Analyzing Policies Through a DOHaD Lens: What Can We Learn?
Analyzing Policies Through a DOHaD Lens: What Can We Learn?
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DOI：
10.3390/ijerph15122906
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发表时间：
2018-12
影响因子：
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通讯作者：
J. Goodman;Janne Boone-Heinonen;D. Richardson;Sarah B Andrea;L. Messer
中科院分区：
文献类型：
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作者：
J. Goodman;Janne Boone-Heinonen;D. Richardson;Sarah B Andrea;L. Messer
社会、卫生和环境政策是为健康人群提供所需条件的关键工具。然而，目前的政策分析未能充分把握其在整个生命过程中和代代相传的潜在影响。我们认为，健康和疾病的发展起源（DOHaD），一个概念和研究框架，假定早期的生活经历显着影响整个生命周期的健康轨迹，并进入后代的领域，提供了一个重要的透镜，通过它来分析社会政策。为了说明这一点，我们综合了与三个领域的政策相关的证据-家庭休假，营养和住房-以检查多代人的健康影响。我们之所以选择这些政策领域，是因为它们与生殖健康重点的距离越来越远，每个领域都有越来越多的证据支持对孕妇及其后代的潜在影响。这些例子中的每一个都代表着一个机会，可以利用多哈透镜扩大我们对政策影响的理解，同时考虑到以前被忽视的潜在生命历程和代际影响。
Social, health, and environmental policies are critical tools for providing the conditions needed for healthy populations. However, current policy analyses fall short of capturing their full potential impacts across the life course and from generation to generation. We argue that the field of Developmental Origins of Health and Disease (DOHaD), a conceptual and research framework positing that early life experiences significantly affect health trajectories across the lifespan and into future generations, provides an important lens through which to analyze social policies. To illustrate this point, we synthesized evidence related to policies from three domains—family leave, nutrition, and housing—to examine the health implications for multiple generations. We selected these policy domains because they represent increasing distance from a reproductive health focus, each with a growing evidence base to support a potential impact on pregnant women and their offspring. Each of these examples represents an opportunity to extend our understanding of policy impact using a DOHaD lens, taking into account the potential life course and intergenerational effects that have previously been overlooked.