The intergenerational effects of war on the health of childrenReport as inadecuate

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BMC Medicine

, 12:57

First Online: 02 April 2014Received: 06 October 2013Accepted: 26 February 2014DOI: 10.1186-1741-7015-12-57

Cite this article as: Devakumar, D., Birch, M., Osrin, D. et al. BMC Med 2014 12: 57. doi:10.1186-1741-7015-12-57


BackgroundThe short- and medium-term effects of conflict on population health are reasonably well documented. Less considered are its consequences across generations and potential harms to the health of children yet to be born.

DiscussionLooking first at the nature and effects of exposures during conflict, and then at the potential routes through which harm may propagate within families, we consider the intergenerational effects of four features of conflict: violence, challenges to mental health, infection and malnutrition. Conflict-driven harms are transmitted through a complex permissive environment that includes biological, cultural and economic factors, and feedback loops between sources of harm and weaknesses in individual and societal resilience to them. We discuss the multiplicative effects of ongoing conflict when hostilities are prolonged.

SummaryWe summarize many instances in which the effects of war can propagate across generations. We hope that the evidence laid out in the article will stimulate research and – more importantly – contribute to the discussion of the costs of war; particularly in the longer-term in post-conflict situations in which interventions need to be sustained and adapted over many years.

KeywordsWar Conflict Developmental origins Children Mental health AbbreviationsCIconfidence interval


IDPinternally displaced person

ORodds ratio

PTSDpost-traumatic stress disorder

UNHCRUnited Nations High Commissioner for Refugees.

Electronic supplementary materialThe online version of this article doi:10.1186-1741-7015-12-57 contains supplementary material, which is available to authorized users.

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Author: Delan Devakumar - Marion Birch - David Osrin - Egbert Sondorp - Jonathan CK Wells


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