The Life Course Perspective Teaching Life Course in

The Life Course Perspective Teaching Life Course in MCH Sophie Godley

Teaching Objectives 1. Address why we need a new model to address MCH health; 2. Explore theoretical underpinnings of the model; 3. Identify the implications of the model for changing MCH education, research, and practice; 4. Continue an explicit discussion about social determinants, health disparity, and racial equity; 5. Practice skills in applying Life Course to MCH issues.

Life Course Perspective • Connect early life event to later life ones • Describe the pathways for heath trajectories • Address the mechanisms that determine or influence health trajectories in order to provide a comprehensive systems approach to improving quality of life

Student examples

Child maltreatment and adverse health through the life course heart disease Health Outcomes impaired immune regulation substance use substance abuse toxic stress young maternal age inadequate nutrition Preterm infant Societal Outcomes health-risk behaviors child maltreatment low birth weight infant obesity STI impaired cognition diabetes anxiety impaired emotional regulation depression unemployment school interruption violent behavior incarceration before birth early childhood adolescence adulthood Kimberly Schwartz, MCH 725, Fall 2012

Childhood Adolesence Adulthood Poor Nutrition Cont. Poor Nutrition Lack of Physical Activity Cont. Lack of Physical Activity Little to No Phyiscal Activity Poor Academic Performance Poor Workplace Performance Behavior Issues Nascent Health Issues Pronounced Health Issues Lack of Discipline HIGH RISK OF OBESITY

Random Family �NPR Story 6/3/2021 9

Not neat and tidy � Disparity � Life course perspective � Urban setting of BUSPH � Just a handful of stories � How do we give voice to the voiceless? � And, who gets to tell the story? 6/3/2021 10

Majora Carter: Greening the Ghetto �TED talk �CNN Story

Center for Hunger Free Communities �A Place at the Table �Tiana!