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OBJECTIVE: Ongoing pediatric cohort studies offer opportunities to investigate the impact of the COVID-19 pandemic on childrens health. With well-characterized data from tens of thousands of US children, the Environmental influences on Child Health Outcomes (ECHO) Program offers such an opportunity. METHODS: ECHO enrolled children and their caregivers from community- and clinic-based pediatric cohort studies. Extant data from each of the cohorts were pooled and harmonized. In 2019, cohorts began collecting data under a common protocol, and data collection is ongoing with a focus on early life environmental exposures and five child health domains: birth outcomes, neurodevelopment, obesity, respiratory, and positive health. In April of 2020, ECHO began collecting a questionnaire designed to assess COVID-19 infection and the pandemics impact on families. We describe and summarize the characteristics of children who participated in the ECHO Program during the COVID-19 pandemic and novel opportunities for scientific advancement. RESULTS: This sample (n = 13,725) was diverse by child age (31% early childhood, 41% middle childhood, and 16% adolescence up to age 21), sex (49% female), race (64% White, 15% Black, 3% Asian, 2% American Indian or Alaska Native, <1% Native Hawaiian or Pacific Islander, 10% Multiple race and 2% Other race), Hispanic ethnicity (22% Hispanic), and were similarly distributed across the four United States Census regions and Puerto Rico. CONCLUSION: ECHO data collected during the pandemic can be used to conduct solution-oriented research to inform the development of programs and policies to support child health during the pandemic and in the post-pandemic era.

Health risk behaviors shape, and are shaped by, the people with whom we interact throughout our lives. The use of substances, including alcohol or narcotics, is one such behavior, yet it is often empirically examined in isolation of other people. As such, it has been repeatedly shown that excessive alcohol consumption, illicit drug use, and the extra-medical use of prescription narcotics are, collectively, a leading cause of preventable injury, severe illness, and premature death. However, by not considering that substance use which leads to harms (hereafter, substance misuse) is inseparable from social contexts, the burden of substance misuse may be greatly underestimated. Drawing on a Swedish birth cohort from 1953, and centered on the concept of interdependent—linked—lives, this thesis encompasses four empirical studies of social relationships and substance misuse. Each study examines the association between substance misuse and friends and parents, siblings, spouses, and offspring, respectively. Study I explored whether childhood adversity in two contexts, within the family of origin and among one’s adolescent friends at age 13, was a potential risk factor for later substance misuse. The study found independent associations between substance misuse and childhood adversity in both contexts. Study II estimated differences in substance misuse between siblings in midlife according to birth order, and showed that substance misuse during this life course period may be better explained by factors within the family of origin. Study III examined the effects of substance misuse on nearly 50 years of marital status transitions. The results suggest that a lifetime history of substance misuse affects marital status transitions, and that substance misuse may increase the risk of marital dissolution. Finally, in investigating changes in parental psychotropic medication use in relation to their offspring’s hospitalization for substance misuse, Study IV demonstrated that such st

Health risk behaviors shape, and are shaped by, the people with whom we interact throughout our lives. The use of substances, including alcohol or narcotics, is one such behavior, yet it is often empirically examined in isolation of other people. As such, it has been repeatedly shown that excessive alcohol consumption, illicit drug use, and the extra-medical use of prescription narcotics are, collectively, a leading cause of preventable injury, severe illness, and premature death. However, by not considering that substance use which leads to harms (hereafter, substance misuse) is inseparable from social contexts, the burden of substance misuse may be greatly underestimated. Drawing on a Swedish birth cohort from 1953, and centered on the concept of interdependent—linked—lives, this thesis encompasses four empirical studies of social relationships and substance misuse. Each study examines the association between substance misuse and friends and parents, siblings, spouses, and offspring, respectively. Study I explored whether childhood adversity in two contexts, within the family of origin and among one’s adolescent friends at age 13, was a potential risk factor for later substance misuse. The study found independent associations between substance misuse and childhood adversity in both contexts. Study II estimated differences in substance misuse between siblings in midlife according to birth order, and showed that substance misuse during this life course period may be better explained by factors within the family of origin. Study III examined the effects of substance misuse on nearly 50 years of marital status transitions. The results suggest that a lifetime history of substance misuse affects marital status transitions, and that substance misuse may increase the risk of marital dissolution. Finally, in investigating changes in parental psychotropic medication use in relation to their offspring’s hospitalization for substance misuse, Study IV demonstrated that such st

BackgroundSubcortical brain structures play a key role in pathological processes of age-related neurodegenerative disorders. Mounting evidence also suggests that early-life factors may have an impact on the development of common late-life neurological diseases, including genetic factors that can influence both brain maturation and neurodegeneration.MethodsUsing large population-based brain imaging datasets across the lifespan (N ≤ 40,628), we aimed to 1) estimate the heritability of subcortical volumes in young (18-35 years), middle (35-65 years), and older (65+ years) age, and their genetic correlation across age groups; 2) identify whether genetic loci associated with subcortical volumes in older persons also show associations in early adulthood, and explore underlying genes using transcriptome-wide association studies; and 3) explore their association with neurological phenotypes.ResultsHeritability of subcortical volumes consistently decreased with increasing age. Genetic risk scores for smaller caudate nucleus, putamen, and hippocampus volume in older adults were associated with smaller volumes in young adults. Individually, 10 loci associated with subcortical volumes in older adults also showed associations in young adults. Within these loci, transcriptome-wide association studies showed that expression of several genes in brain tissues (especially MYLK2 and TUFM) was associated with subcortical volumes in both age groups. One risk variant for smaller caudate nucleus volume (TUFM locus) was associated with lower cognitive performance. Genetically predicted Alzheimer's disease was associated with smaller subcortical volumes in middle and older age.ConclusionsOur findings provide novel insights into the genetic determinants of subcortical volumes across the lifespan. More studies are needed to decipher the underlying biology and clinical impact.

This paper draws on a study of the life course of 40 young people (aged 18–35) in Bologna (Italy), who are active in eight different political organizations. It explores whether the political organization, given that the city's political context is the same for all participants, affects the variation of their pathways. It does so by answering the following question: which phases in the lives of young participants are interconnected with the political organizations they are engaged in? To evaluate the impact of the organizational context on young participants, we will take into consideration three dimensions: the degree of bureaucratization, forms of action, and political orientation. Situated at the intersection of youth and social movement studies, this paper aims to advance our understanding of the connections between primary and political socialization processes in shaping young participants’ mobilization and sustained participation within different political organizations. Our empirical findings show that, if the degree of bureaucratization was constantly salient in the two phases, on the other hand political orientation was more salient during participants' mobilization and the forms of action during participants' sustained participation. In the conclusion, the paper critically discusses the empirical findings of our analysis of the respondents’ narratives.

Health risk behaviors shape, and are shaped by, the people with whom we interact throughout our lives. The use of substances, including alcohol or narcotics, is one such behavior, yet it is often empirically examined in isolation of other people. As such, it has been repeatedly shown that excessive alcohol consumption, illicit drug use, and the extra-medical use of prescription narcotics are, collectively, a leading cause of preventable injury, severe illness, and premature death. However, by not considering that substance use which leads to harms (hereafter, substance misuse) is inseparable from social contexts, the burden of substance misuse may be greatly underestimated. Drawing on a Swedish birth cohort from 1953, and centered on the concept of interdependent—linked—lives, this thesis encompasses four empirical studies of social relationships and substance misuse. Each study examines the association between substance misuse and friends and parents, siblings, spouses, and offspring, respectively. Study I explored whether childhood adversity in two contexts, within the family of origin and among one’s adolescent friends at age 13, was a potential risk factor for later substance misuse. The study found independent associations between substance misuse and childhood adversity in both contexts. Study II estimated differences in substance misuse between siblings in midlife according to birth order, and showed that substance misuse during this life course period may be better explained by factors within the family of origin. Study III examined the effects of substance misuse on nearly 50 years of marital status transitions. The results suggest that a lifetime history of substance misuse affects marital status transitions, and that substance misuse may increase the risk of marital dissolution. Finally, in investigating changes in parental psychotropic medication use in relation to their offspring’s hospitalization for substance misuse, Study IV demonstrated that such st

Health risk behaviors shape, and are shaped by, the people with whom we interact throughout our lives. The use of substances, including alcohol or narcotics, is one such behavior, yet it is often empirically examined in isolation of other people. As such, it has been repeatedly shown that excessive alcohol consumption, illicit drug use, and the extra-medical use of prescription narcotics are, collectively, a leading cause of preventable injury, severe illness, and premature death. However, by not considering that substance use which leads to harms (hereafter, substance misuse) is inseparable from social contexts, the burden of substance misuse may be greatly underestimated. Drawing on a Swedish birth cohort from 1953, and centered on the concept of interdependent—linked—lives, this thesis encompasses four empirical studies of social relationships and substance misuse. Each study examines the association between substance misuse and friends and parents, siblings, spouses, and offspring, respectively. Study I explored whether childhood adversity in two contexts, within the family of origin and among one’s adolescent friends at age 13, was a potential risk factor for later substance misuse. The study found independent associations between substance misuse and childhood adversity in both contexts. Study II estimated differences in substance misuse between siblings in midlife according to birth order, and showed that substance misuse during this life course period may be better explained by factors within the family of origin. Study III examined the effects of substance misuse on nearly 50 years of marital status transitions. The results suggest that a lifetime history of substance misuse affects marital status transitions, and that substance misuse may increase the risk of marital dissolution. Finally, in investigating changes in parental psychotropic medication use in relation to their offspring’s hospitalization for substance misuse, Study IV demonstrated that such st

Health risk behaviors shape, and are shaped by, the people with whom we interact throughout our lives. The use of substances, including alcohol or narcotics, is one such behavior, yet it is often empirically examined in isolation of other people. As such, it has been repeatedly shown that excessive alcohol consumption, illicit drug use, and the extra-medical use of prescription narcotics are, collectively, a leading cause of preventable injury, severe illness, and premature death. However, by not considering that substance use which leads to harms (hereafter, substance misuse) is inseparable from social contexts, the burden of substance misuse may be greatly underestimated. Drawing on a Swedish birth cohort from 1953, and centered on the concept of interdependent—linked—lives, this thesis encompasses four empirical studies of social relationships and substance misuse. Each study examines the association between substance misuse and friends and parents, siblings, spouses, and offspring, respectively. Study I explored whether childhood adversity in two contexts, within the family of origin and among one’s adolescent friends at age 13, was a potential risk factor for later substance misuse. The study found independent associations between substance misuse and childhood adversity in both contexts. Study II estimated differences in substance misuse between siblings in midlife according to birth order, and showed that substance misuse during this life course period may be better explained by factors within the family of origin. Study III examined the effects of substance misuse on nearly 50 years of marital status transitions. The results suggest that a lifetime history of substance misuse affects marital status transitions, and that substance misuse may increase the risk of marital dissolution. Finally, in investigating changes in parental psychotropic medication use in relation to their offspring’s hospitalization for substance misuse, Study IV demonstrated that such st

The marginalisation of youths, youth unemployment, and exacerbated mental disorders are problematic in terms of the structures of the welfare state: besides being a tragedy on a personal and human level, marginalisation is also a major financial burden on the state, due to the involvement of the different remedial, preventative, and supportive social and health care services needed, as well as due to lost tax income. In order to protect children and adolescents from becoming marginalised, information is needed on the well-being of young adults and the role the social factors related to their childhood and adolescence have in it. This information makes it possible to use the services and benefits system to influence the social factors, as well as direct tax revenues at proactive health care services. It is cheaper to direct tax revenues at proactive and timely services than it is to take remedial action. The goal of the study, therefore, is to identify the risk factors associated with well-being and to substantiate the correlation between them and the response to well-being. It is in the interests of both the youths and the state to support the development of the well-being of children and adolescents, the future taxpayers, thereby harnessing their individual potential to benefit the structures of the welfare state. In this thesis, the focus is on mental health and early school leaving of children born in Finland 1987. The children in question have been followed over time based on longitudinal, register-based 1987 Finnish Birth Cohort data (N = 59,476). In this study, social factors that are linked to mental disorders and early dropping out of school are examined from the standpoint of Allardt’s sociological theory of welfare, life course approach and social epidemiology. Based on earlier literature, parental mental disorders are associated to with offsprings’ mental disorders. According to our study, parental mental disorders are associated even more closel, Tiivistelmä Nuorten syrjäytyminen, nuorisotyöttömyys ja vaikeutuneet mielenterveysongelmat ovat ongelmallisia hyvinvointivaltion rakenteiden kannalta, sillä inhimillisen ja henkilökohtaisen tragedian lisäksi syrjäytyminen on myös suuri kansantaloudellinen kustannusrasite yhteiskunnalle eri korjaavien, ehkäisevien, hyvinvointia tukevien palveluiden käytön ja menetettyjen verotulojen muodossa. Suojellaksemme lapsia ja nuoria syrjäytymiseltä tarvitaan tietoa nuorten aikuisten hyvinvoinnista ja lapsuuden ja nuoruuden aikaisten sosiaalisten tekijöiden yhteyksistä siihen. Tiedon avulla voidaan sekä pyrkiä vaikuttamaan sosiaalisiin tekijöihin mm. palvelu- ja etuusjärjestelmän avulla että kohdentaa verorahoja hyvinvointia ennakoiviin palveluihin. Verovarojen kohdentaminen ennakoiviin ja oikea-aikaisiin palveluihin on korjaavia toimenpiteitä edullisempi ratkaisu. Tutkimuksen tavoitteena onkin tunnistaa hyvinvoinnin riskitekijöitä ja todentaa niiden ja hyvinvointivasteiden välisiä yhteyksiä. Lasten ja nuorten, tulevien veronmaksajien hyvinvoinnin kehityksen tukeminen on nuorten oman edun lisäksi myös yhteiskunnan edun mukaista, jotta yksilöiden potentiaali voidaan valjastaa tukemaan hyvinvointivaltion ja yhteiskunnan rakenteita. Tässä väitöskirjassa tarkastellaan vuonna 1987 Suomessa syntyneiden mielenterveyttä ja koulutusastetta pitkittäisellä Kansallinen syntymäkohortti 1987 -rekisteriaineistolla (N = 59 476). Mielenterveyden häiriöihin ja lyhyeen koulutuspolkuun yhteydessä olevia sosiaalisia tekijöitä tarkastellaan Allardtin hyvinvointiteorian, elämänkulun ja sosiaaliepidemiologian näkökulmasta. Aiemman kirjallisuuden mukaan vanhempien mielenterveyden häiriöt ovat yhteydessä heidän lastensa mielenterveyden häiriöihin. Tutkimuksemme mukaan vanhempien mielenterveysongelmat ovat yhteydessä myös astetta pidemmälle heidän lastensa mielenterveysperustaiseen työkyvyttömyyteen. Yllättäen isän matalampi koulutusaste, perusaste ja keskiaste, näyttäytyy mielenterveysperustaiselta työ

Aging is accompanied by profound changes in many physiological functions, leading to a decreased ability to cope with stressors. Many changes are subtle, but can negatively affect nutrient intake, leading to overt malnutrition. Poor oral health may affect food selection and nutrient intake, leading to malnutrition and, consequently, to frailty and sarcopenia. On the other hand, it has been highlighted that sarcopenia is a whole-body process also affecting muscles dedicated to chewing and swallowing. Hence, muscle decline of these muscle groups may also have a negative impact on nutrient intake, increasing the risk for malnutrition. The interplay between oral diseases and malnutrition with frailty and sarcopenia may be explained through biological and environmental factors that are linked to the common burden of inflammation and oxidative stress. The presence of oral problems, alone or in combination with sarcopenia, may thus represent the biological substratum of the disabling cascade experienced by many frail individuals. A multimodal and multidisciplinary approach, including personalized dietary counselling and oral health care, may thus be helpful to better manage the complexity of older people. Furthermore, preventive strategies applied throughout the lifetime could help to preserve both oral and muscle function later in life. Here, we provide an overview on the relevance of poor oral health as a determinant of malnutrition and sarcopenia.

__Purpose:__ The International Classification of Functioning (ICF) has found widespread acceptance since it was launched in 2001. Yet, little is known about its use in Primary Care. This paper aims to contribute to the dialogue about the practical use of the ICF by exploring how this framework constitutes a supplementary source to inform disability-related decision making in integrated Primary Care. __Method:__ The implementation process of the ICF in a Latin American Primary Care and Community-Based Rehabilitation setting is described and the ICF diagram is applied to a life story as an example of its current use. Participant observation, in-depth study of reports of team meetings and the review of clinical files are the main data collection methods. Data analysis is enabled by the combination of single-case study with theory testing, which facilitates the generation of hypotheses in this exploratory study. __Results:__ A valuable time component of the ICF may support continuity in Primary Care and the universal application of the ICF framework can promote comprehensiveness by integrating individual rehabilitation and collective disability prevention. A way to mitigate the perceived dominance of biomedical disease and deficiency thinking is proposed in order to encourage the biopsychosocial focus of Primary Care. Finally, the implementation of the International Classification of Diseases (ICD-10) in the health condition domain of the ICF highlights the importance of social responsibility towards disability. __Conclusion:__ This study suggests that a creative implementation of the ICF during life course to everyone who uses universally accessible healthcare may strengthen the integrative functions of Primary Care, and may be at the heart of the information system of this essential part of the healthcare system. Further research on the complementary use of ICF and ICD-10 is suggested in order to support community-based multisectoral intervention which may be coordina

Ethnic segregation has most often been studied at the place of residence, segregation being defined on the basis of the relative presence of different groups within city neighbourhoods. It is increasingly recognized, however, that segregation occurs in different ways in different domains (such as the workplace, leisure, social media, etc.), the residential domain being just one of many in which segregation can occur. In this research note we present the domains approach to segregation and outline some its conceptual, methodological and empirical underpinnings and challenges. The research leading to these results has received funding from the European Research Council under the European Union’s Seventh Framework Programme (FP/2007-2013) / ERC Grant Agreement n. 615159 (ERC Consolidator Grant DEPRIVEDHOODS, Socio-spatial inequality, deprived neighbourhoods, and neighbourhood effects) and from the Marie Curie programme under the European Union’s Seventh Framework Programme (FP/2007-2013) / Career Integration Grant n.PCIG10-GA-2011-303728 (CIG Grant NBHCHOICE, Neighbourhood choice, neighbourhood sorting, and neighbourhood effects)., OTB, Architecture and The Built Environment

The term segregation has a strong connotation with residential neighbourhoods, and most studies investigating ethnic segregation focus on the urban mosaic of ethnic concentrations in residential neighbourhoods. However, there is now a small, but growing, literature, which focusses on segregation in other domains of daily life where inter-ethnic encounters and social interaction might take place, such as: workplaces; family/partner relationship; leisure time; education; transport, and virtual domains such as social media. The focus on residential segregation is understandable. Ethnic residential segregation is easily visible in cities as segregated neighbourhoods often have their own distinct identity and reputation. Residential segregation is also relatively easy to investigate by using register or census data on where different ethnic groups live. However, if the interest in segregation stems from the idea that we want to measure the integration of ethnic minorities in society, and from an interest in social interaction between ethnic groups, then just investigating where people live is far too limited and other domains such as workplaces should be taken into account. In this paper we present an integrated conceptual framework of ethnic segregation in different life domains in which we combine elements from the life course approach and from time geography., OTB, Architecture and The Built Environment

The term segregation has a strong connotation with residential neighbourhoods, and most studies investigating ethnic segregation focus on the urban mosaic of ethnic concentrations in residential neighbourhoods. However, there is now a small, but growing, literature, which focusses on segregation in other domains of daily life where inter-ethnic encounters and social interaction might take place, such as: workplaces; family/partner relationship; leisure time; education; transport, and virtual domains such as social media. The focus on residential segregation is understandable. Ethnic residential segregation is easily visible in cities as segregated neighbourhoods often have their own distinct identity and reputation. Residential segregation is also relatively easy to investigate by using register or census data on where different ethnic groups live. However, if the interest in segregation stems from the idea that we want to measure the integration of ethnic minorities in society, and from an interest in social interaction between ethnic groups, then just investigating where people live is far too limited and other domains such as workplaces should be taken into account. In this paper we present an integrated conceptual framework of ethnic segregation in different life domains in which we combine elements from the life course approach and from time geography., OLD Urban Renewal and Housing

Many theories on so-called neighbourhood effects – effects of the residential context on individual outcomes such as employment, education, and health – implicitly, or explicitly suggest lagged effects, duration effects, or for example, intergenerational effects of neighbourhoods. However, these temporal dimensions of neighbourhood effects receive only limited attention in the empirical literature, largely because of a lack of suitable data. The increasing availability of geo-coded, longitudinal, individual-level data now leads to more research which takes these temporal dimensions and time effects into account. This paper argues that it is time for an overarching framework to better understand the temporal dimension of neighbourhood effects. We propose a conceptual model that uses the life course approach as a framework to integrate the various elements of time in current neighbourhood effects theories. The life course approach emboldens the study of full individual life course biographies over time, taking into consideration multiple parallel life careers (such as education, household, housing, work, and leisure) and their relative importance to individual outcomes. A large advantage of the life course approach to neighbourhood effects is that it does not only allow us to incorporate residential neighbourhoods into individual biographies, but also allows us to study the effects of (and interactions with) other social and spatial contexts on individual outcomes., OLD Urban Renewal and Housing

The term segregation has a strong connotation with residential neighbourhoods, and most studies investigating ethnic segregation focus on the urban mosaic of ethnic concentrations in residential neighbourhoods. However, there is now a small, but growing, literature, which focusses on segregation in other domains of daily life where inter-ethnic encounters and social interaction might take place, such as: workplaces; family/partner relationship; leisure time; education; transport, and virtual domains such as social media. The focus on residential segregation is understandable. Ethnic residential segregation is easily visible in cities as segregated neighbourhoods often have their own distinct identity and reputation. Residential segregation is also relatively easy to investigate by using register or census data on where different ethnic groups live. However, if the interest in segregation stems from the idea that we want to measure the integration of ethnic minorities in society, and from an interest in social interaction between ethnic groups, then just investigating where people live is far too limited and other domains such as workplaces should be taken into account. In this paper we present an integrated conceptual framework of ethnic segregation in different life domains in which we combine elements from the life course approach and from time geography., OTB, Architecture and The Built Environment

The term segregation has a strong connotation with residential neighbourhoods, and most studies investigating ethnic segregation focus on the urban mosaic of ethnic concentrations in residential neighbourhoods. However, there is now a small, but growing, literature, which focusses on segregation in other domains of daily life where inter-ethnic encounters and social interaction might take place, such as: workplaces; family/partner relationship; leisure time; education; transport, and virtual domains such as social media. The focus on residential segregation is understandable. Ethnic residential segregation is easily visible in cities as segregated neighbourhoods often have their own distinct identity and reputation. Residential segregation is also relatively easy to investigate by using register or census data on where different ethnic groups live. However, if the interest in segregation stems from the idea that we want to measure the integration of ethnic minorities in society, and from an interest in social interaction between ethnic groups, then just investigating where people live is far too limited and other domains such as workplaces should be taken into account. In this paper we present an integrated conceptual framework of ethnic segregation in different life domains in which we combine elements from the life course approach and from time geography., OLD Urban Renewal and Housing

Many theories on so-called neighbourhood effects – effects of the residential context on individual outcomes such as employment, education, and health – implicitly, or explicitly suggest lagged effects, duration effects, or for example, intergenerational effects of neighbourhoods. However, these temporal dimensions of neighbourhood effects receive only limited attention in the empirical literature, largely because of a lack of suitable data. The increasing availability of geo-coded, longitudinal, individual-level data now leads to more research which takes these temporal dimensions and time effects into account. This paper argues that it is time for an overarching framework to better understand the temporal dimension of neighbourhood effects. We propose a conceptual model that uses the life course approach as a framework to integrate the various elements of time in current neighbourhood effects theories. The life course approach emboldens the study of full individual life course biographies over time, taking into consideration multiple parallel life careers (such as education, household, housing, work, and leisure) and their relative importance to individual outcomes. A large advantage of the life course approach to neighbourhood effects is that it does not only allow us to incorporate residential neighbourhoods into individual biographies, but also allows us to study the effects of (and interactions with) other social and spatial contexts on individual outcomes., OLD Urban Renewal and Housing

Ethnic segregation has most often been studied at the place of residence, segregation being defined on the basis of the relative presence of different groups within city neighbourhoods. It is increasingly recognized, however, that segregation occurs in different ways in different domains (such as the workplace, leisure, social media, etc.), the residential domain being just one of many in which segregation can occur. In this research note we present the domains approach to segregation and outline some its conceptual, methodological and empirical underpinnings and challenges. The research leading to these results has received funding from the European Research Council under the European Union’s Seventh Framework Programme (FP/2007-2013) / ERC Grant Agreement n. 615159 (ERC Consolidator Grant DEPRIVEDHOODS, Socio-spatial inequality, deprived neighbourhoods, and neighbourhood effects) and from the Marie Curie programme under the European Union’s Seventh Framework Programme (FP/2007-2013) / Career Integration Grant n.PCIG10-GA-2011-303728 (CIG Grant NBHCHOICE, Neighbourhood choice, neighbourhood sorting, and neighbourhood effects)., OTB, Architecture and The Built Environment

This thesis explores lifespan and intergenerational trauma effects experienced by Russian Mennonite women who fled from Stalinist Russia during WWII and migrated to Canada, and adult sons or daughters of this generation of women. As an adult child of survivors, I employed an autoethnographic methodology, conducting 1-on-1 interviews with eight women aged 78 to 96, and seven adult children aged 50 to 68. Older women demonstrated a lifelong emphasis on mental strength, faith, and resilience; the marginalization of emotions; evidence of insecure attachment styles; and potential for unresolved trauma to resurface in later life. The majority of adult children experienced attachment and identity issues; their life experiences are viewed through the lens of biological, psychological, familial, cultural (religious) transmission of trauma effects. Results highlight the importance of structural and narrative social work approaches that externalize and contextualize trauma and transform service environments that individualize and/or pathologize lifespan outcomes of trauma.

This thesis explores lifespan and intergenerational trauma effects experienced by Russian Mennonite women who fled from Stalinist Russia during WWII and migrated to Canada, and adult sons or daughters of this generation of women. As an adult child of survivors, I employed an autoethnographic methodology, conducting 1-on-1 interviews with eight women aged 78 to 96, and seven adult children aged 50 to 68. Older women demonstrated a lifelong emphasis on mental strength, faith, and resilience; the marginalization of emotions; evidence of insecure attachment styles; and potential for unresolved trauma to resurface in later life. The majority of adult children experienced attachment and identity issues; their life experiences are viewed through the lens of biological, psychological, familial, cultural (religious) transmission of trauma effects. Results highlight the importance of structural and narrative social work approaches that externalize and contextualize trauma and transform service environments that individualize and/or pathologize lifespan outcomes of trauma.