A life course approach to injury prevention: a "lens and telescope" conceptual model

BMC Public Health

Correspondence

Susan Morton¹  Danilo Blank²  Shanthi Ameratunga³  Jamie Hosking³ 

[1] Centre for Longitudinal Research, School of Population Health, University of Auckland, Auckland Mail Centre, 1142, Auckland, New Zealand;Departamento de Pediatria, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil;Section of Epidemiology and Biostatistics, School of Population Health, University of Auckland, Auckland Mail Centre, 1142, Auckland, New Zealand;

关键词: Injury Prevention;    Injury Risk;    Road Traffic Injury;    Intergenerational Correlation;    Ecological Influence;   

DOI  :  10.1186/1471-2458-11-695

 received in 2011-05-17, accepted in 2011-09-08,  发布年份 2011

来源: Springer

【 摘 要 】

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.

【 授权许可】

Unknown   
© Hosking et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.