2007) discovered when they applied the Işcan and Loth (1984, 1985)

method that individuals aged 17 to 30 years produced an age range of eight years. Dedouit

(2008) and Hartnett (2010) caution users to remember some factors that affect accuracy,

including Işcan and Loth’s (1984, 1985) small sample size of 204 individuals, high intra-

observer error, and the broad age ranges for the phases. Despite these drawbacks, many

anthropologists find this method produces high accuracy, regarding it to be more accurate as an

age indicator than the pubic symphysis (Russell et al. 1993; Işcan and Loth 1984; Fulginiti 1995,

1996).

One potential issue with Işcan and Loth (1984, 1985) method is its limited application in

circumstances where the fourth rib is not intact or is entirely absent from the recovered remains,

which is often the case in bio-archaeological contexts. In response to this, Işcan et al. (1993) and

Dudar (1993) found that the application of the Işcan and Loth (1984, 1985) method to the third

and fifth ribs resulted in similar accuracy. The first rib was also shown to be informative when

aging individuals (DiGangi 2009; Kunos 1999; Kurki 2005; Schmitt 2004).

Nawrocki (2010) suggested that the 95% confidence interval in the Işcan and Loth

(1984, 1985) method was misleading because the sample sizes for some phases were small (n=17

and fewer). Furthermore, a recurring issue with any phase-reliant technique is that it is

Mersch | 7

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potentially subjective, as the successful application of the method relies on observer expertise

and judgement (Digangi 2009). Regardless of the possible drawbacks, the inter- and intra-

observer error rate for this method is low, and the overall reliability remains high throughout

testing of this method on a full range of adult ages.

History of Aging the Pubic Symphysis

In modern forensic anthropology, the pelvis is often regarded as the most reliable element

for estimating both sex and age (Djurić et al. 2007; Berg 2008; Garvin and Passalacqua 2012),

specifically the pubic symphysis (Katz and Suchey 1986; Klepinger et al. 1992; Hoppa and

Vaupel 2002; Sakaue 2006; Hartnett 2010). The pubic symphysis is located in the anterior

midline of the pelvis and unites the left and right innominates via connecting cartilage. In a

skeletonized pelvis, the cartilage is lost leaving the bony surface of attachment known as the

pubic symphysis. This area undergoes morphological changes related to aging, which have been

observed and compiled into various aging methods, such as the original Todd (1920, 1921)

method that analyzed age estimation through phase changes in the pubic symphysis. This

method has been updated throughout the years, resulting in the popular Suchey-Brooks (1990)

method that is most commonly used today (Djurić et al. 2007; Konisberg et al. 2008; Nawrocki

2010; Fleischman 2011; Garvin and Passalacqua 2012).

T. Wingate Todd (1920, 1921) was the first to recognize that the pubic symphysis

showed the effects of age. Todd examined skeletons of known age collected between 1912 and

1920 that now form the well-known Hamann-Todd Osteological Collection. Todd created ten

age-related phases using specific features of the pubic symphysis, such as the dorsal margin,

ventral rampart and bevel, the rim, and surface texture (Todd 1921; McKern and Stewart 1957).

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While Todd’s (1920, 1921) method withstood decades of testing, consistent critiques of

the pubic symphysis technique cite over-aging of individuals above age twenty, and an overly

broad range for older adults (Brooks 1955; McKern and Stewart 1957). Brooks (1955) identified

high inaccuracies between the estimation results from the Todd (1920, 1921) method and the

recorded age of the study sample. McKern and Stewart (1957) explained this inaccuracy as

follows:

“Todd may have been essentially right in his selection of cases to typify successive age periods,

but the result was a static method of age determination. Since the variability of each feature was lost,

only those pubic bones which are close to the typical can be aged with reasonable accuracy” (72).

Since Todd’s (1920, 1921) revolutionary contribution to the skeletal aging literature,

there have been slight revisions to his method aimed at improving accuracy. Brooks (1955)

discovered certain morphological changes that were not recorded in the Todd method and

determined that the males were aged more accurately compared to females. McKern and Stewart

(1957) created a pubic symphyseal method that focused on three specific aspects of the

symphyseal face instead of its entirety: the dorsal plateau, ventral rampart, and the symphyseal

rim. Each area included six phases, with corresponding ages ranging from 17 to 38 years and

older. However, like the Todd method (1920, 1921), it assumed that males and females could be

analyzed with the same criteria. Gilbert and McKern (1973) revised the McKern and Stewart

(1957) method, finding significant differences between males and females, especially in the

symphyseal rim. In males, the rim surrounds both demifaces, and in females the rim separates

the superior and inferior portions of the demifaces. It should be noted that in the near adult

individuals examined for this study, the rim was not developed to the extent that it surrounded or

separated the face. Thus, such sexual dimorphism was not evident. Katz and Suchey (1986) also

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commented on the tendency of the Todd (1920, 1921) method to overage individuals and

discussed their concern that Todd does not address variability in older adults. They combined

the ten-phase method into six phases in order to increase accuracy and improve the usability that

they argued the McKern and Stewart (1957) method lacked.

The Suchey-Brooks (1990) method expanded on the Katz and Suchey (1986) six-phase

method and is arguably the most widely used aging method today (Djurić et al. 2007; Fleischman

2011; Garvin and Passalacqua 2012). Brooks and Suchey (1990) collapsed several of Todd’s

(1920, 1921) original phases into a more concise, accurate and easily applied method that

accounted for sex differences and individual variability in the samples. They provided

descriptions and photographs of their six-phase aging system, and subsequent tests of the method

determined that it was more descriptive, comprehensive, and more easily applied than prior

methods (Konisberg et al. 2008; Nawrocki 2010). Corroborating this, Garvin and Passalacqua

(2012) found that 78% of biological anthropologists preferred to use the pubic symphysis when

aging a skeleton. Of those respondents, 95% described the Suchey-Brooks method as the most

accurate pubic symphyseal aging method.

Brooks and Suchey (1990) compiled a collection of 1225 skeletonized and autopsied

individuals from the Medical Examiner’s Office of the County of Los Angeles. Seven hundred

and thirty-nine males and 273 females (black and white individuals) between the ages of 14 and

99 years were used to develop their six-phase system for assessing morphological age changes in

the pubic symphysis. Phases 1-3 are used in the present study based on their near adult age

ranges. Phase 1 describes a pubic symphyseal face for females aged 15-24 years and males aged

15-23 years. The face exhibits a billowing pattern of ridges and furrows, definite horizontal

ridges, and the introduction of ventral beveling. This phase is recognizable from “the lack of

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delimitation of either extremity (upper or lower)” (Brooks and Suchey 1990, 232). Phase 2

(females 19-40 years and males 19-34 years) can also include beveling, but there is a clear

initiation of delimitation for the lower and upper extremities. There may or may not be ossific

nodules, but the ventral rampart may show the initial stages of inclusion in one or both

extremities. Phase 3 (females 21 to 53 years and males 21-46 years) describes the lower

extremity and ventral rampart nearing completion. Ossific nodules may fuse, creating the upper

extremity and continuing to the ventral border. There is no beveling, with the symphyseal face

appearing smooth; however, there may be some definite ridge marks. Also, the dorsal plateau

has completed growth, and there is no lipping of the dorsal margin, and no bony growths.

Although there are three additional phases in the Suchey-Brooks method, they inform older ages

and are not relevant to this study.

Brooks and Suchey (1990) found evidence sexual dimorphism in the pubic symphysis

that concurs with the differences in morphological growth and maturation between males and

females. Lipping of the dorsal rim in the female symphyses is less informative of age than the

male symphysis, likely because parturition or other factors act upon the dorsal rim in

unpredictable fashions (Brooks and Suchey 1990). Other authors also discuss the differences

between males and females. Todd (1920, 1921) discovered that, when examining the ventral

aspect of the pubic symphysis, females were aged two or three years older than the reference

material for Phases 3 and 4. Age estimates were two to three years younger when examining

dorsal flattening of female symphyses. Gilbert and McKern (1973) found that in some cases,

female symphyses can age up to ten years older than the individual’s actual age at death, perhaps

due to nutritional differences, osteoporosis, parturition, and bone mineral density. Most of the

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variation between males and females is seen after age forty (Konisberg et al. 2008) and is not

relevant to near adult individuals.

While the Suchey-Brooks (1990) technique remains the most popular aging method

among anthropologists today (Garvin and Passalacqua 2012), researchers have discovered minor

problems with the phase method. The Suchey-Brooks method consists of very wide age ranges

with significant overlap, similar to the Gilbert and McKern (1973) method. One might expect

that it would be less accurate compared to methods with smaller age ranges, but a larger, more

overlapping age range actually increases the probability that the actual age of the individual will

be within the chosen phase. However, some phases have an age range of 50 years or more, and

the high accuracy of phase placement may not be equal to the accuracy between the estimated

and the actual ages.

Brooks and Suchey (1990) identified a problem involving individual variability in phases

3 through 6 of their method. This created issues when attempting to establish uniformity within

their phase system, as they had some difficulty creating a description that encompassed average

morphology. The authors said that the first two phases “have narrow age distributions and will

often serve as the upper age limit with observations on epiphyseal union or dental eruption

and/or attrition serving as the lower limit” (237).

Regression analyses of any kind also tend to underage older individuals and overage

younger individuals, and the Suchey-Brooks (1990) method is not exempt from this trend

(Brown 2010; Hartnett 2010). Brooks and Suchey explained in their original study that no

method is fool-proof, and whenever possible, using multiple skeletal elements for aging is

always preferable. Despite the stated issues, the Suchey-Brooks method (1990) is regarded as

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the most accurate and widely used pubic symphyseal aging technique today (Brown 2010;

Garvin and Passalacqua 2012).

History of Aging the Auricular Surface

  The innominate’s auricular surface is a useful indicator for assessing skeletal age because it

is more often recovered intact and is less vulnerable to destructive taphonomic processes than the

rib and pubic symphysis (Murray and Murray 1991; Aykroyd 1999). Aging by the auricular

surface was introduced by Lovejoy and Meindl (1985) and remains the most widely used

auricular surface method (Garvin and Passalacqua 2012). One benefit of using this method over

the Işcan and Loth (1984) or Suchey-Brooks (1990) methods is higher accuracy when aging

individuals after the fourth decade of life (Osborne, Simmons and Nawrocki 2004). The method

was found to be equally accurate when aging males and females and black and white individuals

(Murray and Murray 1991; Aykroyd 1999).

The Lovejoy and Meindl (1985) aging method is comprised of eight auricular surface

phases, each spanning five years. Age is estimated from porosity, surface texture, transverse

organization, and apical and retro-auricular surface changes (Lovejoy et al. 1985; Buckberry and

Chamberlain 2002). The first phase encompasses ages 20-24 years, with the auricular surface

exhibiting a fine-grained texture, and distinguished transverse organization. Billowing is

apparent, but retro-auricular and apical activities are not present and there is no porosity. The

surface has a rounded and smooth appearance. The second phase includes ages 25-29 years and

describes an auricular surface that is subtly different than Phase 1: The surface is less billowed

and more striated, with a continued absence of apical activity, retro-auricular activity, and

porosity, and there is still a distinguished transverse organization. The granularity is slightly

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coarser than what appears in the first phase. Only these first two phases are relevant to this

study, as the near adult age range is 15 to 25 years.

Even with the widespread use of the Lovejoy and Meindl (1985) method, researchers

including Buckberry and Chamberlain (2002) are of the opinion that it “has not been subject to

the same levels of scrutiny as pubic symphysis aging” (231). Similar to the Suchey-Brooks

(1990) technique, the Lovejoy and Meindl (1985) method has low accuracy in estimated age

compared to recorded ages when the method is used singularly (Murray and Murray 1991).

Similar to the Suchey-Brooks (1990) and the Işcan and Loth (1984, 1985) methods, it has a

tendency to underage older individuals and overage younger ones (Murray and Murray 1991;

Saunders et al. 1992). These problems stem from the method’s original purpose as a multi-

factorial method. Some auricular surfaces do not fall into one of the eight phases of Lovejoy and

Meindl’s (1985) method, so there may be combination or transition phases that are not yet

accounted for (Murray and Murray 1991; Santos 1996).

Additional problems with the Lovejoy and Meindl (1985) method concern the overlap of

the age ranges, and vague descriptions of the phases, with “younger” characteristics often

appearing on “older” auricular surfaces (Buckberry and Chamberlain 2002). A significant issue

with the method is its lack of error ranges. Surprisingly, Lovejoy and Meindl (1985) only

published age ranges, which are mistakenly used as error ranges, and are considered by some to

be too narrow for either purpose (Osborne, Simmons and Nawrocki 2004). Nawrocki (2010)

proposed that the range should be increased from five years to at least ten years, which would

provide a better chance of accurately placing the individual in the proper phase and age range.

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Buckberry and Chamberlain (2002) created an updated auricular surface method. Rather

than grouping the variables into age phase, the authors chose five features of the auricular

surface, scored these features separately, and combined the scores in a composite system that

translated into age ranges. The five features were apical changes, microporosity, macroporosity,

surface texture, and transverse organization. They created seven different age ranges from the

composite scores, encompassing ages 16 to 92. The age ranges were broader than Lovejoy and

Meindl’s (1985), but the phase placement success rate was higher, and the authors tested inter-

and intra-observer error, finding little to no error for both.

In a test of the Buckberry and Chamberlain (2002) method, Mulhern and Jones (2005)

discovered that there were no statistical differences between the ages of males and females or

blacks and whites, and that this updated method was less accurate than Lovejoy and Meindl’s

(1985) when applied individuals aged 20 to 49 years, but more accurate for older individuals,

aged 50 to 69 years. Because of the inaccuracy in the near adult age range and the lack of further

studies using this method, the Buckberry and Chamberlain (2002) technique was not included in

this study.

 

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Chapter 2: Materials and Methods

Skeletal Sample 

The three aging methods introduced by Işcan and Loth (1984, 1985), Brooks and Suchey

(1990) and Lovejoy and Meindl (1985) were applied to 32 skeletons of known age, sex, and

ancestry between the ages of 15 and 25 years curated in the Hamann-Todd Osteological

Collection at the Cleveland Museum of Natural History (Cleveland, Ohio) (Table 1). These

individuals were examined from September 22nd to September 26th, 2014, with the consent of the

collection curator, Mr. Lyman Jellema. The provenance of the 3,715 individuals in the collection

was traced to the early 20th century and is mostly comprised of the indigent and working class

populations of Cleveland, Ohio (Meindl et al., 1990). Collection records include age, sex and

ethnicity as well as proposed cause of death (Table 1).

Many of the individuals in the sample succumbed to tuberculosis, which can progress

from the lungs to the bone in an infected individual. If tuberculosis travels from the lungs to

other parts of the body, it is known as extra-pulmonary tuberculosis and can potentially affect

any bone or joint (Yang et al. 2004). When the bacteria travel beyond the lung in children and

young adults, the spine is most often affected. Tuberculosis within the spine is known as “Pott’s

Disease” and most often affects the thoracic and upper lumbar vertebral bodies (Garg and

Somvanshi 2011). The tuberculosis bacilli can further invade the intervertebral discs and may

ultimately prevent the discs from receiving the necessary nutrients, leading to tissue death and

vertebral collapse, resulting in damage to the spine (Garg and Somvanshi 2011). Long bone

joints may also be affected due to the large vascular supply in the growth plates, which attracts

the bacteria (Pigrau-Serrallach and Rodriguez-Pardo 2013). Despite the high incidence of

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tuberculosis reported for the study sample (Table 1), individuals did not exhibit observable

skeletal markers of disease or trauma that would otherwise obscure access to the necessary

landmarks for this study or confound the age analyses.

Table 1. Sample information including age, sex, ethnicity and cause of death as listed in the Hamann-Todd Osteological Collection records. Individual

Collection Number Collection Age

(years) Sex

(Male/Female) Ethnicity

(Black/White) Cause of Death

87 25 M W Fractured skull 98 18 M W Gunshot wound

177 26 M W Narcotism 233 19 M W Drowning 256 22 M W Acute cerebral meningitis 269 25 F W Childbirth 298 21 M B Injury 410 18 M W Lobar pneumonia 423 24 M W Typhoid fever

527 16 F W Epilepsy 548 19 M B Myocarditis 604 25 F W Tuberculosis 781 23 F W Double pneumonia 782 23 M B Tuberculosis

1041 17 F B Pulmonary tuberculosis 1130 22 F B Salpingitis 1140 18 M B Pulmonary tuberculosis 1157 25 F W Unknown 1160 21 M W Pulmonary tuberculosis 1232 16 F B Pulmonary tuberculosis 1238 21 F W Suicide 1369 25 F W Pulmonary tuberculosis 1562 24 F B Chronic myocarditis 1589 17 M B Pulmonary tuberculosis 1590 18 F B Pulmonary tuberculosis 1974 18 M B Pulmonary tuberculosis 2568 23 F B Pulmonary tuberculosis 2584 23 M W Suicide by drowning 2796 20 M B Fall down elevator shaft 2845 20 F B Vomiting of pregnancy 2939 25 F W Pulmonary tuberculosis 3112 15 M B Pulmonary tuberculosis

M = male. F = female. B = black. W = white.

Collection records frequently included autopsy notes and photos. Some were further

supplemented with anthropological assessments of the skeleton completed years later on typed

cards. Thus, records often included not only chronological age but also skeletal age. In some

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cases, the typed cards included supplemental information in the form of handwritten notes that

contradicted the original death record. Due to the potential conflicting age assessments in the

records, an independent age analysis guided by known rates of long bone fusion and dental

development was performed on all individuals in the sample population (Buikstra and Ubelaker

1994; White and Folkens 2005).

According to collection records, 208 individuals fell in the near adult age range of 15 to

25 years. This age appropriate assemblage of 10 white females, 38 white males, 46 black

females, and 114 black males was screened to exclude individuals whose crania and/or post

crania were absent. If the post-crania were present but lacked intact elements required for the

fusion analysis, the individual was excluded. Protocol for this study required the individuals to

have at least one complete fourth rib, a left or right pubic symphysis, and a left or right auricular

surface. Whenever possible, bilaterally occurring elements were drawn from the right side. If

breakage of the right element prevented analysis, then the left side was examined.

Since limited time was available for the data collection, the sample was initially

constrained to 10 black males, 10 black females, 10 white males, and 10 white females. After a

final criteria screening, 8 individuals were excluded either due to breakage of both sides or

absence of required elements. The final sample consisted of 32 individuals: 8 black males, 9

white males (two without usable ribs, one without a skull), 7 black females, and 8 white females

(one without a skull). The age profile and frequency distribution of the study sample is depicted

in Table 2. If the mandible and/or the maxilla were not present or not intact, the molar data were

excluded and the secondary age indicators were assessed from the status of epiphyseal fusion

only. Two individuals lacked any usable ribs (individuals 423 and 177), but were included in the

pubic symphysis, and auricular surface age analyses. In every other case, all three aging

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methods were performed (Işcan and Loth 1984, 1985; Lovejoy and Meindl 1985; Brooks and

Suchey 1990). For some individuals, the pubic symphysis or auricular surface exhibited

breakage over part of the surface; however, this usually did not obscure the features completely.

For instance, if the superior portion of the symphyseal face presented with breakage, billowing

could still be seen on the inferior portion, and the individual was scored as “billowing present.”

Table 2. Age frequency distribution of the study sample according to the Hamann-Todd Osteological Collection records (https://www.cmnh.org/c-r/phys-anthro/collections).

Collection Age (years)

Frequency

15 116 217 218 519 220 221 322 223 424 225 626 1

Age range 15-26 n=32

Data Collection

Prior to data collection, aging methods based on the timing of molar eruption and long

bone fusion (Buikstra and Ubelaker 1994), as well as morphological changes of the sternal rib

end (Işcan and Loth 1984, 1985), pubic symphysis (Brooks and Suchey 1990), and auricular

surface (Lovejoy and Meindl 1985) were tested on skeletal material housed in the Department of

Anthropology at the University of Cincinnati. The goal of this preliminary work was to

minimize observer error and gain proficiency with the three primary aging methods. The

methods were applied five to ten times on each of the available skeletons in order to ensure

accurate repeatability. The human skeletal collection (n=7) located in the Department of

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Anthropology at the University of Cincinnati does not include recorded ages. Nonetheless, the

practice application of the aging methods scored each skeleton in the appropriate middle to older

adult range. Given the absence of near adult skeletons in the collection, additional aging practice

was conducted with the Hamann-Todd Osteological Collection using near adult skeletal material

that was not included in this study. The individuals in the white male group were pulled for

analysis, and the left sides of the sternal fourth rib, innominate, and epiphyseal fusion elements

(femoral and humeral head, medial clavicle and distal radius) were examined according to each

aging method. This additional practice granted familiarity with near adult skeletal morphology,

and provided increased experience in the application of the aging methods on near adult

individuals.

Independent Age Factors

The Cleveland Museum of Natural History organized the Hamann-Todd Osteological

Collection by assigning each individual a number and separating all of the labeled and boxed

crania into one area, and all of the labeled boxes with the post crania in another. The crania of

the near adult individuals were pulled for analysis and categorized by the recorded ancestry and

sex. The white male crania were pulled first, the black male crania second, followed by the

white female and the black female crania. The analysis began with recording and photographing

the eruption of the right and left maxillary and mandibular molars. The molars were scored as

“absent, erupting, or fully erupted” based on second and third molar development (Buikstra and

Ubelaker 1994). In some cases, the tooth was absent but its socket present, indicating that the

tooth had erupted and was later lost. These were scored as “fully erupted.”

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The post crania boxes were pulled for analysis by the same sex and ancestry categories as

the crania, and the epiphyseal fusion was scored. The femoral head, humeral head, distal radius,

distal ulna, and medial clavicle on the right side of the body were recorded in that order as

“unfused, partially fused, or fully fused” (Buikstra and Ubelaker 1994). As with other paired

elements, if the right side was damaged, the left was used. In one case, the medial clavicle was

not present and was represented by an “x” in the data collection sheet. After the dental eruption

and epiphyseal fusion for an individual was scored, the rib was examined, followed by the pubic

symphysis and lastly, the auricular surface. This order was the same for each individual.

The age range for each independent age factor was determined and used to find a

combined independent factor age (Buikstra and Ubelaker 1994). This combined age was found

by generating a decision plot from the age range from each factor (Fig. 1). If three of the five

independent factor sites overlapped, that age was included in the combined age range (Byers

2002). Because this sample only included individuals aged 15-25 years, the lower limit was

increased from 9 to 14 years, and the higher limit was set at 26 years. As an example, the

decision plot for individual 2796 indicates a combined independent factor age range of 14-18

years, and a mean age of 16 years (Fig. 1).

Figure 1. Sample decision plot of independent factor age ranges (individual 2796).

05

101520253035

9+ <18 15+ 14+ <17

Molars MedialClavicle

FemoralHead

HumeralHead

DistalRadius

Age

(ye

ars)

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Işcan and Loth (1984, 1985) Sternal Fourth Rib Method

Prior to implementing the Işcan and Loth (1984, 1985) sternal fourth rib method, the ribs

for each individual were sorted into right and left series. The atypical ribs (ribs 1, 2, 10-12) were

easily recognized by their distinctive morphologies (Dudar 1993). The typical ribs (ribs 3-9)

shared a similar morphological structure yet differed by length. Typical ribs were seriated by

comparing the changes in the horizontal angle and the twist of the superior external border

(Dudar 1993). Positioned with a custom support stand, the rib pit, ventral and dorsal edges, pit

shape, and the superior and inferior areas of the sternal rib end were visually examined and

photographed with a Nikon D3200 digital camera. If damage to the right fourth rib end was too

great, the left fourth rib was substituted. If neither fourth rib was intact, the right third rib was

used, or the left third rib if the right was damaged (Dudar 1993; Işcan et al. 1993).

The rib ages were estimated in accordance with the phase descriptions and photographs

from Işcan and Loth (1984, 1985). The non-metric variables observed were pit shape, porosity,

articular surface topography, rim shape, wall appearance, bone density, edge shape and pit depth

(Table 3). The metric variables included the cranio-caudal length, medio-lateral width, and

depth. The length and width measurements were recorded to the nearest millimeter using

Mitutoyo 500-171 digital-sliding calipers accurate to ± 0.02mm. The calipers were placed at the

approximate middle of the superior and inferior portion, and from either side of the rib face. The

three depth measurements were taken to the nearest millimeter with a depth gauge (Mitutoyo

700-105 tire thread LCD depth gauge accurate to ± 0.008mm). Measurements were taken from

the cranial third, the middle third, and the caudal third of the sternal rib ends where the distance

between the base of the pit and the adjacent wall was greatest (Işcan and Loth 1984).

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Işcan and Loth’s (1984, 1985) aging method employed an eight-phase system by scoring

three components: pit depth, pit shape, and rim and wall configurations. The phase scores were

added together to estimate an age range for each individual. This study is concerned with phases

0 through 4, which include the near adult ages of 15 to 25 years. Işcan and Loth describe these

phases as follows:

“Phase 0 – The articular surface is nearly flat with ridges or billowing. The outer surface of the sternal extremity of the rib is bordered by what appears to be an overlay of bone. The rim is regular with rounded edges, and the bones itself is firm, smooth, and very solid.

“Phase 1 – A beginning, amorphous indentation can be seen in the articular surface. Ridges or billowing may still be present. The rim is rounded and regular with a little waviness in some cases. The bone remains solid, firm, and smooth.

Phase 2 – The pit is considerably deeper and has assumed a V-shape between the thick, smooth anterior and posterior walls. Some ridges or billowing may still remain inside the pit. The rim is wavy with some scallops beginning to form at the rounded edge. The bone itself is firm and solid.

Phase 3 – There is only slight if any increase in the pit depth, but the V-shape is wider, sometimes approaching a narrow U as the walls become a bit thinner. The still rounded edges now show a pronounced, regular scalloping pattern. At this stage, the anterior or posterior walls or both may first start to exhibit a central, semi-circular arc of bone. The rib is firm and solid.

Phase 4 – There is noticeable increase in the depth of the pit, which now has a wide V- or narrow U-shape with, at times, flared edges. The walls are thinner but the rim remains rounded. Some scalloping is still present, along with the central arc; however, the scallops are not as well defined and the edges look somewhat worn down. The quality of the bone is fairly good but there is some decrease of firmness” (855).

The variables for the rib were included in the previous phase descriptions; however, in

order to organize each individual, each variable along with its accompanying condition states

was organized in an Excel document (supplemental Table 1). The non-metric variables were

defined in Table 3.

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Table 3. I

Rib Var

Bone De

Pit Sh

Poros

Articular S

Wal

Pit De

Edge

Rim

P

indentati

in differe

Fbi

Işcan and Loth

riable

ensity SmoPoro

ape V-SU-S

sity AbsPres

Surface BillLacPlaq

ls ThicCenThin

epth No SligFull

es Smo

m SmoWavScaIrreIrre

hotographs c

on of the pit

entiating the

igure 2. Sternillowing and f

h’s (1984, 198

Condit

ooth and solid ous and light

Shaped Shaped sent sent lowy k of billowing que deposits ck, smooth, bil

ntral, semi-circun, sharp, poroupit

ght indentation l indentation

ooth, rounded/

ooth, rounded vy, smooth, roulloped, smoothgularity beginngular

captured exa

t (Fig. 2). Pi

V- and U-sh

nal fourth rib full pit indenta

M

5) rib variable

tion States

llowy ular arc of bon

us

scalloped/wavy

unded h, rounded ning, with scall

amples of rib

it shape was

hape (Fig. 3)

depicting the ation is eviden

Mersch | 24

es, condition s

APha

0,1,24 +0,1,23,4 +0,1,24 +0,1 2,3,45 0,1,2

ne 3,4 +4 +0 1 2,3,4

y 0,1,2

0 1 2

loping 3 4 +

b condition s

also photog

).

locations of rnt (white fema

states, age pha

Age ases 2,3 <16, 17

26-322 <16, 17+ 20-23,2,3 <16, 17

26-32<16, 17

4 20-23,33-42

2,3 <16, 17+ 20-23,

24-28<16 17-19

4 20-23,

2,3,4 <16, 126-32<16 17-1920-2324-2826-32

states, includ

graphed to de

relevant margiale, individual

ases and age r

Age Ranges

7-19, 20-23, 24

7-19, 20-23, 2424-28

7-19, 20-23, 24

7-1924-28, 26-32

7-19, 20-23, 24, 24-28

24-28, 26-327-19, 20-23, 2

ding clear bi

epict the pot

ins and landm1369).

ranges.

4-28

4-28

4-28

4-28

24-28,

illowing and

tential difficu

marks. Clear

d full

ulty

Page 34: Accuracy Analysis of Common Adult Aging MethodsAccuracy Analysis of Common Adult Aging Methods Applied to Near Adult Human Skeletons . A thesis submitted to the . Graduate School

 

A

Figure

Suchey-B

T

pelvic ind

with the

Photogra

Brooks p

grainines

developm

presence

Figure. 4. individual

A)

e 3. Pit shape

Brooks Pubic

The Lovejoy

dicators of a

left innomin

aphs were tak

pubic symphy

ss, horizonta

ment of the v

of ossific no

Pubic symphl exhibits clear

variable of th

c Symphysea

and Meindl

age. Like the

nate used in c

ken at severa

ysis method

al ridging, ve

ventral ramp

odules, ligam

hyseal face depr horizontal ri

M

he sternal rib e

al Method (1

(1985) and

e sternal rib

cases of abse

al angles to c

d was applied

entral bevelin

art, developm

mentous outg

picting locatioidging (individ

Mersch | 25

B)

end. Conditio

1990)

Suchey and

end, the righ

ence or exten

capture all o

d to each ind

ng, lipping, p

ment of the d

growths, and

ons of relevantdual 1974, bla

on states: A) U

Brooks tech

ht element w

nsive damag

of the variabl

dividual. Th

porosity, del

dorsal marg

d location of

t symphyseal mack male).

U-shape B) sha

hniques (199

was preferent

ge of the righ

les (Fig. 4),

he variables i

limitation of

in and dorsa

f the pubic tu

margins and l

allow V-shape

90) both addr

tially examin

ht element.

and the Such

include

f extremities

al plateau,

ubercle.

landmarks. T

.

ress

ned,

hey-

s,

This

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Mersch | 26  

The aging method described by Brooks and Suchey (1990) was followed, including their

phase descriptions and figures. Bone casts modeled to exhibit the Suchey-Brooks phases

(#SA001, #SA002) were also referenced (www.francecast.com). The variables, condition states

for each variable, and the associated age phases and age ranges were organized for data

collection according to the original text (Table 4).

Table 4. Brooks and Suchey (1990) pubic symphyseal variables and condition states, with the associated age phases and age ranges.

Pubic Symphysis Variable

Condition States Age Phases

Male Age Ranges Female Age Ranges

Grain Ridges and furrows/billows 1,2,3 15-23, 19-34, 21-46 15-24, 19-40, 21-53 Fine grained 4,5 23-57, 27-66 26-70, 25-83

Horizontal Ridges Well-marked 1,2, 15-23, 19-34 15-24, 19-34

Poorly-marked 3,4,5,6 21-46, 23-57,

27-66, 34-86 21-53, 26-70, 25-83, 42-87

Ventral beveling Beginning 1,2 15-23, 19-34 15-24, 19-34

Beveled 3,4,5,6 21-46, 23-57,

27-66, 34-86 21-53, 26-70, 25-83, 42-87

Ventral rampart Forming 1,2,3 15-23, 19-34, 21-46 15-24, 19-40, 21-53

Completed 3,4,5,6 21-46, 23-57,

27-66, 34-86 21-53, 26-70, 25-83, 42-87

Porosity Absent 1,2,3,4 15-23, 19-34,

21-46, 23-57 15-24, 19-40, 21-53, 26-70

Delimitation of extremities

Lack of delimitation 1 15-23 15-23

Beginning delimitation 2,3 19-34, 21-46 19-34, 21-46 Complete delimitation 4,5,6 23-57, 27-66, 34-86 26--70, 25-83, 42-87

Ossific Nodules Present 1 15-23 15-23 Fusing/Forming upper extremity 2,3 19-34, 21-46 19-34, 21-46

Lipping No evidence of lipping 1,2,3 15-23, 19-34, 21-46 15-24, 19-40, 21-53 Evidence of lipping 4 23-57, 27-66, 34-86 26-70, 25-83, 42-87

Rim Absent 1,2,3 15-23, 19-34, 21-46 15-24, 19-40, 21-53 Present 3,4 21-46, 23-57 21-53, 26-70 Erosion 4,5,6 23-57, 27-66, 34-86 26--70, 25-83, 42-87

Dorsal Plateau Beginning formation 1,2 15-23, 19-34 15-24, 19-34

Completed formation 3,4,5,6 21-46, 23-57, 27-

66, 34-86 21-53, 26-70, 25-83, 42-87

Pubic Tubercle Attached to symphyseal face 1,2,3 15-23, 19-34, 21-46 15-24, 19-40, 21-53 Separated from symphyseal face 4,5,6 23-57, 27-66, 34-86 26--70, 25-83, 42-87

Ligamentous outgrowths

Absent 1,2,3 15-23, 19-34, 21-46 15-24, 19-40, 21-53

Present 4,5,6 23-57, 27-66, 34-86 26--70, 25-83, 42-87

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The descriptions for the relevant age ranges from Suchey-Brooks (1990) phase system are:

“Phase 1 – Symphyseal face has a billowing surface (ridges and furrows) which usually extends to include the pubic tubercle. The horizontal ridges are well-marked and ventral beveling may be commencing. Although ossific nodules may occur on the upper extremity, the key to the recognition of this phase is the lack of delimitation of either extremity.

Phase 2 – The symphyseal face may still show ridge development. The face has commencing delimitation of lower and/or upper extremities occurring with or without ossific nodules. The ventral rampart may be in beginning phases as an extension of the bony activity either one or both extremities.

Phase 3 – Symphyseal face shows lower extremity and ventral rampart in process of completion. There can be a continuation of fusing ossific nodule forming the upper extremity and along the ventral border. Symphyseal face is smooth and can continue to show distinct ridges. Dorsal plateau is complete. Absence of lipping of symphyseal dorsal margin; no bony ligamentous outgrowths” (232- 233).

Lovejoy and Meindl Auricular Surface Method (1985)

The ages for the auricular surface were estimated using the phase descriptions and figures

from Lovejoy and Meindl (1985). The auricular surface was photographed from several

different angles to capture the entire auricular surface, including the superior and inferior demi-

faces, the apex and apical activity, and the retro-auricular area (Fig. 5). If the right side was too

damaged, then the left side was used. The Lovejoy and Meindl method variables include

graininess, density, microporosity, macroporosity, billowing, presence of striations, apical

activity, retro-auricular topography, and transverse organization (Table 5). Phases 1 and 2

include the relevant near adult age ranges and originally described by Lovejoy and Meindl as

follows: 

“Age 20-24 -The surface displays fine granular texture and marked transverse organization. There is no retro-auricular activity, apical activity, or porosity. The surface appears youthful because of broad and well-defined billows, which impart the definitive transverse organization. Billows are well-defined and cover most of the surface. Any subchondral defects are smooth-edged and rounded.

Age 25-29 - Changes from the previous phase are not marked and are mostly reflected in slight to moderate loss of billowing, with replacement by striae. There is no apical activity, porosity, or retro-auricular activity. The surface still appears youthful owing to marked transverse organization. Granulation is slightly more coarse” (21-22).

Page 37: Accuracy Analysis of Common Adult Aging MethodsAccuracy Analysis of Common Adult Aging Methods Applied to Near Adult Human Skeletons . A thesis submitted to the . Graduate School

 

Figure 5. exhibits st

Table 5. Land age ra

AuricV

Porosity

Grain Billowing Density

StriationsTransvers

Apex

Retro-aur

Analyses

D

with the

estimates

methods

age facto

Auricular surtriations in the

Lovejoy and Manges for near

ular Surface Variable

g

s se Organization

ricular area

s

Data were org

statistical pr

s for each ind

derived from

ors and comb

rface depictinge middle of th

Meindl’s (1985r adults.

Co

Micropor

Fine grainRough grPresent Absent

Dense

Absent (bn Definitive

Sharp and

No activit

ganized in E

rogram JMP

dividual wer

m the rib, pu

bined factors

M

g the locationse superior and

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ondition States

osity (<1mm)

ned ained

billowing only)e

d distinct, no ac

ty

Excel and all

© (version

re generated

ubic symphy

s (Table 6).

Mersch | 28

s of relevant md inferior dem

urface variabl

s Age

<50

<27 >27 1,2 2

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) 1,2 1,2

ctivity 1,2

1,2

descriptive

12, SAS Inst

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sis, and auri

margins and lami-faces (indiv

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1,2 20

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2025

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and inferent

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a analyses us

icular surface

andmarks. Th

vidual 298, bla

states, and ass

Age Ranges

0 - 24, 25-29

0-24, 25-29 -29

0-24, 25-29 -29

0 - 24, 25-29

0 - 24, 25-29 0 - 24, 25-29

0-24, 25-29

0-24, 25-29

tial tests wer

Cary, NC, 20

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sociated age p

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015). Age

e primary ag

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phases

d

ging

ndent

Page 38: Accuracy Analysis of Common Adult Aging MethodsAccuracy Analysis of Common Adult Aging Methods Applied to Near Adult Human Skeletons . A thesis submitted to the . Graduate School

Mersch | 29

Table 6. Definitions of single and combined age estimation methods.

Age Estimation Method Definition

Rib Işcan and Loth (1984, 1985)

Pubic symphysis Brooks and Suchey (1990)

Auricular surface Lovejoy and Meindl (1985)

Combined rib, pubic symphysis, auricular surface

Derived from the combined age ranges of the Işcan and Loth, Brooks and Suchey, and Lovejoy and Meindl methods.

Molar eruption Buikstra and Ubelaker (1990), White and Folkens (2005) Femoral head fusion Buikstra and Ubelaker (1990), White and Folkens (2005) Humeral head fusion Buikstra and Ubelaker (1990), White and Folkens (2005) Medial clavicle fusion Buikstra and Ubelaker (1990), White and Folkens (2005) Distal radius fusion Buikstra and Ubelaker (1990), White and Folkens (2005)

Combined independent factor Derived from the combined age ranges of the five independent age factors: the molar eruption and four epiphyseal fusion sites.

Combined all Derived from the combined age ranges of the three age methods, as well as the five independent age factors.

Modified Age estimates derived from modified variables to the original three aging methods.

The scoring of non-metric traits for each method (Işcan and Loth 1984, 1985; Lovejoy

and Meindl 1985; Brooks and Suchey 1990) was performed for each variable (Tables 7-9).

These scores were used to place each element into an age phase, according to the respective

methods.

Table 7. Scoring rubric for the rib condition states (Işcan and Loth 1984).

Score Pit

Shape Pit Depth Porosity

Articular Surface

Rim Edges Walls Bone

Density

0 Absent/ damaged

Absent/ damaged

Absent/ damaged

Absent/ damaged

Absent/ damaged

Absent/ damaged

Thick, smooth, billowy

Absent/ damaged

1 V-shaped

No indentation

Non- porous

Billowing Smooth, rounded

Smooth, rounded

Central, semi-circle arc of bone

Smooth, solid

2 U-shaped

Slight indentation

Porous Lack of billowing

Wavy, smooth, rounded

Sharp, jagged

Arc less obvious, may have bony projections

Porous, light

3 Fullindentation

Plaque Scalloped,smooth, rounded

Thin, sharp,porous

4 Porosity, deterioration

Scalloped, irregular

5 Irregular

6 Bonyprojections

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Mersch | 30  

Table 8. Scoring rubric for the pubic symphysis condition states (Brooks and Suchey 1990).

Score Grain Horizontal

Ridges Ventral Bevel

Ventral Rampart

Porosity Delimitation

of Extremities

Dorsal Plateau

Ossific Nodules

Lipping Rim Pubic

Tubercle

0 Absent/ damaged

Absent/ damaged

Absent/ damaged

Absent/ damaged

Absent/ damaged

Absent/ damaged

Absent/ damaged

Absent/ damaged

Absent/ damaged

Absent/ damaged

Absent/ damaged

1 None Well

marked Slight bevel

Forming Absent Lack of delimitation

Beginning Absent Absent Absent Attached to face

2 Fine grained

Poorly marked

Marked bevel

Complete Present Slight delimitation

Complete Present Present Present Detached from face

3 Rough grained

Full delimitation

Table 9. Scoring rubric for the auricular surface condition states (Lovejoy and Meindl 1985).

Score Porosity Grain Billowing Density Striations Transverse

Organization Apical Activity

Retro-auricular Activity

0 Absent/ damaged

Absent/ damaged

Absent/ damaged

Absent/ damaged

Absent/ damaged

Absent/ damaged Absent/ damaged Absent/ damaged

1 No porosity Fine grained Present Dense

Billowing only Definitive

Sharp, distinct, no activity No activity

2 Microporosity

Rough grained Absent

Less dense Present Not definitive

Broad, slightly triangular, slight activity Slight activity

3 Macroporosity

Loss of grain Absent

Broad, slightly triangular, moderate activity

Moderate activity

4

Broad, slightly triangular, marked activity Extreme activity

Statistical tests were first performed on a pooled sample and then performed according to

sex (male/female) and ethnicity (black/white). The “Pooled Sample” features an age summary

that includes all of the estimated age ranges for each individual. Descriptive statistics include the

mean and median ages for each range. Although age falls on a continuum, the estimators report

whole numbers. If the mean or median arithmetically fell between whole numbers, the number

was rounded down, as ages at death are not referenced in half numbers. The mean estimated

ages were compared to the collection ages and depicted in biplots. The relationship between the

estimator and the collection age was explored through least squares regression. An estimator

with perfect performance would produce a best fit line with the slope of 1. The line of identity

(x=y, slope =1) was plotted in order to depict that ideal relationship.

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Distribution graphs were created in order to visualize the differences between each age

estimate and the distribution of the sample’s recorded ages. In order to quantify the reliability of

the aging methods, inaccuracy and bias were evaluated. As explained by Merritt (2014),

“Inaccuracy is the average absolute error of the age estimation, without reference to over- or

under-prediction, that is, Σ(estimated age -actual age)/n; whereas bias is the mean over- or under-

prediction of the individual, that is, Σ(estimated age - actual age)/n” (33).

Chi-square tables were used to test for differences among the age estimates obtained from

the sternal rib end, pubic symphysis, auricular surface, and the modified methods. The values

used in the Chi-square analyses were the “percent correct,” and marked “correct” if the estimated

age was within two years of the collection age, and “incorrect” if it was not. Chi-square tables

were created and the Pearson Chi-square test was reported for the contingency analysis. The

statistical significance was set to an alpha of 0.05 in order to test if the distribution of correctness

was the same across all methods. If the Pearson Chi-square value was significant, indicating a

difference among these methods, the relationship between the age methods and the collection age

was further evaluated using bivariate analysis to determine which method was a stronger or

poorer indicator of age.

Initially, the pooled sample was going to be divided into three age clusters (1 = ages 15-

18 years, 2 = ages 19-21 years, 3 = ages 22-25 years) to assess any age differences among the

younger and older individuals when the aging methods were applied (Murray and Murray 1991).

Apart from informing the decision to modify certain variables in the primary aging methods (rib,

pubic symphysis, and auricular surface), this portion of analysis was unsuccessful due to the low

statistical power of this study’s small sample size.

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Mersch | 32  

A post hoc evaluation of the sample was performed as a result of multiple observations

that concluded that some condition states from the rib, pubic symphysis, and auricular surface

methods were irrelevant for near adult individuals. Furthermore, it was observed that the near

adults in the sample expressed some morphological traits not included in the original methods.

Therefore, a modified age estimate was included post hoc.

 

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Chapter 3: Results

Age Estimations for Near Adults

Age Method Scores and Metric Variables

The metric and non-metric variables for each aging method were evaluated, and the

condition states scored according to the descriptions in Işcan and Loth (1984, 1985), Lovejoy

and Meindl (1985) and Brooks and Suchey (1990) (Tables 10-12).

The variables of the sternal fourth rib were largely comprised of the articular surface and

pit appearance, as well as rim and wall configurations (Table 10). Dimensions of the sternal rib

and pit depth comprised the metric variables (Table 10). Age estimates for each individual were

derived from all non-metric scores and linear measurements following the Işcan and Loth

method (Table 10). This assessment yielded a mean age range of 15 to 26 years for the study

sample, and a mean age of 19 years. The mean difference between the rib estimated age and the

collection age was -0.1 year. The mean difference was not statistically significant (t-test, p =

0.88).

The variables for the pubic symphysis that were assessed included the texture of the

symphyseal face, margin formation, and presence of ancillary features. Condition states were

scored according to the Suchey-Brooks (1990) method, and age estimates for each individual

were calculated (Table 11). Assessment per the Suchey-Brooks method produced a mean age

range of 16 to 25 years, and a mean age of 20 years for the entire study sample. The mean

difference between the pubic symphysis age estimate and the mean collection age was 0.59 year.

This mean difference was not statistically significant (t-test, p = 0.24).

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Table 10. Sternal rib end variables (Işcan and Loth 1984, 1985). n=30. X = absent/damaged. L = left. 3rd = sternal third rib end. 0.00 = depth could not be measured due to lack of indentation of the pit. Rib age range is derived from Işcan and Loth (1984, 1985).

Rib Non-Metric Scores Rib Metric Variates

Individual Collection Number

Collection Age Rib Age Range

Pit Shape

Pit Depth

Porosity Articular Surface

Rim Edges Walls Bone

Density

Cranio-caudal length (mm)

Medio-lateral width (mm)

Depth of cranial third (mm)

Depth of middle third (mm)

Depth of caudal third (mm)

87 25 24-28 2 3 2 3 1 1 2 1 17.43 8.68 3.20 2.90 3.20

98 18 <16 0 1 1 1 2 1 1 1 15.41 6.86 x x x

177 26 no rib x x x x x x x X x x x x x

233 19 17-19 1 2 1 1 3 1 1 1 17.33 7.38 0.70 0.80 0.10

256 22 20-23 1 3 1 2 3 1 1 1 15.54 7.75 1.40 1.70 0.30

269 25 24-28 2 3 2 3 2 1 2 1 13.25 7.96 1.50 3.00 1.20

298 21 20-23 (L) 2 2 1 3 1 1 3 1 13.74 5.94 0.60 0.20 0.00

410 18 24-28 1 2 1 2 1 1 2 1 14.53 6.00 0.90 0.90 0.90

423 24 no rib x x x x x x x X x x x x x

527 16 20-23 2 2 2 1 3 1 1 1 12.72 5.94 1.00 1.30 0.70

548 19 20-23 2 2 1 1 3 1 1 1 14.70 7.07 0.60 1.30 0.50

604 25 17-18 (3rd) 1 2 1 1 3 1 1 1 13.88 5.30 0.60 1.40 0.40

781 23 20-23 1 3 1 1 1 1 1 1 15.05 6.16 1.30 2.10 0.30

782 23 20-23 1 2 1 1 3 1 2 1 15.53 5.93 0.30 0.00 0.20

1041 17 17-18 1 2 1 1 3 1 1 1 11.16 5.83 0.90 0.30 0.20

1130 22 24-28 0 2 2 3 3 1 2 1 14.45 5.54 0.60 0.40 x

1140 18 17-19 0 2 1 1 3 1 1 1 19.01 6.78 1.30 2.40 0.40

1157 25 17-19 1 2 1 2 x x 1 1 13.53 6.01 1.00 1.50 1.70

1160 21 20-23 1 3 1 1 3 1 1 1 17.28 7.04 2.70 2.30 1.90

1232 16 17-19 1 2 2 2 3 1 1 1 10.74 5.28 0.90 0.90 0.90

1238 21 17-19 1 2 1 1 3 1 2 1 15.63 6.98 0.20 0.60 0.70

1369 25 24-25 2 3 1 1 3 1 1 1 15.15 5.16 0.40 1.30 1.10

1562 24 24-28 2 1 1 3 2 1 3 1 11.43 5.63 x x x

1589 17 20-23 (L) 1 2 2 2 2 2 3 2 10.42 3.45 0.70 1.10 0.90

1590 18 17-18 1 2 1 1 1 1 1 1 13.12 5.24 0.30 0.10 x

1974 18 17-19 1 2 2 2 3 1 1 1 16.15 6.77 0.60 0.20 0.70

2568 23 24-28 2 3 2 3 3 1 2 1 10.54 6.26 1.40 1.20 1.00

2584 23 22-24 2 3 1 3 3 1 1 1 17.28 8.38 2.90 1.80 1.20

2796 20 17-19 2 2 1 2 3 1 1 1 17.27 6.59 0.30 0.20 0.10

2845 20 20-23 2 2 1 1 2 1 1 1 14.52 6.85 0.70 0.30 0.30

2939 25 17-19 (3rd) 1 2 1 1 2 1 1 1 14.83 6.27 0.50 0.70 0.60

3112 15 <16 1 1 1 1 1 1 1 1 14.72 5.24 0.00 0.00 0.10

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Table 11. Pubic symphysis variables (Brooks and Suchey 1990). n = 32. X = absent/damaged. App = approximately. L = left. Pubic symphysis age range is derived from Brooks and Suchey (1990).

Pubic Symphysis Non-metric Scores

Individual Collection Number

Collection Age

Pubic

Symphysis

Age Range

Grain Horizontal

Ridges Ventral Beveling

Ventral Rampart

Porosity Delimitation

of Extremities

Dorsal Plateau

Ossific Nodules

Lipping Rim Pubic

Tubercle

87 25 23-25 1 1 2 1 1 3 1 1 1 2 1

98 18 <18 1 1 x 1 1 1 1 1 1 2 2

177 26 20-22 1 1 2 1 2 3 1 1 1 2 2

233 19 18-20 1 1 1 1 1 1 1 1 1 2 2

256 22 app 23 (L) 1 1 2 2 1 2 1 1 1 2 2

269 25 23-25 3 2 2 2 2 2 1 1 1 2 2

298 21 app 20 1 1 1 2 2 2 1 1 1 2 1

410 18 app 18 1 1 1 1 1 1 1 1 1 2 2

423 24 20-22 1 1 2 2 2 3 1 2 1 1 1

527 16 app 18 1 1 x 1 2 1 1 1 1 1 1

548 19 18-20 1 1 1 1 2 2 1 1 1 1 2

604 25 18-20 x 2 1 1 x x x 1 1 1 1

781 23 app 23 3 2 x x x 2 x 1 1 2 1

782 23 22-25 1 1 1 1 2 2 1 1 1 2 1

1041 17 17-18 1 1 1 1 x 2 x x 1 2 2

1130 22 app 25 (L) 2 1 2 2 2 3 1 1 1 2 2

1140 18 18-20 1 1 1 1 1 2 1 1 1 2 2

1157 25 app 18 1 1 x x x x x 1 1 1 2

1160 21 23-25 1 1 2 1 2 3 1 1 1 2 2

1232 16 15-17 (L) 1 1 x 1 x 1 1 1 1 1 2

1238 21 app 23 (L) 1 1 2 1 2 2 1 1 1 1 2

1369 25 20-22 x 2 x 2 x x x 1 1 x x

1562 24 20-22 1 2 1 1 x 2 1 x 1 2 2

1589 17 15-23 1 1 1 1 1 1 1 1 1 1 1

1590 18 16-17 1 1 x 1 x 2 x x 1 2 2

1974 18 18-20 1 1 x 1 1 2 1 1 1 2 2

2568 23 23-25 1 1 1 2 1 2 1 1 1 1 1

2584 23 app 25 2 2 2 2 1 3 x 1 1 2 2

2796 20 app 18 1 1 x 1 2 2 1 1 1 2 2

2845 20 app 18 1 1 1 1 1 2 1 1 1 2 1

2939 25 18-20 1 1 1 1 x x 1 1 1 2 2

3112 15 16-17 1 1 x 1 2 1 1 1 1 1 1

The variables for the auricular surface derived from the texture and activity states of the

auricular face. Condition states were scored according to the Lovejoy and Meindl (1985)

method, from which age estimates for each individual were obtained (Table 12). Assessment by

the Lovejoy and Meindl method yielded a mean age range for each individual of 16 to 24 years,

and a mean age of 19 years. The mean difference of 0.16 years between the auricular surface age

estimate and the mean collection age was statistically significant (t-test, p = 0.0070).

Page 45: Accuracy Analysis of Common Adult Aging MethodsAccuracy Analysis of Common Adult Aging Methods Applied to Near Adult Human Skeletons . A thesis submitted to the . Graduate School

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Table 12. Auricular surface variables (Lovejoy and Meindl 1985). n = 32. X = absent/damaged. App = approximately. L = left side. Auricular surface age range = derived from Lovejoy and Meindl (1985).

Auricular Surface Non-metric Scores

Individual Collection Number

Collection Age

Auricular Surface Age Range

Porosity Grain Billowing Density Striations Transverse

Organization Apical

Activity Retro-auricular

Activity

87 25 app 18 1 1 1 1 2 1 1 1 98 18 <18 2 2 2 1 2 1 1 2

177 26 app 20 2 2 1 1 2 1 1 2 233 19 18-20 1 1 2 1 2 1 1 2 256 22 21-23 (L) 2 2 2 1 2 2 1 1 269 25 22-24 1 1 2 1 2 1 2 3 298 21 app 18 2 1 1 1 2 1 2 1 410 18 <18 3 1 1 1 1 1 3 3 423 24 app 23 2 1 1 1 2 1 1 1 527 16 app 20 1 2 1 1 2 2 1 1 548 19 app 18 1 1 1 1 2 1 2 2 604 25 23-25 0 1 1 1 1 1 1 3 781 23 app 22 2 1 1 1 3 2 1 1 782 23 18-20 2 1 2 1 2 1 1 2

1041 17 18-20 1 1 1 1 2 1 1 1 1130 22 23-25 (L) 0 1 1 1 2 2 1 1 1140 18 <18 2 1 1 1 2 2 1 1 1157 25 18-20 1 1 1 1 2 1 2 2 1160 21 <18 0 1 1 1 1 2 3 2 1232 16 16-18 (L) 1 1 1 1 2 1 2 1 1238 21 16-18 (L) 2 1 1 1 1 1 1 1 1369 25 app 18 3 1 1 1 1 1 1 1 1562 24 16-18 2 1 1 1 2 1 1 1 1589 17 app 18 2 1 1 1 1 1 1 1 1590 18 18 1 1 1 1 2 1 1 2 1974 18 16-18 3 1 1 1 2 2 3 1 2568 23 23-25 2 2 1 1 2 1 1 1 2584 23 app 23 0 1 2 1 2 1 1 2 2796 20 16-18 1 1 1 1 2 1 2 3 2845 20 20-23 2 2 1 1 2 1 1 1 2939 25 app 20-22 2 1 1 1 2 1 2 1 3112 15 18-20 2 1 1 1 2 1 3 2

Age Summary for All Estimation Methods

Age estimates for each individual were calculated from the scored condition states and

metric variates for all singular and combined aging methods (Table 13). Because in some cases,

the distributions around the mean for the aging techniques were skewed (e.g. auricular surface

and modified age estimates), both mean and median ages for all methods were calculated (Table

14). The mean age obtained from all methods varies from ages 19.3 to 20.4 years. The medians

varied from 19.0 to 22.0 years.

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Mersch | 37

Table 13. Age summary for pooled sample by individual, listing the range and mean age estimates (years), obtained from all aging methods included in this study.

Individual

Collection

Number

Hamann-

Todd

Collection

Age

Rib (I&L)

Pubic

Symphysis

(B&S)

Auricular

Surface

(L&M)

Combined

R,PS,AS

Range

Combined

R, PS, AS

Mean

Molar

Eruption

Femoral

Head

Humeral

Head

Medial

Clavicle

Distal

Radius

Combined

Independent

Factor Range

Combined

Independent

Factor Mean

Combined

All Range

Combined

All Mean Modified

87 25 24-28 23-25 app 18 18-28 23 14+ 18+ 19+ 21 -30 20+ 14-25 20 14-28 21 app 20

98 18 <16 <18 <18 15-17 16 9+ 15+ < 14 14-18 <17 14-18 16 14-18 16 <18

177 25 - 28 no rib 20-22 app 20 20-22 21 18+ 18+ 19+ 21-30 20+ 18-25 22 18-25 21 22+

233 19 17-19 18-20 18-20 17-20 18 13+ 18+ 14+ <18 17+ 18-20 19 17-20 18 18+

256 22 20-23 app 23 (L) 21-23 (L) 20-23 21 18+ 18+ 19+ 18-21 20+ 18-25 22 18-25 21 20+

269 25 24-28 23-25 22-24 22-28 25 18+ 18+ 19+ 21 -30 20+ 21-25 23 21-28 24 22+

298 21 20-23 (L) app 20 app 18 18-23 20 13+ 18+ 19+ 18-21 20+ 18-21 19 18-23 20 17+

410 18 24-28 app 18 <18 16-28 22 13+ <15 < 14 <18 <17 13-18 16 13-28 20 app 18

423 24 no rib 20-22 app 23 20-23 21 18+ 20+ 19+ 18-21 20+ 18-25 22 18-25 21 20+

527 16 20-23 app 18 app 20 18-23 20 13+ 18+ 14+ <18 17+ 14-18 16 14-23 18 <18

548 17 – 21 20-23 18-20 app 18 18-23 20 18+ 18+ 19+ 18-21 20+ 18-21 19 18-23 20 20+

604 25 17-18 (3rd) 18-20 23-25 17-25 21 app 20 18+ 19+ 18-21 20+ 18-25 22 17-25 21 20+

781 23 20-23 app 23 app 22 20-23 21 18+ 18+ 19+ 18-21 20+ 18-25 22 18-25 21 20+

782 23 20-23 22-25 18-20 18-25 21 18+ 18+ 19+ <18 20+ 18-25 22 18-25 21 18+

1041 17 17-18 17-18 18-20 17-20 18 13+ 15+ 14+ <18 <17 13-18 15 13-20 16 <18

1130 22 24-28 app 25 (L) 23-25 (L) 23-28 25 18+ 18+ 19+ 21-30 20+ 18-25 22 18-25 21 20+

1140 18 17-19 18-20 <18 17-20 18 18+ 15+ <14 <18 17+ 13-18 15 13-20 16 app 18

1157 25 17-19 app 18 18-20 17-20 18 N/A 18+ 19+ 18-21 20+ 18-25 22 17-25 21 18+

1160 21 20-23 23-25 <18 16-25 20 18+ 18+ 19+ 18-21 20+ 18-21 19 16-25 20 18+

1232 16 17-19 15-17 (L) 16-18 (L) 15-19 17 18+ 15+ <14 <18 <17 14-18 16 14-19 16 <18

1238 19 – 24 17-19 app 23 (L) 16-18 (L) 16-23 19 18+ 15+ 19+ 18-21 20+ 18-25 22 16-25 20 18+

1369 25 24-25 20-22 app 18 18-25 21 13+ 18+ 19+ 18-21 20+ 18-25 22 18-25 21 18+

1562 21 – 27 24-28 20-22 16-18 16-28 22 18+ 18+ 19+ 18-21 20+ 18-25 22 16-28 22 18+

1589 17 20-23 (L) 15-23 app 18 15-23 19 13+ <15 <14 <18 <17 13-15 14 13-23 18 <18

1590 18 17-18 16-17 18 16-18 17 18+ 15+ 14+ <18 17+ 14-18 16 14-18 16 <18

1974 18 17-19 18-20 16-18 16-20 18 18+ 18+ 14+ <18 17+ 14-18 16 14-20 17 18-20

2568 23 24-28 23-25 23-25 23-28 25 14+ 18+ 19+ 18-21 20+ 18-25 22 18-28 23 20+

2584 23 22-24 app 25 app 23 22-25 23 N/A 20+ 19+ 18-21 20+ 18-25 22 18-25 21 20+

2796 20 17-19 app 18 16-18 16-19 17 9+ 15+ 14+ <18 <17 14-18 16 14-19 16 <18

2845 20 20-23 app 18 20-23 18-23 20 18+ 18+ 19+ <18 20+ 18-25 22 18-25 21 18+

2939 25 17-19 (3rd) 18-20 app 20-22 17-22 19 13+ 18+ 19+ <18 20+ 18-25 22 17-25 21 app 18

3112 15 <16 16-17 18-20 15-20 17 13-30 0-15 0-14 0-18 0-17 14-18 16 14-20 17 <17

I&L = Işcan and Loth (1984, 1985) sternal fourth rib end method. B&S = Brooks and Suchey (Suchey-Brooks) (1990) pubic symphysis method. L&M = Lovejoy and Meindl (1985) auricular surface method. R, PS, AS = abbreviation for rib, pubic symphysis, auricular surface methods. L = left side. 3rd = right 3rd rib substituted, due to absence/damage of the right or left fourth rib. App = approximately. N/A = No skull available. Due to absence or damage to the right element, the left fourth rib was used for two individuals: 1589 and 298. The right third rib was examined for individuals 604 and 2939. For individuals 256, 781, 1238, 1232 and 1130, the left auricular surface was examined. The left pubic symphysis was used for individuals 256, 781, 1238, 1232 and 1130.

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Mersch | 38

Table 14. Mean and median ages of pooled sample.

Age Method Mean (years) Median (years)

Collection 21.0 21.0

Rib (Işcan and Loth 1984, 1985) 19.3 21.0

Pubic Symphysis (Brooks and Suchey 1990) 20.4 19.5

Auricular Surface (Lovejoy and Meindl 1985) 19.4 19.0

Combined R, PS, AS 20.1 20.0

Combined Independent Factor 19.4 21.0

Combined All 19.9 22.0

Modified 19.8 21.0

R = Rib. PS = Pubic symphysis. AS = Auricular surface.

A visual assessment of the collection age showed a slight bimodal distribution with peaks

at ages 15 and 25 years (Fig. 6A). Similarly, the mean age distributions from three aging

techniques, the combined independent, combined all, and modified estimates, were also bimodal,

with peaks at ages 16 and 22 years (Fig. 6F – H). The remaining age estimation methods

produced unimodal age distributions. This initial comparison of pattern recognition among the

age distributions was followed by a test of inaccuracy and bias for each of the age estimation

methods.

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Figure 6. and Loth Meindl 19G) Combi

Inaccura

A

estimated

provides

Distribution g1985, 1986). C

985). E) Combined all (rib, p

acy and Bias

According to

d and actual

information

graphs of meaC) Pubic sympbined rib, pubpubic symphys

Across All A

Baccino and

age, and ina

n about the p

M

an estimated aphysis (Brook

bic symphysis,sis, auricular s

Aging Metho

d Ubelaker (

accuracy is th

possible unde

Mersch | 39

ages of pooled s and Suchey and auricular

surface, and in

ods

(1999), “bias

he absolute d

er estimation

sample. A) C1990). D) Aur surface. F) ndependent fa

s is the signe

difference” (

n or over esti

Collection agesuricular surfac Combined inactors). H) M

ed difference

(934). The b

imation resu

s. B) Rib (Işcace (Lovejoy an

ndependent facModified.

e between

bias measure

ults that can

an nd ctors.

e

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Mersch | 40  

occur with all regression-based aging methods (Brown 2010; Hartnett 2010). Inaccuracy and

bias calculations were performed on each individual in the study sample (Table 16). Although

the mean bias of the methods did not statistically differ (F ratio = 0.50, DF = 6, p = 0.80), the

measure of mean inaccuracy across all methods differed significantly (F ratio = 6.20, DF = 6, p =

<0.0001). The highest inaccuracy scores were obtained from the three primary aging methods of

the rib, pubic symphysis, and auricular surface. Greater accuracy was achieved with each of the

combined methods. The modified method generated the greatest accuracy (Table 15).

Table 15. Mean inaccuracy and bias for all age estimation methods, with the F ratio and p value.

All Methods

Methods ANOVA

Rib PS AS Combined R, PS, AS

Combined Independent

Factors

Combined All

Modified F ratio

Degrees of

Freedom (DF)

p value

Inaccuracy 3.97 3.47 3.97 2.16 1.84 2.00 1.72 6.20 6 <0.0001*

Bias -0.37 -0.91 -1.59 -0.91 -1.59 -1.44 -1.09 0.50 6 0.80

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Mersch | 41

Table 16. Inaccuracy and bias of the age estimates from each singular and combined method.

Sample Information Inaccuracy Bias

Individual Collection Number

Collection Age

Rib (Işcan and Loth

1984, 1985)

Pubic Symphysis

(Brooks and Suchey 1990)

Auricular Surface

(Lovejoy and Meindl 1985)

Combined R, PS,

AS

Combined Independent

Factor

Combined All

Modified

Rib (Işcan

and Loth 1984, 1985)

Pubic Symphysis

(Brooks and Suchey 1990)

Auricular Surface

(Lovejoy and Meindl 1985)

Combined R, PS, AS

Combined Independent

Factor

Combined All

Modified

87 25 4 1 11 2 5 4 5 -4 -1 -11 -2 -5 -4 -5 98 18 8 0 4 2 2 2 2 8 0 -4 -2 -2 -2 -2

177 26 x 5 3 5 4 5 3 X -5 -3 -5 2 -5 -3 233 19 7 5 1 1 0 1 3 7 5 -1 -1 -6 -1 3 256 22 x 1 2 1 0 1 0 X -1 -2 -1 -1 -1 0 269 25 7 9 8 0 2 1 2 -7 -9 -8 0 1 -1 -2 298 21 0 2 3 1 2 1 0 0 -2 -3 -1 -1 -1 0 410 18 5 7 5 4 2 2 0 5 7 5 4 -2 2 0 423 24 11 11 10 3 2 3 2 -11 -11 -10 -3 1 -3 -2 527 16 1 1 3 4 0 2 0 1 1 3 4 2 2 0 548 19 2 0 1 1 0 1 3 2 0 -1 1 -1 1 3 604 25 8 9 7 4 3 4 3 -8 -9 -7 -4 2 -4 -3 781 23 2 5 2 2 1 2 1 -2 -5 -2 -2 3 -2 -1 782 23 5 4 9 2 1 2 1 -5 -4 -9 -2 -5 -2 -1

1041 17 1 1 2 1 2 1 1 1 1 2 1 1 -1 -1 1130 22 5 3 2 3 0 1 0 -5 -3 2 3 5 -1 0 1140 18 0 1 1 0 3 2 0 0 1 -1 0 -2 -2 0 1157 25 1 4 8 7 3 4 3 1 -4 -8 -7 -4 -4 -3 1160 21 3 2 2 1 2 1 1 -3 -2 -2 -1 0 -1 -1 1232 16 10 8 7 1 0 0 0 10 8 7 1 -1 0 0 1238 21 5 4 3 2 1 1 1 5 4 3 -2 -1 -1 1 1369 25 1 1 1 4 3 4 3 1 -1 -1 -4 0 -4 -3 1562 24 3 1 2 2 2 2 2 -3 -1 -2 -2 -1 -2 -2 1589 17 4 1 2 2 3 1 1 -4 -1 2 2 3 1 -1 1590 18 6 3 10 1 2 2 2 6 3 10 -1 7 -2 -2 1974 18 0 0 1 0 2 1 1 0 0 -1 0 -1 -1 1 2568 23 5 4 2 2 1 0 1 -5 -4 -2 2 2 0 -1 2584 23 2 0 1 0 1 2 1 -2 0 -1 0 -1 -2 -1 2796 20 1 0 2 3 4 4 4 1 0 -2 -3 -2 -4 -4 2845 20 2 3 3 0 2 1 2 -2 3 -3 0 -6 1 2 2939 25 4 7 5 6 3 4 7 -4 -7 -5 -6 2 -4 -7 3112 15 6 8 4 2 1 2 0 6 8 4 2 -4 -2 0

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Mersch | 42   

Given the difference in accuracy across all methods, Chi-square contingency tables were

used to further explore differences among all aging methods (Table 17). Based on percent

correct age estimation, each method was marked as “correct” if the estimated age fell within two

years of the collection age, and was otherwise marked “incorrect.” The number of individuals

marked “correct” and “incorrect” was tabulated for each method (Table 17). Chi-square

contingency analysis yielded a statistically significant Pearson’s Chi-square (p = <0.0001).

Table 17. Chi-square contingency table depicting the percent correctness.

Method Decision Within 2 Years

Count Percentage

Rib Correct 63

Incorrect 37

Pubic Symphysis Correct 69

Incorrect 31

Auricular Surface Correct 53

Incorrect 47

Combined R, PS, AS Correct 69

Incorrect 31

Combined Independent Correct 72

Incorrect 28

Combined All Correct 75

Incorrect 25

Modified Estimate Correct 72

Incorrect 28

Chi-square Test Pearson Chi-square <0.0001

Bivariate Analysis of Mean Age Estimation

Given the significant Chi-square result, further comparison of the age estimation methods

was achieved by generating bivariate analyses. The collection age was compared to each of the

three primary methods (rib, pubic symphysis, and auricular surface methods), as well as the

combined independent factor age, combined age from the three primary methods, combined age

from all methods, and the modified age estimate (Fig. 7). Using least squares regression, a best

Page 52: Accuracy Analysis of Common Adult Aging MethodsAccuracy Analysis of Common Adult Aging Methods Applied to Near Adult Human Skeletons . A thesis submitted to the . Graduate School

Mersch | 43   

fit line characterized the relationship between the collection age and the estimated age. To

evaluate the effectiveness of the estimated age method, a line of identity (y=x, slope = 1) was

added to each biplot. The three primary methods (Fig. 7A-C) produced slopes of 0.72 or lower,

indicating poor age prediction. Slopes for the remaining combination and modified methods

were closer to the line of identity. The two top performing methods were the combined

independent factor method, with a slope of 0.95, and the modified age method, with a slope of

0.92 (Fig. 7E and 7G).

Because forensic anthropologists assess sex and ethnicity when generating a biological

profile of a decedent, examination of the aging methods on a sex specified sample (male and

female) and ethnicity specified sample (black and white) was performed. Also, given the greater

performance of the combined independent factor method and the modified variable method in

predicting age for the pooled sample, the sample was analyzed by sex and ethnicity in order to

determine if this trend persisted in partitioned sub samples.

Page 53: Accuracy Analysis of Common Adult Aging MethodsAccuracy Analysis of Common Adult Aging Methods Applied to Near Adult Human Skeletons . A thesis submitted to the . Graduate School

Figure 7. The dark sline of iden(Brooks anp value = 0Combined Modified.

Bivariate anaolid line indicantity (y=x). A) nd Suchey 19900.0055*. D) Coindependent far2 =0.58, p valu

alyses compariates the regressRib (Işcan and

0). r2 =0.40, p vombination rib,factor. r2 =0.76,ue = <.0001*.

M

ing the collectsion of the colld Loth 1984, 1value = <.0001, pubic symphy, p value = <.0

Mersch | 44  

tion ages and tlection age and985). r2 = 0.221*. C) Auriculaysis, auricular 001*. F) Com

the estimated d estimated age2, p value = 0.0ar Surface (Losurface. r2 =0.3

mbined all. r2 =0

ages from all e, and the dashe0083*. B) Pubiovejoy and Mei36, p value = 00.66, p value =

aging methoded line depictsc Symphysis indl 1985). r2 =0.0003*. E) = <.0001*. G)

ds. the

=0.23,

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Mersch | 45   

Comparison of Age Estimations by Sex

The pooled sample was partitioned by sex into two groups (male and female) to explore

the differences in age between males and females. Measures of inaccuracy and bias, as well as

bivariate analysis, were run on the data sample for each of the methods (Table 18), and lines of

regression were fitted by sex (Fig. 8). No significant difference of bias for males or females was

seen across the methods, but the methods statistically differed in their measure of inaccuracy for

each sex (male, F ratio = 2.48, DF = 6, p =0.0276; female, F ratio = 4.09, DF = 6, p = 0.0011).

With respect to the male sex, the combined methods all showed high predictors of age compared

to the singular methods.

Table 18. Inaccuracy and bias for all age estimation methods by sex, with the F ratio and p value.

By Sex

Methods ANOVA

Rib PS AS Combined R, PS, AS

Combined Independent

Factors

Combined All

Modified F

ratio

Degrees of

Freedom (DF)

p value

Male

Inaccuracy 3.87 2.82 3.65 2.12 1.71 2.06 1.53 2.48 6 0.0276*

Bias 0.00 -0.35 -2.35 -0.59 -1.71 -1.47 -0.82 1.00 6 0.43

Female

Inaccuracy 4.07 4.20 4.33 2.20 2.00 1.93 1.93 4.09 6 0.0011*

Bias -0.73 -1.53 -0.73 -1.27 -1.47 -1.40 -1.40 0.13 6 0.99

Page 55: Accuracy Analysis of Common Adult Aging MethodsAccuracy Analysis of Common Adult Aging Methods Applied to Near Adult Human Skeletons . A thesis submitted to the . Graduate School

Figure 8. aging metdark solid the line of 0.13, p valFemale: r2 0.0287*. F0.50, p valvalue = <.0Female: r2 .0005*.

Bivariate anahods. The lighline indicates tidentity (y=x).ue = 0.1804. B= 0.30, p valu

Female: r2 =0.1ue = 0.0016*. 0001*. Female=0.72, p value

alyses groupedht solid line indthe regression o. A) Rib (IşcanB) Pubic symp

ue = 0.0363*. C4, p value = 0. Female: r2 =0e: r2 =0.79, p ve = <.0001* G)

M

d by sex, compdicates the regrof the collection and Loth 19physis (BrooksC) Auricular s1676. D) Com

0.24, p value = value = <.0001*) Modified. M

Mersch | 46  

paring the collression of the con age and estim984, 1985). Mas and Suchey urface (Lovej

mbined rib, pu0.0614. E) Co*. F) Combineale: r2 =0.54, p

lection ages ancollection age amated age for ale: r2 = 0.37, p1990). Male: oy and Meind

ubic symphysiombined indeped all. Male: rp value = <.000

nd the estimatand estimated afemales. The p value = 0.015r2 = 0.59, p va

dl 1985). Maleis, auricular supendent factorr2 =0.57, p valu07*. Female: r

ted ages from age for males. dashed line dep55*. Female: r

alue = 0.0003*.: r2 = 0.28, p vurface. Male: r. Male: r2 =0.7ue = <.0005*. r2 =0.62, p valu

all The

picts r2 = .

value = r2 =

73, p

ue =

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Mersch | 47   

Comparison of Age Estimates by Ethnicity

When the sample was partitioned into two ethnicities (black and white), there were no

statistically significant differences among the aging methods with respect to bias. No difference

of statistical significance was found in inaccuracy among the black sample; however, the white

sample depicted statistically significant inaccuracy among the methods (white F ratio = 6.13, DF

= 6, p=<0.0001).

Table 19. Inaccuracy and bias for all age estimation methods by ethnicity, with the F ratio and p value.

By Ethnicity

Methods ANOVA

Rib PS AS Combined R, PS, AS

Combined Independent

Factors

Combined All

Modified F

ratio

Degrees of

Freedom (DF)

p value

Black

Inaccuracy 3.33 2.60 3.40 1.93 2.07 2.07 2.07 1.19 6 0.32

Bias 0.13 0.60 0.20 -0.87 -1.67 -1.40 -1.27 1.12 6 0.35

White

Inaccuracy 4.60 4.23 4.47 2.35 1.65 1.94 1.41 6.13 6 <0.0001*

Bias -0.87 -2.24 -3.18 -0.94 -1.53 -1.48 -0.94 0.93 6 0.48

Bivariate analysis was also conducted on an ethnicity partitioned sample to discover if

the age methods were statistically significant when black and white ethnicities were considered

(Fig. 9). Again, the three primary methods were not good predictors of age. The biplots depict a

greater prediction of age with the use of combination methods.

Page 57: Accuracy Analysis of Common Adult Aging MethodsAccuracy Analysis of Common Adult Aging Methods Applied to Near Adult Human Skeletons . A thesis submitted to the . Graduate School

Figure 9. all aging mcollection estimated aBlack: r2 =1990). BlaMeindl 19symphysisCombinedCombined=0.68, p va

Bivariate anamethods. Diamage and estimaage for white in

= 0.70, p value ack: r2 = 0.68, p985). Black: r2 s, auricular sud independentd all. Black: r2

alue = <.0001*

alyses groupedmond = Black inated age for blandividuals. Da= .0001. Whitep value = 0.00= .17, p value

urface. Black: r factor. Black

2 =0.68, p value*. White: r2 =0

M

d by ethnicity,ndividuals. Staack individualsashed line = the: r2 = 0.03, p v02*. White: r2

= 0.1296. Whir2 = 0.63, p valu: r2 =0.73, p vae = <.0002*. W

0.44, p value =

Mersch | 48  

comparing thar = White indis. Light solid le line of identivalue = 0.5299= 0.16, p valu

ite: r2 =0.22, pue = 0.0004*. alue = <.0001*White: r2 =0.61,

.0035*.

he collection aividuals. Dark line = the regreity (y=x). A) R9. B) Pubic syue = 0.1073. C)

value = 0.0563White: r2 =0.1. White: r2 =0, p value = <.0

ages and the essolid line = reg

ession of the coRib (Işcan andymphysis (Bro) Auricular su3. D) Combin

16, p value = 0.0.74, p value = 0002* G) Modi

stimated ages gression of theollection age an

d Loth 1984, 19ooks and Suchurface (Lovejoned rib, pubic .1136. E) <.0001*. F) ified. Black: r2

from e nd 985).

hey oy and

2

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Mersch | 49  

Discussion

Summary

The role of a forensic anthropologist is to assist death investigators and law enforcement

professionals in identifying human remains. To this end, all available skeletal elements are

examined and a biological profile is created with the aim of identifying the remains using

estimations of age, sex, stature, and ancestry. Age is an essential component in the identification

of unknown individuals, and many regions of the human body have been assessed for their

expression of age related features. For example, molar eruption and epiphyseal fusion are

reliable indicators of chronological age for juveniles due to the presence of growth and

maturation markers within the dentition and skeleton. When aging adults, many researchers rely

on the Işcan and Loth (1984, 1985) sternal fourth rib method, the Brooks and Suchey (1990)

pubic symphysis method, and the Lovejoy and Meindl (1985) auricular surface method because

each is highly accurate in aging adult skeletons (Murray and Murray 1991; Oettle 2000; Berg

2008; Hartnett 2010; Hens and Belcastro 2012; Merritt 2014). Each method included mean,

standard deviation, and 95% confidence intervals, along with age ranges for each phase

description.

A specific age group that remains relatively untested for skeletal aging indicators is the

near adult group. These are individuals between the ages of 15 and 25 years who have not yet

attained skeletal maturity. Although near adults are sometimes included in the age estimation

literature, they are often represented by relatively small sample sizes (Işcan 1985: Matrille 2007;

Berg 2008; Dedouit 2008; Fanton et al. 2010; Hartnett 2010; Hens and Belcastro 2012), and are

therefore less well studied with respect to the indicators of age within the skeleton.

Page 59: Accuracy Analysis of Common Adult Aging MethodsAccuracy Analysis of Common Adult Aging Methods Applied to Near Adult Human Skeletons . A thesis submitted to the . Graduate School

This study addressed three issues: the first was the performance of the sternal fourth rib

(Işcan and Loth 1984, 1985), pubic symphysis (Brooks and Suchey 1990) and auricular surface

(1985) on a near adult sample; the second was the development and application of a

multifactorial approach to aging near adults; and the third the effectiveness of epiphyseal fusion

conditions for aging near adults. Original and subsequent tests of each primary age method

suggested that using them in conjunction with other aging methods in a multifactorial approach

created higher accuracy in age estimation (Lovejoy et al. 1985; Baccino et al. 1999; Nagar and

Hershkovitz 2004; Anderson, Anderson and Wescott 2010). In tests of the singular methods

alone, many researchers found that each method successfully placed individuals into their

correct age phase, or within one phase of the individual’s actual age (Krogman and Işcan 1986;

Murray and Murray 1991; Djurić et al. 2007; Merritt 2014). In tests using multiple aging

methods, the Suchey-Brooks (1990) method was superior in phase assignment, especially for

younger adults (Matrille et al. 2007; Fleischman 2013; Merritt 2014).

In this study, Hypothesis 1 involved the prediction that the three primary adult aging

methods would be less accurate on a near adult population compared to the original studies

which tested the methods on a wider array of ages and greater distribution of individuals in the

middle and older adult ranges. Modifications to the three primary methods were anticipated to

increase the applicability of phase descriptions on a near adult population (Fig. 10-15).

This hypothesis was supported by testing the success of the rib, pubic symphysis, and

auricular surface methods on the near adult sample. The differences between the mean

estimated age of each method and the mean collection age were calculated using a Student’s

Paired t-test.

Mersch | 50  

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Mersch | 51  

No statistical significance was found for the estimated ages derived from the pubic symphysis

and the rib. However, the difference between the auricular surface estimated age and the

collection age was statistically significant (p = 0.007). This indicated lower accuracy for the

auricular surface method when applied to near adults, and corroborated the findings in the

literature that the Lovejoy and Meindl (1985) method is better at estimating the ages for

individuals after the fourth decade of life than it is estimating younger adults (Osborne, Simmons

and Nawrocki 2004).

In a study by Merritt (2014), the mean inaccuracy and bias for the Suchey-Brooks (1990)

and Işcan and Loth (1984, 1985) methods were calculated for several age ranges. The closest

range to the near adult range was the 18-29 year old age range. The inaccuracy and bias for the

Suchey-Brooks (1990) method was 3.94, and 1.03 respectively. For the Işcan and Loth (1984,

1985) method, the inaccuracy was 4.49, and the bias 2.69. In this study, the inaccuracy for the

Suchey-Brooks (1990) method was 3.47, and the bias was -0.91. The inaccuracy for the Işcan

and Loth (1984, 1985) method was 3.97 and the bias was -.04. In every case, the inaccuracy and

bias were lower for this study, indicating higher accuracy of the pubic symphysis and rib

methods on a near adult sample. Each bias score for the Merritt study was positive, indicating an

overestimation of age, while each bias score for this study as negative, indicating an

underestimation of age. This disparity could be due to the larger sample size and wider age

ranges used in Merritt’s (2014) study.

Hypothesis 1 also stated that modifications to the original variables will be necessary to

clarify the phase descriptions and make the methods more relevant to a near adult sample.

During the data collection and application of the Işcan and Loth (1985, 1986), Suchey-Brooks

(1990), and Lovejoy and Meindl (1985) methods, certain variables were found to be less

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Mersch | 52  

informative due to the young age of the sample population and the lack of degenerative

characteristics evident on the bones. Modifications were made to some existing variables to

make them more user-friendly and easier to understand for the anthropologist implementing

them on a near adult population. Furthermore, additional features were noted for each method

that were not included in the original texts. These changes may prove useful when aging near

adults in other sample populations, as the modified age estimates in this study were very accurate

when compared to the collection ages in bivariate analysis. The applicability of the elimination

of certain original variables and the addition of new or modified variables will need to be studied

further on a larger near adult study sample.

Method Modifications

Due to the young ages of the individuals examined in this study, the “bone density”

variable in the original Işcan and Loth (1985, 1986) method was eliminated because all of the

ribs for the near adults exhibited a smooth and solid density, rather than a light and porous

density. The other area of the rib that proved problematic to assess was the rim. The Hamann-

Todd Osteological Collection consisted of individuals whose bones were brittle and often

broken. This made analysis of the “rim edges” difficult because there were often sharp and

jagged areas due to the condition of the bones and not because of morphological characteristics

associated with age. The “rim edges” variable was changed to “rim texture,” with the associated

condition states changed to “scalloped” and “not scalloped” (Fig. 10). These condition states

were chosen because no other shapes were evident on the top of the rim (defined in this study as

the “edge.”

Page 62: Accuracy Analysis of Common Adult Aging MethodsAccuracy Analysis of Common Adult Aging Methods Applied to Near Adult Human Skeletons . A thesis submitted to the . Graduate School

T

This was

states: 1)

4) scallop

condition

different

“rim shap

and roun

A)

Figure 10.

A)

The greatest a

s described in

) smooth and

ped, slightly

n states were

features tha

pe” variable

ded – C-sha

. Modified rim

area of diffic

n Işcan and L

d rounded, 2)

y irregular, 5

e found to be

an what were

includes the

ped, 3) horiz

m texture vari

M

culty when f

Loth’s (1985

) wavy, smo

) irregular.

e extremely d

e originally n

e following c

zontal, 4) ob

iable (rib). A)

Mersch | 53  

following the

5) text as “ri

ooth and roun

This variabl

difficult to d

noted in Işca

condition sta

blique (Fig. 1

B)

) scalloped. B

B) 

e original rib

im” and inclu

nded, 3) scal

le was not us

differentiate.

an and Loth’

ates: 1) smoo

11).

B) not scallope

b method wa

uded five po

lloped, smoo

ser-friendly

Many rims

s method. T

oth and curv

d.

as the rim sh

ossible condi

oth and roun

and the

s exhibited

The modified

ved, 2) smoo

hape.

ition

nded,

d

oth

Page 63: Accuracy Analysis of Common Adult Aging MethodsAccuracy Analysis of Common Adult Aging Methods Applied to Near Adult Human Skeletons . A thesis submitted to the . Graduate School

 

C)

Figure 11.horizontal

 

T

when ana

the near a

variable w

exhibited

billowing

no billow

grain wa

changed

younger

wavy bill

. Modified riml. D) oblique.

The Suchey-B

alyzing the n

adults simpl

was changed

d only the bil

g: on the maj

wing was evi

s not eviden

to “billowin

individuals s

lows, or a co

m shape varia

Brooks pubic

near adult ind

y did not exh

d to “billowi

llowing featu

jority of the

ident, the ind

t in any of th

ng type” beca

showed mor

omplete smo

M

ble (rib). A) s

c symphysea

dividuals. T

hibit certain

ing location”

ure. This fe

face, on the

dividual was

he pubic sym

ause most in

re deep ridge

oothing of th

Mersch | 54  

D)

smooth and ro

al aging met

The majority

n features due

” because the

eature was sc

e ventral mar

s scored as “f

mphyses scor

ndividuals ex

es, and the ol

he billows to

ounded. B) sm

thod (1990) w

y of the modi

e to their you

e majority o

cored based

rgin only, or

fine grained

red. The var

xhibited som

lder individu

a fine grain

mooth and cur

was generall

ifications we

ung age. Th

f the pubic s

on the locati

r the dorsal m

d only” (Fig.

ariable “billo

me degree of

uals displaye

n texture.

rved/C-shaped

ly easy to fo

ere made bec

he “grain”

symphyses

ion of the

margin only.

12). Rough

ows” was

billowing. T

ed shallower

 

d. C)

ollow

cause

If

h

The

r,

Page 64: Accuracy Analysis of Common Adult Aging MethodsAccuracy Analysis of Common Adult Aging Methods Applied to Near Adult Human Skeletons . A thesis submitted to the . Graduate School

 

A)

C)

Figure 12.billowing

T

were no s

showed b

side, cate

included

without b

. Modified bilon ventral ma

The original “

symphyseal

beginning fo

egorized in th

in this new

billows, 3 - p

llowing locatioargin only. C)

“dorsal plate

faces that sh

ormation, wh

he modified

variable: 1 -

prominent sm

M

on variable (p) billowing on

eau” variable

howed comp

hich was evid

d variables as

- no smoothi

moothing wi

Mersch | 55  

B)

D) 

ubic symphysdorsal margin

e was change

plete formati

dent by a sm

s “dorsal smo

ing/billows o

ith no billow

sis). A) billowin only. D) no

ed to “dorsa

ion of a plate

moothing of t

oothing.” T

only, 2 - slig

ws (Fig. 13).

ing on majoritbillows/fine g

al smoothing

eau; in fact,

the billows o

Three conditi

ght smoothin

ty of face. B) grain only.

g,” because th

most barely

on the dorsal

ion states we

ng, with or

here

l

ere

Page 65: Accuracy Analysis of Common Adult Aging MethodsAccuracy Analysis of Common Adult Aging Methods Applied to Near Adult Human Skeletons . A thesis submitted to the . Graduate School

 

T

flare” var

there was

(Fig. 14)

A)

 

Figure 13.smoothing

A)

The dorsal ar

riable was ad

s a flaring of

.

. Modified dog. C) promine

ea offered fu

dded becaus

f the bone in

C)

orsal smoothinent smoothing

M

urther inform

se a clear rim

nferior to the

B)

ng variable (pu. 

Mersch | 56  

mation not in

m or lipping w

e dorsal edge

ubic symphysi

B)

ncluded in th

was not seen

e that looked

 

is). A) no smo

he original te

n in most cas

d like the beg

oothing/billow

ext: a “subdo

ses; howeve

ginning of a

 

ws only. B) slig

orsal

r,

rim

ght

Page 66: Accuracy Analysis of Common Adult Aging MethodsAccuracy Analysis of Common Adult Aging Methods Applied to Near Adult Human Skeletons . A thesis submitted to the . Graduate School

 

Figure 14.flare.

D

be a bypr

“micropo

following

no grain/

W

“apical a

skeletons

When the

. Modified sub

During the an

roduct of gro

orosity” only

g condition s

/billows only

When using t

ctivity” vari

s. Of the fou

e majority of

C)

bdorsal flare v

nalysis of the

owth and not

y. “Grain” w

states: 1) fin

y, 2) fine gra

the original L

iable were no

ur condition

f the conditi

M

variable (pub

e auricular su

t an indicato

was also sligh

ne grain, 2) ro

ain, 3) rough

Lovejoy and

ot specific an

states, three

on states inc

Mersch | 57  

ic symphysis)

urface, any m

or of advance

htly modifie

ough grain,

h grain.

d Meindl (19

nd were diff

e included th

cluded the sa

. A) no flare.

macroporosi

ed aging. “P

ed. The orig

3) loss of gr

985) method,

ficult to follo

he term “broa

ame descript

B) slight flar

ity that was n

Porosity” wa

ginal variable

rain, and was

, the conditio

ow when ana

ad, slightly t

tion, discern

 

re. C) promin

noted seeme

as changed to

e included th

s modified to

on states for

alyzing the

triangular.”

ning any

nent

ed to

o

he

o: 1)

r the

Page 67: Accuracy Analysis of Common Adult Aging MethodsAccuracy Analysis of Common Adult Aging Methods Applied to Near Adult Human Skeletons . A thesis submitted to the . Graduate School

 

differenc

condition

activity.

because f

(Fig. 15)

A)

C)

ces between t

n states were

Apical heig

for many ind

.

them proved

e applied, 1)

ght was a new

dividuals the

M

d difficult. T

no activity,

w metric var

e apex was m

E)

Mersch | 58  

This repetitio

2) slight act

riable added

measurably r

B)

D)

on was elimi

tivity, 3) mo

to the auricu

raised above

inated, and f

oderate activi

ular surface

the auricula

four simple

ity, 4) extrem

aging metho

ar surface fac

me

ods

ce

 

Page 68: Accuracy Analysis of Common Adult Aging MethodsAccuracy Analysis of Common Adult Aging Methods Applied to Near Adult Human Skeletons . A thesis submitted to the . Graduate School

 

H

adult ind

pubic sym

including

In

estimated

differenc

to over e

bias for a

was stati

primary s

the hypot

modified

for the or

FigureC) 2.20

Hypothesis 2

dividuals wou

mphysis and

g the calcula

naccuracy an

d ages for ea

ce between e

stimation an

all methods d

stically sign

singular agin

thesis that th

d estimate ex

riginal metho

e 15. Modified0mm. D) 3.30

stated that u

uld be more

d auricular su

ation of inacc

nd bias were

ach method a

stimated and

nd under esti

did not statis

ificant (p = <

ng methods:

he combinati

xhibited the l

ods.

M

d apical height0mm. E) 4.40m

using a comb

accurate tha

urface). Thi

curacy and b

e calculated f

and the actua

d actual age,

mation (Bui

stically diffe

<0.0001). T

the rib, pub

ion aging me

lowest inacc

Mersch | 59  

t variable (aurmm.

bined or mul

an any of the

s was suppo

bias and the b

for the samp

al (collection

, and bias ref

ikstra and Ub

er. However

The highest in

ic symphysi

ethods are be

uracy, which

ricular surfac

ltifactorial a

e three prima

orted by seve

bivariate ana

ple to test for

n) age. Inac

fers to the si

belaker 2010

r, mean inacc

naccuracy w

is, and auricu

etter predict

h supports th

 

ce). A) 0.00mm

approach whe

ary singular

eral tests in t

alyses.

r differences

ccuracy refer

igned differe

0; Merritt 20

curacy acros

was obtained

ular surface.

tors of age. I

he creation o

m. B) 1.30mm

en aging nea

methods (rib

this study,

s between the

rs to the abso

ence with res

014). The m

ss all method

d from the th

. This suppo

Interestingly

of modificati

m.

ar

b,

e

olute

spect

mean

ds

ree

orts

y, the

ions

Page 69: Accuracy Analysis of Common Adult Aging MethodsAccuracy Analysis of Common Adult Aging Methods Applied to Near Adult Human Skeletons . A thesis submitted to the . Graduate School

Mersch | 60   

Like the inaccuracy and bias analyses, the results of the bivariate analyses supported the

rationale of using combination and modified aging methods when estimating ages of near adults.

The combined independent factor age estimates showed a very similar slope to the line of

identity (y=x, slope = 1), indicating an excellent predictor of age. The least squares regressions

of the combined three methods and the combined age from all methods were the second and third

most accurate, compared to the line of identity. Of the single methods, the Suchey-Brooks

(1990) pubic symphyseal method was the most accurate for near adults.

Hypothesis 3 stated that the age estimates from the combined independent age factors of

molar eruption and epiphyseal fusion would not be accurate age predictors in a near adult

population due to their intermediate growth status. This hypothesis was refuted, as the combined

independent factor age estimates proved to be at least as accurate as the other combination

methods, as seen with the results of the least squares regression in the bivariate analyses. The

slope of the best fit line for the combined independent factor age estimation (0.95) was the most

similar to the line of identity (y=x, slope = 1).

Although multiple areas of the skeleton are often not recovered or are unusable for age

analysis, this study showed that whenever possible, fusion and molar eruption from multiple

sources should be preferentially assessed when aging near adult skeletons. The success of this

accuracy may be due to the fact that these five variables (four skeletal and one dental) come from

disparate areas of the body and create a broader representation of the aging trends of the

individual. Using the combined age estimate from the rib, pubic symphysis and auricular

surface may show a high level of accuracy for the same reason. One variable is representing the

upper body, and two are representing the lower body. Of the single methods, the Suchey-Brooks

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Mersch | 61   

(1990) pubic symphyseal method was the most accurate for near adults, as seen in the bivariate

analyses.

Other tests include the partitioning of the pooled sample by sex (male and female), and

ethnicity (black and white), and the inaccuracy and bias for both were calculated. Similar to the

pooled test, the bias for males and females was not statistically significant. Inaccuracy in age

estimation was significant in both males and females (male, F ratio = 2.48, DF = 6, p =0.0276;

female, F ratio = 4.09, DF = 6, p = 0.0011). When partitioned by ethnicity, the methods again

showed no significant bias. However, the inaccuracy of the methods was statistically significant

in the white sample (p=<0.0001).

Most methods exhibited an “over/under bias,” which is typical of all regression methods

(Murray and Murray 1991; Saunders et al. 1992; Brown 2010; Harnett 2010). This trend means

that the method over-ages younger individuals and under-ages older individuals and was

evidenced in all of the bivariate analyses except the biplot depicting the auricular surface age

estimates. Interestingly, this occurred in nearly all methods despite the relatively small sample

size and limited age range of this study.

Study Limitations

Age estimation methods rely on the expertise of the observer who must assess specific

skeletal features and precisely apply the aging methods in order to create an accurate age

estimate. Every age estimation method suffers from the same drawback explained by Oettle

(2000): “the different progressive age changes of the phases can often be seen as a continuum,

rather than being clearly demarcated between the phases. Another factor causing different

interpretations could be the fact that a specimen could exhibit advanced age in certain aspects,

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Mersch | 62  

but younger features in other aspects” (1078). The current study was performed after extensive

research and practice with the three aging methods (Işcan and Loth 1984, 1985; Lovejoy and

Meindl 1985; Brooks and Suchey 1990); however, the methods were not performed on near adult

skeletons before the data analyses, due to the paucity of specimens in the available osteological

collection. The lack of experience applying the age methods to a near adult population could

have impacted analysis.

Several aspects of this study may have influenced the accuracy of the age estimations

achieved from applying the three adult aging methods (Işcan and Loth 1984, 1985; Lovejoy and

Meindl 1985; Brooks and Suchey 1990) to a near adult population. The small sample size

(n=32) is the primary concern when viewing the results of this study. Analysis of individual

variation in age-related morphological changes may be incomplete due to the small sample.

Additionally, the Hamann-Todd Osteological Collection is comprised of only black and white

individuals. There may be variation in a near adult population that includes other ethnicities and

should therefore be a focus for further study.

Another limitation of the current study is the possibility of incorrect reference ages from

the Hamann-Todd Osteological Collection. Reference material included mostly indigent

individuals whose birth dates, life histories, and death records were absent, incomplete, or

incorrect. In some cases, the only reference age was an estimate determined by a previous

anthropologist’s assessment. Furthermore, while the individuals used in the study did not exhibit

obvious features of trauma or pathology, injuries, malnutrition, disease, and repetitive strenuous

activity could affect the skeleton and obscure the features required for age estimation. Poor

health could also affect rates of maturation, which has the potential of impacting the fusion-

reliant independent factor age estimates.

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Mersch | 63  

Assessing the age-at-death of near adults using the Işcan and Loth (1984, 1985), Suchey-

Brooks (1985) and Lovejoy and Meindl (1985) methods revealed some application concerns with

certain variables. In some cases, confusion arose with the descriptions of the variables in the

original methods. For example, the rib variable, “rim” (Işcan and Loth 1984, 1985) included five

possible condition states: 1) smooth and rounded 2) wavy, smooth and rounded 3) scalloped,

smooth and rounded 4) scalloped, slightly irregular 5) irregular. The only easily identifiable

features for this variable were for older individuals not used in the study sample. This variable

was modified to more accurately describe the rim shape and texture features seen in the near

adult sternal rib ends. In other cases, variables such as bone density were simply not relevant to

near adult individuals because they described degenerative age changes that the elements of the

younger skeletons did not yet exhibit.

Future Research Directions

Future application of adult methods on near adult individuals should be performed on a

larger sample population. Preferably, subsequent study samples will feature a more robust

distribution of individuals in each of the near adult ages of 15-25 years, and will test the Işcan

and Loth (1984, 1985), Suchey-Brooks (1990) and Lovejoy and Meindl (1985) methods on a

sample with more diverse ethnicities. Features and trends associated with aging should be more

apparent with a larger sample.

The results from the age analyses exposed a lack of detail in the descriptions of several

variables and also showed that some variables were not applicable to a young adult sample.

Modifications were made to the original methods which proved to be highly accurate when

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Mersch | 64  

testing age on a near adult sample. Testing the modified methods on a greater number of near

adults would be beneficial to fully examine the efficacy of these modifications.

Among near adult individuals between the ages of 15 and 25 years, a substantial amount

of skeletal maturation occurs, and variation between individuals may be large due to the

variability in epiphyseal fusion. Similar to Murray and Murray (1991), future research in near

adult aging techniques should separate the pooled sample into age clusters. A preliminary age

cluster analysis was conducted on the present sample using three groups: 1 = 15-18 years, 2 =

19-21 years, 3 = 22-25 years. A larger sample size would have greater statistical power in

generating further analyses from the division of the pooled sample into age clusters. This

preliminary analysis affected the modifications made to the original variables and condition

states because it showed which variables may not be applicable to a near adult sample.

Conclusion

Study of aging near adult skeletons using the Işcan and Loth (1984, 1985), Suchey-

Brooks (1990), and Lovejoy and Meindl (1985) age estimation methods indicates that greater

accuracy in aging can be achieved using a multifactorial approach. A combined independent

factor age estimate using molar eruption and epiphyseal fusion is a particularly good age

predictor. The combined age estimate of the rib, pubic symphysis and auricular surface is also

accurate when aging near adults, as well as the combined estimate for all methods (singular and

independent). Single age methods are not as accurate when aging near adults. However, if

multiple areas of the skeleton are unavailable for analysis, marginally better age estimates are

produced for a near adult individual when using the pubic symphysis, as opposed to the rib or the

auricular surface.

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Mersch | 65  

Modifications were made to several original variables, and analyses of the resulting age

estimations indicated high accuracy of the modified age estimate. This suggests that the Işcan

and Loth (1984, 1985), Suchey-Brooks (1990) and Lovejoy and Meindl (1985) methods should

be supplemented with modified information to be utilized when aging near adult individuals. In

order to further test the efficacy of singular and combination aging methods on a near adult

population, future tests using the original methods and the modified variables should be

conducted on a larger sample that is more ethnically diverse, with a more robust distribution of

ages in the near adult age range of 15 to 25 years.

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Mersch | 66   

 

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