{"id":612,"date":"2013-08-21T19:30:26","date_gmt":"2013-08-21T19:30:26","guid":{"rendered":"http:\/\/content.scienceofecd.com\/secd-intro\/?page_id=612"},"modified":"2025-07-08T17:52:28","modified_gmt":"2025-07-08T17:52:28","slug":"dh-1-1-life-course-trajectories","status":"publish","type":"page","link":"https:\/\/content.scienceofecd.com\/secd-intro\/dh-1-1-life-course-trajectories\/","title":{"rendered":"DH 1.1 Life course trajectories"},"content":{"rendered":"<div class=\"wp-block-image\">\n<figure class=\"alignleft\"><img decoding=\"async\" src=\"http:\/\/content.scienceofecd.com\/third-edition\/files\/2012\/03\/RRCrunning-300x199.jpg\" alt=\"\" class=\"wp-image-2546\" title=\"RRCrunning\"\/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">A trajectory is a path followed through time. Life course trajectories are set early in life but they can be changed over time, for individuals and for populations. The developmental health perspective helps us understand why early biological and social conditions influence trajectories so strongly. It also helps us understand that healthy populations are comprised of individuals with healthy life course trajectories.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Listen now as Dr. David Butler-Jones, former Chief Public Health Officer of Canada,\u00a0discusses setting trajectories early in life.<\/p>\n\n\n<div class=\"lazyblock-watch-expand-transcript-1FS8sL wp-block-lazyblock-watch-expand-transcript\"><div class=\"watch-expand expand-container context-container\">\n   <div class=\"watch tap-to-expand tap-container\">\n      <div class=\"tap-icon\"><\/div>\n      <div class=\"tap-content\">\n         <span class=\"tap-label\">VIEW<\/span>\n         <span class=\"tap-description\">Butler-Jones &#8211; setting healthy trajectories (3:20)<\/span>\n        \n      <\/div>\n   <\/div>\n   <div class=\"output-content collapse\" style=\"height: 0px;\">\n      <div class=\"vimeo-container\">\n         <iframe webkitallowfullscreen=\"\" mozallowfullscreen=\"\" allowfullscreen=\"\" src=\"\/\/player.vimeo.com\/video\/90180605?api=1\" frameborder=\"0\"><\/iframe>\n      <\/div><br>\n      <p><a href=\"https:\/\/content.scienceofecd.com\/transcript\/transcript-butler-jones-setting-healthy-trajectories\/\" target=\"_blank\">Butler-Jones &#8211; setting healthy trajectories &#8211; Text Transcript<\/a><\/p>\n   <\/div>\n<\/div><\/div>\n\n\n<p class=\"wp-block-paragraph\">Consider these examples of social determinants of health:<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><a href=\"http:\/\/content.scienceofecd.com\/ak-short\/files\/2015\/07\/ExampleSocialDeterminants_DH1.jpg\"><img decoding=\"async\" src=\"http:\/\/content.scienceofecd.com\/ak-short\/files\/2015\/07\/ExampleSocialDeterminants_DH1-300x225.jpg\" alt=\"ExampleSocialDeterminants_DH\" class=\"wp-image-7913\"\/><\/a><figcaption class=\"wp-element-caption\">Click to enlarge.<\/figcaption><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">In the next video, Dr. Marni Brownell, from the Manitoba Centre for Health Policy at the University of Manitoba, and Dr. David Butler-Jones, discuss some social factors that impact individual and population\u00a0health.<\/p>\n\n\n<div class=\"lazyblock-watch-expand-transcript-Z20Ie64 wp-block-lazyblock-watch-expand-transcript\"><div class=\"watch-expand expand-container context-container\">\n   <div class=\"watch tap-to-expand tap-container\">\n      <div class=\"tap-icon\"><\/div>\n      <div class=\"tap-content\">\n         <span class=\"tap-label\">VIEW<\/span>\n         <span class=\"tap-description\">Brownell and Butler-Jones &#8211; social determinants (2:47)<\/span>\n        \n      <\/div>\n   <\/div>\n   <div class=\"output-content collapse\" style=\"height: 0px;\">\n      <div class=\"vimeo-container\">\n         <iframe webkitallowfullscreen=\"\" mozallowfullscreen=\"\" allowfullscreen=\"\" src=\"\/\/player.vimeo.com\/video\/90180474?api=1\" frameborder=\"0\"><\/iframe>\n      <\/div><br>\n      <p><a href=\"https:\/\/content.scienceofecd.com\/transcript\/transcript-brownell-butler-jones-social-determinants\/\" target=\"_blank\">Brownell and Butler-Jones &#8211; social determinants &#8211; Text Transcript<\/a><\/p>\n   <\/div>\n<\/div><\/div>\n\n<div class=\"lazyblock-reflect-1XCFjk wp-block-lazyblock-reflect\"><div class=\"reflect\">\n\n\n<p class=\"wp-block-paragraph\">What social determinants identified by Brownell and Butler-Jones resonated with you?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Why do you think people who are socially isolated die earlier than people who are more connected with others?<\/p>\n\n<\/div><\/div>\n\n\n<div style=\"width: 748.40625px;\">\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"color: #ff0000;\"><span style=\"color: #000000;\">We know that social inequities in early childhood contribute to poor trajectories.<\/span>&nbsp;<\/span>But what does this mean?&nbsp; Is equity the same as equality? For example, if a policy provides equal education for all, is it necessarily equitable?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Try out the following interact to help you think more about equity and equality.<\/p>\n\n\n<div class=\"lazyblock-interact-ZuTwiO wp-block-lazyblock-interact\"><div class=\"interact-link context-container\">\n  <a target=\"_blank\" href=\"http:\/\/hscsr.rrc.ca\/secd\/interactions\/equalityEquity\/equalityEquity.html\" class=\"tap-container interact\">\n    <div class=\"tap-icon\"><\/div>\n    <div class=\"tap-content\">\n      <span class=\"tap-label\">INTERACT<\/span>\n      <span class=\"tap-description\">What is equity?<\/span>\n    <\/div>\n  <\/a>\n<\/div><\/div>\n\n<div class=\"lazyblock-consider-full-Z1w2BXS wp-block-lazyblock-consider-full\"><div class=\"consider-full\">\n<p>\n<p><strong>Consider&#8230;<\/strong><\/p>\n<p>Fatima and Ximena, both aged 4, are from the same small town in rural Manitoba. A new school was recently built in their community&#8230;<strong><a href=\"https:\/\/content.scienceofecd.com\/transcript\/consider-fatima-and-ximena\/\" target=\"_blank\" rel=\"noopener\">Read more<\/a>&nbsp;<\/strong>\n<\/p>\n<\/div><\/div>\n\n<div class=\"lazyblock-reflect-2w6XKA wp-block-lazyblock-reflect\"><div class=\"reflect\">\n\n\n<p class=\"wp-block-paragraph\">Are Fatima and Ximena being treated equally? Do they benefit equally? Why or why not?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">What kind of programs or policies are needed to improve circumstances for&nbsp;Ximena? What could be done to support equity?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">How would you explain the difference between equity and equality?<\/p>\n\n<\/div><\/div>\n\n\n<p class=\"wp-block-paragraph\">We know that the conditions early in life literally &#8220;sculpt&#8221; the developing brain. We also know that children can do well in many different kinds of environments. Those of us who are concerned about early child development need to ask ourselves, what kinds of experiences make a difference in children\u2019s lives? What do children need for healthy life course trajectories to be set?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It is important to keep in mind that the social determinants of health are also the determinants of&nbsp; well-being. As each module in this resource shows, children&#8217;s health and well-being depend on a myriad of factors.<\/p>\n\n\n<div class=\"lazyblock-consider-full-yznNC wp-block-lazyblock-consider-full\"><div class=\"consider-full\">\n<p>\n<p><strong>Consider&#8230;<\/strong>Robin is 12 months old. Her single mother has one other older child and is trying to make ends meet by working the night shift at the local convenience store. . . .<\/p>\n<p>Early in the morning, six-month-old Stephanie is woken up by her mother and older siblings, who peak at her over the crib. They all get dressed together, before heading downstairs for family breakfast&#8230;<strong><a href=\"https:\/\/content.scienceofecd.com\/transcript\/consider-robin\/\" target=\"_blank\" rel=\"noopener\">Read more<\/a>&nbsp;<\/strong>\n<\/p>\n<\/div><\/div>\n\n<div class=\"lazyblock-reflect-DJt1y wp-block-lazyblock-reflect\"><div class=\"reflect\">\n\n\n<p class=\"wp-block-paragraph\">Keeping in mind that Robin is 1 year, and Stephanie is 6 months old, can you list some of the differences between Robyn and Stephanie\u2019s experiences on this day in terms of how their development is supported &#8211; or not supported?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">What do you think might be some of the reasons underlying the differences in Robyn and Stephanie\u2019s experiences?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">To what extent are the circumstances of these children\u2019s lives outside the control of their families?<\/p>\n\n<\/div><\/div>\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright\"><img decoding=\"async\" src=\"http:\/\/content.scienceofecd.com\/third-edition\/files\/2012\/03\/Maternity-197x300.jpg\" alt=\"\" class=\"wp-image-4155\" title=\"Maternity\"\/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">Developmental health tells us that all aspects of healthy development are interrelated \u2013 for individuals and on a population basis. The health of the entire population benefits when:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>women are well during pregnancy;<\/li>\n\n\n\n<li>babies and children have their physical needs met and are loved and nurtured; and<\/li>\n\n\n\n<li>there are educational opportunities and social equity.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The following clip shows the beginning of a talk by the late Dr. Clyde Hertzman called &#8220;Equity from the Start&#8221;, about the importance of early childhood as a social determinant of health.<\/p>\n\n\n<div class=\"lazyblock-watch-expand-transcript-DJ2iA wp-block-lazyblock-watch-expand-transcript\"><div class=\"watch-expand expand-container context-container\">\n   <div class=\"watch tap-to-expand tap-container\">\n      <div class=\"tap-icon\"><\/div>\n      <div class=\"tap-content\">\n         <span class=\"tap-label\">VIEW<\/span>\n         <span class=\"tap-description\">Hertzman &#8211; key factors (2:45)<\/span>\n        \n      <\/div>\n   <\/div>\n   <div class=\"output-content collapse\" style=\"height: 0px;\">\n      <div class=\"vimeo-container\">\n         <iframe webkitallowfullscreen=\"\" mozallowfullscreen=\"\" allowfullscreen=\"\" src=\"\/\/player.vimeo.com\/video\/90194062?api=1\" frameborder=\"0\"><\/iframe>\n      <\/div><br>\n      <p><a href=\"https:\/\/content.scienceofecd.com\/transcript\/transcript-hertzman-key-factors\/\" target=\"_blank\">Hertzman &#8211; key factors &#8211; Text Transcript<\/a><\/p>\n   <\/div>\n<\/div><\/div>\n\n<div class=\"lazyblock-reflect-19Rk0U wp-block-lazyblock-reflect\"><div class=\"reflect\">\n\n\n<p class=\"wp-block-paragraph\">What do you think about Hertzman\u2019s idea that we need to have a &#8220;partnership between family and society&#8221;? What would this look like where you live and work?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">What social supports might enhance the early childhood experiences of baby Robyn in the example at the beginning of this overview?<\/p>\n\n<\/div><\/div>\n\n\n<p class=\"wp-block-paragraph\">On the next page, you will explore how poverty is an especially powerful social determinant of health and how it can influence life course trajectories.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A trajectory is a path followed through time. Life course trajectories are set early in life but they can be changed over time, for individuals and for populations. The developmental health perspective helps us understand why early biological and social conditions influence trajectories so strongly. It also helps us understand that healthy populations are comprised [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-612","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/content.scienceofecd.com\/secd-intro\/wp-json\/wp\/v2\/pages\/612","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/content.scienceofecd.com\/secd-intro\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/content.scienceofecd.com\/secd-intro\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/content.scienceofecd.com\/secd-intro\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/content.scienceofecd.com\/secd-intro\/wp-json\/wp\/v2\/comments?post=612"}],"version-history":[{"count":39,"href":"https:\/\/content.scienceofecd.com\/secd-intro\/wp-json\/wp\/v2\/pages\/612\/revisions"}],"predecessor-version":[{"id":8454,"href":"https:\/\/content.scienceofecd.com\/secd-intro\/wp-json\/wp\/v2\/pages\/612\/revisions\/8454"}],"wp:attachment":[{"href":"https:\/\/content.scienceofecd.com\/secd-intro\/wp-json\/wp\/v2\/media?parent=612"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}