Abstract
BackgroundAlthough life course epidemiology is increasingly employed to conceptualize the determinants of health, the implications of this approach for strategies to reduce the burden of injuries have received little recognition to date.MethodsThe authors reviewed core injury concepts and the principles of the life course approach. Based on this understanding, a conceptual model was developed, to provide a holistic view of the mechanisms that underlie the accumulation of injury risk and their consequences over the life course.ResultsA "lens and telescope" model is proposed that particularly draws on (a) the extended temporal dimension inherent in the life course approach, with links between exposures and outcomes that span many years, or even generations, and (b) an ecological perspective, according to which the contexts in which individuals live are critical, as are changes in those contexts over time.ConclusionsBy explicitly examining longer-term, intergenerational and ecological perspectives, life course concepts can inform and strengthen traditional approaches to injury prevention and control that have a strong focus on proximal factors. The model proposed also serves as a tool to identify intervention strategies that have co-benefits for other areas of health.
Highlights
Life course epidemiology is increasingly employed to conceptualize the determinants of health, the implications of this approach for strategies to reduce the burden of injuries have received little recognition to date
As many injuries follow acute events and are considered to be relatively sudden in onset [3], it is tempting to focus on the short-term and proximal influences on injury
We examine the models and concepts that have most strongly influenced the field of injury, drawing on seminal articles, book chapters and other prominent resources, and describe the extent to which life course concepts have been addressed in existing approaches to injury
Summary
The authors reviewed core injury concepts and the principles of the life course approach. A conceptual model was developed, to provide a holistic view of the mechanisms that underlie the accumulation of injury risk and their consequences over the life course
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