What are the public health implications of the life course perspective?
What are the public health implications of the life course perspective?
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DOI：
10.1080/16549716.2019.1603491
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发表时间：
2019-01-01
影响因子：
2.6
通讯作者：
Fall, Caroline
中科院分区：
文献类型：
--
作者：
Aagaard-Hansen, Jens;Norris, Shane A.;Fall, Caroline
在过去几十年里，创新研究表明，在怀孕和婴儿早期（“头1000天”）接触有害事件对生命过程后续阶段甚至几代人的健康都有影响。最近有研究表明，即使是孕前期也是最重要的，其他学者已经提出了1000天应该延长到孕后8000天的观点。目前的贡献旨在通过应用整体的“全周期”观点进一步弥合研究证据与公共卫生政策之间的差距。因此，提出了一个指导公共卫生优先次序的概念框架，包括“对下一代的影响”、“可塑性”和“具有记录影响的现有干预措施”等变量。这个框架可以指导决策者选择在生命历程的哪个阶段投资（或不投资），而且它还指出了一些相关的研究重点。
During the past decades innovative research has shown that exposure to harmful events during pregnancy and early infancy ('the first 1000 days') has an impact on health at subsequent stages of the life course and even across generations. Recently it has been shown that even the pre-conception period is of outmost importance, and other scholars have made the case that the 1000 days should be extended to a period of 8000 days post-conception. The present contribution aims to bridge further the gap between research evidence and public health policy by applying a holistic 'full-cycle' perspective. Thus, a conceptual framework is suggested for guiding public health prioritization, including the variables of 'impact on the next generation', 'plasticity' and 'available interventions with documented impact'. This framework could guide decision makers in selecting at which stages of the life course to invest (and not), and furthermore it points to some pertinent research priorities.