An Integrated Socio-Environmental Model of Health and Well-Being: a Conceptual Framework Exploring the Joint Contribution of Environmental and Social Exposures to Health and Disease Over the Life Span

被引:28
|
作者
Alvarez, Hector A. Olvera [1 ]
Appleton, Allison A. [2 ]
Fuller, Christina H. [3 ]
Belcourt, Annie [4 ]
Kubzansky, Laura D. [5 ]
机构
[1] Univ Texas El Paso, Sch Nursing, 500 W Univ Ave, El Paso, TX 79968 USA
[2] SUNY Albany, Sch Publ Hlth, Dept Epidemiol & Biostat, 1 Univ Pl, Rensselaer, NY 12144 USA
[3] Georgia State Univ, Sch Publ Hlth, Div Environm Hlth, POB 3995, Atlanta, GA 30302 USA
[4] Univ Montana, Sch Community & Publ Hlth Sci Pharm Practice, 32 Campus Dr, Missoula, MT 59812 USA
[5] Harvard TH Chan Sch Publ Hlth, Dept Social & Behav Sci, 677 Huntington Ave, Boston, MA 02115 USA
关键词
Total environment; Social determinants; Cumulative exposures; Life course; Health disparities; RECEPTOR GENE NR3C1; DNA METHYLATION; FOOD ENVIRONMENT; PUBLIC-HEALTH; CARDIOVASCULAR-DISEASE; ARSENIC EXPOSURE; VEGETABLE INTAKE; NORTHERN PLAINS; GUT MICROBIOME; AIR-POLLUTION;
D O I
10.1007/s40572-018-0191-2
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Purpose of the reviewEnvironmental and social determinants of health often co-occur, particularly among socially disadvantaged populations, yet because they are usually studied separately, their joint effects on health are likely underestimated. Building on converging bodies of literature, we delineate a conceptual framework to address these issues.Recent findingsPrevious models provided a foundation for study in this area, and generated research pointing to additional important issues. These include a stronger focus on biobehavioral pathways, both positive and adverse health outcomes, and intergenerational effects. To accommodate the expanded set of issues, we put forward the Integrated Socio-Environmental Model of Health and Well-Being (ISEM), which examines how social and environmental factors combine and potentially interact, via multi-factorial pathways, to affect health and well-being over the life span. We then provide applied examples including the study of how food environments affect dietary behavior.SummaryThe ISEM provides a comprehensive, theoretically informed framework to guide future research on the joint contribution of social and environmental factors to health and well-being across the life span.
引用
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页码:233 / 243
页数:11
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