Life Course Approaches to the Causes of Health Disparities

Publication Abstract

Jones, Nancy L., Stephen E. Gilman, Tina L. Cheng, Stacy S. Drury, Carl V. Hill, and Arline T. Geronimus. 2019. "Life Course Approaches to the Causes of Health Disparities." American Journal of Public Health, 109(S1): S48-S55.

Reducing health disparities requires an understanding of the mechanisms that generate disparities. Life course approaches to health disparities leverage theories that explain how socially patterned physical, environmental, and socioeconomic exposures at different stages of human development shape health within and across generations and can therefore offer substantial insight into the etiology of health disparities.Life course approaches are informed by developmental and structural perspectives. Developmental perspectives emphasize how socially patterned exposures to risk factors during sensitive life stages shift health trajectories, whereas structural perspectives emphasize how social identity and position within socially patterned environments disproportionately allocate risk factors and resources, resulting in altered health trajectories.We conclude that the science of health disparities will be advanced by integrating life course approaches into etiologic and intervention research on health disparities. The following 4 strategies are offered to guide in this process: (1) advance the understanding of multiple exposures and their interactions, (2) integrate life course approaches into the understanding of biological mechanisms, (3) explore transgenerational transmission of health disparities, and (4) integrate life course approaches into health disparities interventions.


Browse | Search | Next

PSC In The News

RSS Feed icon

Miller comments on local efforts to provide healthcare to vulnerable populations

Shaefer discusses Americans with tight financial resources have fewer options as they navigate coronavirus closures and layoffs in NYT

Mehta's research on life expectancy crisis in the USA: The opioid crisis is not the decisive factor

More News


Data Scientist Job Open at PSC/PDHP

New Investigator Mentoring Program (PDHP) Applications Sought

More Highlights

Connect with PSC follow PSC on Twitter Like PSC on Facebook