期刊
CURRENT ENVIRONMENTAL HEALTH REPORTS
卷 5, 期 2, 页码 233-243出版社
SPRINGERNATURE
DOI: 10.1007/s40572-018-0191-2
关键词
Total environment; Social determinants; Cumulative exposures; Life course; Health disparities
资金
- JPB Environmental Health Fellowship Program - JPB Foundation
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.
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