ABSTRACT

The next level in the Bronfenbrenner conception (1979) is the exosystem. These are settings that the children do not participate in but that influence the children's development. The parents' workplace is an example of such an exosystem that clearly has economic impact on the children but also indirectly affects the parents' ability to take off time from work for the children and influences the children's beliefs about the workplace. The last system is the macrosystem that encompasses the larger societal norms and institutions of our culture that influence in a major way the children's view of the world and their place in it. The cultural view that the field of medicine is only illness focused rather than health promotion focused influences the way in which the children and family view their interactions and advice from the medical profession. All of these biological levels interact in producing healthy or nonhealthy outcomes for children.