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The Life Course Framework in Family Health
Transcript of 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?
> 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
Early life critical periods,
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
Path Taken Through life
Individuals in families
Life Course in
Focuses on relationship between
early exposures and much later
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)
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