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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

  • Food, Health, and the Environment (KE Nachman and D Love, Section Editors)
  • Published:
Current Environmental Health Reports Aims and scope Submit manuscript

Abstract

Purpose of the review

Environmental 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 findings

Previous 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.

Summary

The 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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Acknowledgments

This work was funded by the JPB Environmental Health Fellowship Program granted by The JPB Foundation and managed by the Harvard T.H. Chan School of Public Health. The authors thank the JPB fellows for the helpful discussion in developing the ideas put forward here. The authors also thank Nicolle Tulve (EPA), Rachel Morello-Frosch (UC-Berkeley), Madeleine Scammell (Boston University), and Jose Ricardo Suarez (SDSU) for their helpful comments on the manuscript.

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  1. Hector A. Olvera Alvarez and Allison Appleton are co-leading authors.

Authors and Affiliations

  1. School of Nursing, University of Texas El Paso, 500 W. University Ave, El Paso, TX, 79968, USA

    Hector A. Olvera Alvarez

  2. School of Public Health, Department of Epidemiology and Biostatistics, University at Albany, 1 University Place, Rensselaer, NY, 12144, USA

    Allison A. Appleton

  3. School of Public Health, Division of Environmental Health, Georgia State University, P.O. Box 3995, Atlanta, GA, 30302, USA

    Christina H. Fuller

  4. School of Community and Public Health Sciences/Pharmacy Practice, University of Montana, 32 Campus Drive, Missoula, MT, 59812, USA

    Annie Belcourt

  5. Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Boston, MA, 02115, USA

    Laura D. Kubzansky

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  1. Hector A. Olvera Alvarez
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  2. Allison A. Appleton
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  3. Christina H. Fuller
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  4. Annie Belcourt
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  5. Laura D. Kubzansky
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Correspondence to Hector A. Olvera Alvarez.

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Hector A. Olvera Alvarez, Allison A. Appleton, Christina H. Fuller, Annie Belcourt, and Laura D. Kubzansky declare that they have no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Food, Health, and the Environment

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Olvera Alvarez, H.A., Appleton, A.A., Fuller, C.H. et al. 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. Curr Envir Health Rpt 5, 233–243 (2018). https://doi.org/10.1007/s40572-018-0191-2

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  • DOI: https://doi.org/10.1007/s40572-018-0191-2

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