Being an immigrant, a teenage mother or a child born into poverty can dramatically impact your health throughout your entire life. The Netherlands is perceived internationally as an equitable country with a thriving middle class, and that is mostly true, but income inequality is growing, and more and more people are finding themselves in poverty even as the economy booms. It can take four generations for someone born into low socio-economic status to reach average earning levels, and even if you manage that feat, poverty and hardship in your formative years, or even before you were born, can lead to health problems like cardiovascular issues and depression later in life. Associate professor Viola Angelini’s research examines how life course factors like childhood hardship manifest themselves throughout our lives, even if we manage to be upwardly mobile, so I sat down with her to hear more about how generational poverty actually works.