Evidence map›Paper›PMID 33597300›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2021

Pathogen disgust sensitivity protects against infection in a high pathogen environment.

Tara J Cepon-Robins, Aaron D Blackwell, Theresa E Gildner, Melissa A Liebert, Samuel S Urlacher, Felicia C Madimenos, Geeta N Eick, J Josh Snodgrass, Lawrence S Sugiyama

Open access · greenAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
6.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 69 citations in OpenAlex.

  1. Article
  2. The Shuar Health and Life History Project: Overview at 20 Years and Introduction to the Special Issue.American journal of human biology : the official journal of the Human Biology Council · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Circulating Epstein-Barr Virus Antibody Levels as a Biomarker of Socioecological Adversity in Amazonian Ecuador.American journal of human biology : the official journal of the Human Biology Council · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. How market integration impacts human disease ecology.Evolution, medicine, and public health · 2024
    Article
  12. Review
  13. Italian validation of the body odor disgust scale.Frontiers in behavioral neuroscience · 2024
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 2 countries.

Tara J Cepon-RobinsDepartment of Anthropology, University of Colorado, Colorado Springs, CO 80918; trobins3@uccs.edu.ORCID 0000-0002-4508-8507
Aaron D BlackwellDepartment of Anthropology, Washington State University, Pullman, WA 99164.ORCID 0000-0002-5871-9865
Theresa E GildnerDepartment of Anthropology, Washington University in St. Louis, St. Louis, MO 63130.ORCID 0000-0001-7486-5208
Melissa A LiebertDepartment of Anthropology, Northern Arizona University, Flagstaff, AZ 86011.ORCID 0000-0001-8013-6773
Samuel S UrlacherDepartment of Anthropology, Baylor University, Waco, TX 76706.ORCID 0000-0002-6489-4117
Felicia C MadimenosDepartment of Anthropology, Queens College, City University of New York, Queens, NY 11367.ORCID 0000-0001-5442-232X
Geeta N EickDepartment of Anthropology, University of Oregon, Eugene, OR 97403.ORCID 0000-0001-7512-3265
J Josh SnodgrassDepartment of Anthropology, University of Oregon, Eugene, OR 97403.ORCID 0000-0002-7021-777X
Lawrence S SugiyamaDepartment of Anthropology, University of Oregon, Eugene, OR 97403.ORCID 0000-0003-1279-0006
University of Oregon · USCanadian Institute for Advanced Research · CANorthern Arizona University · USQueens College, CUNY · USUniversity of Colorado Colorado Springs · USWashington State University · USWashington University in St. Louis · US

Funding

NIH Director's Pioneer Award (RMI)DP1OD000516 · OD · UNIVERSITY OF CALIFORNIA SANTA BARBARA · PI COSMIDES, LEDA · 2005 to 2009
$3.6M
NIH HHS DP1 OD000516
6 · The paper itself

Abstract

Disgust is hypothesized to be an evolved emotion that functions to regulate the avoidance of pathogen-related stimuli and behaviors. Individuals with higher pathogen disgust sensitivity (PDS) are predicted to be exposed to and thus infected by fewer pathogens, though no studies have tested this directly. Furthermore, PDS is hypothesized to be locally calibrated to the types of pathogens normally encountered and the fitness-related costs and benefits of infection and avoidance. Market integration (the degree of production for and consumption from market-based economies) influences the relative costs/benefits of pathogen exposure and avoidance through sanitation, hygiene, and lifestyle changes, and is thus predicted to affect PDS. Here, we examine the function of PDS in disease avoidance, its environmental calibration, and its socioecological variation by examining associations among PDS, market-related lifestyle factors, and measures of bacterial, viral, and macroparasitic infection at the individual, household, and community levels. Data were collected among 75 participants (ages 5 to 59 y) from 28 households in three Ecuadorian Shuar communities characterized by subsistence-based lifestyles and high pathogen burden, but experiencing rapid market integration. As predicted, we found strong negative associations between PDS and biomarkers of immune response to viral/bacterial infection, and weaker associations between PDS and measures of macroparasite infection, apparently mediated by market integration-related differences. We provide support for the previously untested hypothesis that PDS is negatively associated with infection, and document variation in PDS indicative of calibration to local socioeconomic conditions. More broadly, findings highlight the importance of evolved psychological mechanisms in human health outcomes.

Indexed as

DisgustAdolescentAdultChildChild, PreschoolCross-Sectional StudiesEcuadorHumansIndigenous PeoplesInfectionsInflammationLife StyleMiddle AgedSocioeconomic FactorsYoung Adultbehavioral immune systemdisgustmarket integrationpathogen avoidanceShuar

Identifiers

PMID33597300
PMCPMC7923589
OpenAlexW3130731122

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.