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The Life Course Framework in Family Health

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by

Marian Moser Jones

on 1 November 2013

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Transcript of The Life Course Framework in Family Health

The Life Course Framework in Family Health
What is the Life Course framework?>

Looks at people, life events, health and their impact over the course of a lifetime– and over multiple interlinked lifetimes.


Looks at the impact of early life events on later life outcomes.

Looks at intergenerational effects of events, exposures














What's New About the Life Course?
OLD PARADIGM

> Focus on individual mothers, children, educate providers, skills

> Narrow time frame- pregnancy and immediate context

>Focus on individual behavioral, medical context in which pregnancy occurs

>Discrete stages of life




Key Ideas in the Life Course Framework
Timing -
Early life critical periods,
historical time,
generational time
Why does the Life Course model make sense?
Remember- we’re 46th in infant mortality, even though we spend more than any other country on health care.

Why is it important to public health?
In public health, focuses on the relationship between exposures to health factors early in life and health outcomes much later on.

Transitions - Birth,
School Entry, Puberty
Trajectories
Path Taken Through life
Interlinked Lives-
Individuals in families
Life Course in
Public Health
Focuses on relationship between
early exposures and much later
disease/health outcomes

Critical time periods model – certain times more crucial than others
(Developmental Origins of Health and Disease (DOHaD) theory,
> fetal programming permanently shapes the body’s metabolism, structure and function)

Accumulation model–
health exposures accumulate over time like debts or deposits in a “health bank”

Pathways model– chains of causation.

So what should we do?


“Provide continuity of care, starting before pregnancy
and continuing throughout life.”


“ Provide women, children and families with health benefits

>that allow them to identify a medical home/primary care provider of their choice and

>maintain care with that provider over time regardless of changes in income or jobs...”
Bad morning sickness drug kept off market in US

But causes birth defects in UK, Europe
Thalidomide Tragedy
Full transcript