From the Exposome to the Socioexposome in COVID-19 Research – A Call for More Multidisciplinary Research

by Sarah Koch, Liv Yoon and Bieke Gils.

Three recent UBC Kinesiology PhD grads, Sarah Koch (2018), Liv Yoon (2019), Bieke Gils (2014), have recently published an article in the JAMA Network (December 29, 2020). In their Commentary, the KIN alumnae make a call for a multidisciplinary research approach that encompasses perspectives from both natural and social sciences to studying health disparities in the wake of COVID-19. While the coronavirus was initially thought of as ‘The Great Equalizer’, the unfolding of the current pandemic tells a different story, one of increasing health disparities affecting populations marginalized along race and class lines. The COVID-19 pandemic is a stark reminder that existing research methodologies and approaches often focus on the outcomes of health disparities, and less so on their social, historical and political roots. Koch, Yoon, and Gils, therefore, call for a rethinking and increased integration of natural and social science research approaches that target vulnerable populations without singling them out.

To accommodate for such an approach, they suggest the further development and use of the so-called ‘socio-exposome’ model as suggested by L. Senier, P. Brown, S, Shostak, and B. Hanna (2017) 1. Via this multidisciplinary framework, researchers can situate and contextualize natural science data and findings across the individual, local, and global scales, rendering a full picture of the interplay between biological disease pathways and the social and environmental forces that are interacting with each other.

Thus, as an extension and augmentation of the existing health and pandemic research models, implementing the multidisciplinary socio-exposome approach would help create policies that address these realities informed by multiple layers of influencing factors. They invite researchers, policymakers, and health practitioners to critically reflect on their research strategies and resulting interpretation approaches – a ‘must’ as we reimagine health research methodologies in a world where zip codes matter more than genetic codes in determining health outcomes.

This Commentary captures the multi- and interdisciplinary nature of the UBC Kinesiology graduate programme, which advocates for understanding human movement and bodies not merely physiologically and biomechanically, but also in a social, cultural, and political context. This means being concerned with not only the functioning mechanism of a body, but also its interactions with the socio-cultural and socio-political environment around it — considering, for example, how some identities are considered more threatening than others, and how some bodies are considered more dispensable than others, as the COVID-19 pandemic and the racial reckoning movements of 2020 have illustrated. As a respiratory physiologist, an environmental sociologist, and a cultural historian respectively, Koch, Yoon, and Gils are applying this holistic understanding of the body in this Commentary and in their research pursuits.

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