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Exposome and Social Vulnerability: An Overview of the Literature Review

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  • Séverine Deguen

    (Department of Social Epidemiology, INSERM, Institut Pierre Louis d’Epidémiologie et de Santé Publique (UMRS 1136), Sorbonne Universités, UPMC Univ Paris 06, 75646 Paris, France
    EHESP School of Public Health, 35043 Rennes, France)

  • Mary Amuzu

    (EHESP School of Public Health, 35043 Rennes, France)

  • Valentin Simoncic

    (LIVE UMR 7362 CNRS (Laboratoire Image Ville Environnement), University of Strasbourg, 67000 Strasbourg, France)

  • Wahida Kihal-Talantikite

    (LIVE UMR 7362 CNRS (Laboratoire Image Ville Environnement), University of Strasbourg, 67000 Strasbourg, France)

Abstract

Background—The exposome concept refers to the totality of exposures from internal and external sources, including chemical and biological agents from conception throughout the lifetime. Exposome is also made up of psychosocial components such as socio-economic status (SES), which will focus on in this review. Despite exposures to the same environmental nuisances, individuals and groups are impacted differently. According to the literature, health inequalities exist among different socioeconomic groups, and SES may influence the association between environmental nuisances and health outcomes. However, the variation of this interaction across ages has rarely been studied. There is a need to adopt a life course approach to understand the history of diseases better. Objective—The main objective of this review is to document how SES could modify the association between environmental nuisances and health outcomes, across different ages, as a first crucial step introducing the emerged concept of social exposome. Methods—The PubMed database was searched from January 2010 to August 2021 for systematic reviews published in English addressing the interaction between SES, environmental nuisances, and health outcomes. Socio-economic indicators considered include education, level of income, neighborhood environment. Environmental nuisances considered many environment nuisances, mainly air pollution and noise. Results—Among 242 literature reviews identified, 11 of them address the question of the effect modification. Overall, our work reveals that environmental nuisances were mostly associated with poorer health outcomes and that SES modified this association, increasing the health risk among the poorest. Very interestingly, our work reports the existence of this interaction across different ages, including pregnancy, childhood, and adulthood, and for various environmental nuisances. Conclusion—In conclusion, our work confirms that we are not all equal to face environmental nuisances. The poorest are more vulnerable to the health effect of environmental nuisances. Policy decisions and interventions should target this high-risk population as a priority. Further investigations are needed to formalize the concept of social exposome more precisely and then communicate about it.

Suggested Citation

  • Séverine Deguen & Mary Amuzu & Valentin Simoncic & Wahida Kihal-Talantikite, 2022. "Exposome and Social Vulnerability: An Overview of the Literature Review," IJERPH, MDPI, vol. 19(6), pages 1-16, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:6:p:3534-:d:772580
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    References listed on IDEAS

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    1. Amanda Alderton & Karen Villanueva & Meredith O’Connor & Claire Boulangé & Hannah Badland, 2019. "Reducing Inequities in Early Childhood Mental Health: How Might the Neighborhood Built Environment Help Close the Gap? A Systematic Search and Critical Review," IJERPH, MDPI, vol. 16(9), pages 1-23, April.
    2. Kathleen Hibbert & Nicolle S. Tulve, 2019. "State-of-the-Science Review of Non-Chemical Stressors Found in a Child’s Social Environment," IJERPH, MDPI, vol. 16(22), pages 1-27, November.
    3. Mathew C. Schmidtlein & Roland C. Deutsch & Walter W. Piegorsch & Susan L. Cutter, 2008. "A Sensitivity Analysis of the Social Vulnerability Index," Risk Analysis, John Wiley & Sons, vol. 28(4), pages 1099-1114, August.
    4. Steffen Andreas Schüle & Gabriele Bolte, 2015. "Interactive and Independent Associations between the Socioeconomic and Objective Built Environment on the Neighbourhood Level and Individual Health: A Systematic Review of Multilevel Studies," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-31, April.
    5. Sahana Mathiarasan & Anke Hüls, 2021. "Impact of Environmental Injustice on Children’s Health—Interaction between Air Pollution and Socioeconomic Status," IJERPH, MDPI, vol. 18(2), pages 1-10, January.
    6. Susan L. Cutter & Bryan J. Boruff & W. Lynn Shirley, 2003. "Social Vulnerability to Environmental Hazards," Social Science Quarterly, Southwestern Social Science Association, vol. 84(2), pages 242-261, June.
    7. Alessandro Liberati & Douglas G Altman & Jennifer Tetzlaff & Cynthia Mulrow & Peter C Gøtzsche & John P A Ioannidis & Mike Clarke & P J Devereaux & Jos Kleijnen & David Moher, 2009. "The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-28, July.
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