ABSTRACT

Conditions in our early lives determine perhaps half of our adult health outcomes. Evidence for the critical importance of the intrauterine period followed by the first two years of life is undeniable as documented by one's birthweight and growth in the early years afterwards. Being born of low birthweight leads to worse school outcomes and most chronic illnesses affecting our aging. Prenatal care has limited impact. Parenting strategies vary around the world. Effective parenting produces secure attachment styles in children that lead to better health outcomes. Child poverty is devastating to health. Poorer people tend to make poorer parents. Societal support is required for good parenting. One reason for U.S. outcomes is that this country is one of only two nations worldwide that does not have a national policy of paid maternal leave. Adverse childhood experiences compromise the health children attain as adult. Early life support leads to good health outcomes.