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The Biological Embedding of Early Experience and Its Effects on Health in Adulthood
Abstract
Explanations of the socioeconomic gradient in health status must account for the observations that the gradient cuts across a wide range of disease processes and is capable of replicating itself on new disease processes as they emerge in society. Understanding this pattern requires an understanding of how human organisms can become generally vulnerable or resilient to disease over time: a huge collation task across different disciplines. The hypothesis that best fits current evidence is that the gradient is an "emergent property" of the interaction between the developmental status of people and the material and psychosocial conditions they encounter over their life course. Within this broad formulation, special attention is given to child development, and the prospect that socioeconomic differences in the quality of early life experiences contribute to subsequent gradients in health status through socioeconomic differences in brain sculpting and the conditioning of host defense systems that depend on communication with the developing brain. The contribution to the gradient in health is theorized to occur through a combination of latent effects, pathway effects, and cumulative disadvantage.
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“These processes enable ACEs to be biologically embedded in body and brain, thereby increasing risk for FND and for other functional, medical, and mental health disorders [38,117,118].”
From Illness-Promoting Psychological Processes in Children and Adolescents with Functional Neurological Disorder (2023) · cites this paper as [118]
In the citing paper
“Meanwhile, socioeconomic differences in the quality of early life create “cumulative disadvantage” that contribute to gradients in health status [37].”
From Food Addiction and Psychosocial Adversity: Biological Embedding, Contextual Factors, and Public Health Implications (2020) · cites this paper as [37]
In the citing paper
“This evidence supports the biological embedding hypothesis [124] which links ELA to addictive behaviors [125].”
From Separating the Signal from the Noise: How Psychiatric Diagnoses Can Help Discern Food Addiction from Dietary Restraint (2020) · cites this paper as [124]
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Bailie, R. S., Carson, B. E., & McDonald, E. L. (2004) · Australian and New Zealand Journal of Public Health · doi:10.1111/j.1467-842x.2004.tb00021.x · Cited by 23
Metadata
- Authors
- HERTZMAN, C.
- Affiliations
- University of British Columbia (CA)
- Corresponding author
- HERTZMAN, CLYDE
- Venue
- Annals of the New York Academy of Sciences
- Publisher
- Wiley
- Published
- 1999-12
- Volume
- 896
- Issue
- 1
- Pages
- 85-95
- ISSN
- 0077-8923 (ISSN-L)
- 1749-6632
- OpenAlex
- W1983381709
- Cited by
- 631
- References
- 30
- Citations by year
- 2026: 16 · 2025: 19 · 2024: 23 · 2023: 26 · 2022: 24 · 2021: 82 · 2020: 29 · 2019: 34 · 2018: 31 · 2017: 37 · 2016: 38 · 2015: 43 · 2014: 27 · 2013: 33 · 2012: 25
- FWCI
- 0.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of the New York Academy of Sciences (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Keywords
- biological embedding, early life experience, socioeconomic gradient in health, child development, brain development, cumulative disadvantage, latent effects, developmental origins of health and disease
- MeSH terms
- Adult, Brain, Child, Child Development, Psychology, Child, Educational Status, Health Status, Humans, Hypothalamo-Hypophyseal System, Immunity, Innate, Parents, Pituitary-Adrenal System, Quality of Life, Social Class
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