The DOI matches its Crossref record; 43 of the 44 references it cites were found in a registry or an index.
Dirt, disgust and disease: a natural history of hygiene
Open accessAbstract
Hygiene has been studied from multiple perspectives, including that of history. I define hygiene as the set of behaviours that animals, including humans, use to avoid infection. I argue that it has an ancient evolutionary history, and that most animals exhibit such behaviours because they were adaptive. In humans, the avoidance of infectious threats is motivated by the emotion of disgust. Intuition about hygiene, dirt and disease can be found underlying belief about health and disease throughout history. Purification ritual, miasma, contagion, zymotic and germ theories of disease are ideas that spread through society because they are intuitively attractive, because they are supported by evidence either from direct experience or from authoritative report and because they are consistent with existing beliefs. In contrast to much historical and anthropological assertion, I argue that hygiene behaviour and disgust predate culture and so cannot fully be explained as its product. The history of ideas about disease thus is neither entirely socially constructed nor an “heroic progress” of scientists leading the ignorant into the light. As an animal behaviour the proper domain of hygiene is biology, and without this perspective attempts at explanation are incomplete. The approaches of biological anthropology have much to offer the practice of cultural history.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The cited source says what the claim attributes to it.
In the citing paper
“Disgust has a long evolutionary history; the reason it is part of our psyche is neither primarily cultural nor historical, but biological.”
From Disgusting Bodies, Disgusting Religion: The Biology of Tantra (2011) · cites this paper as Curtis 2007: 660
The cited source says what the claim attributes to it.
In the citing paper
“There is a link between dirt, disgust, hygiene and disease, but it is a link that predates history, that predates science and culture, that even predates Homo sapiens.”
From Disgusting Bodies, Disgusting Religion: The Biology of Tantra (2011) · cites this paper as Curtis 2007: 660
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Purity and Danger: An Analysis of Concepts of Pollution and Taboo
McCormack, W., & Douglas, M. (1967) · Journal for the Scientific Study of Religion · doi:10.2307/1384077 · Cited by 5,738
Purity and Danger: An Analysis of Concepts of Pollution and Taboo.
Ardener, E., & Douglas, M. (1967) · Man · doi:10.2307/2798681 · Cited by 2,824
The blank slate: the modern denial of human nature
(2003) · Choice Reviews Online · doi:10.5860/choice.40-4305 · Cited by 2,452
Intuitive ethics: how innately prepared intuitions generate culturally variable virtues
Haidt, J., & Joseph, C. (2004) · Daedalus · doi:10.1162/0011526042365555 · Cited by 2,079
Explaining Culture: A Naturalistic Approach.
Barkow, J. H., & Sperber, D. (1998) · Journal of the Royal Anthropological Institute · doi:10.2307/3034541 · Cited by 1,805
McNeill, W. H. (1977) · Health Care Management Review · doi:10.1097/00004010-197700220-00022 · Cited by 1,713
Diamond, J. M. (1997) · Dominican Scholar (Dominican University of California) · Cited by 1,409
Competing interests: none declared.
Hirsch, L. (2006) · Cited by 1,396
Miller, W. I. (1997) · Harvard University Press eBooks · doi:10.2307/j.ctv26071fj · Cited by 1,267
Rosen, G. (1958) · MD Publications eBooks · doi:10.1037/11322-000 · Cited by 1,235
Flagged first, then by citations
1 of the 44 references couldn’t be matched to a known paper.
Research works printed but not linked: 12
- 1997, J Hist Med, 52, 7
- Hölldobbler B, Wilson EO. The ants. Cambridge, MA: Harvard University Press, 1990.
- 1983, Am Bee J, 123, 511
- 2003, Wildlife Soc Bull, 31, 117
- 1971, Nature, 5321, 538
- Burkert W. Greek religion. Oxford: Blackwell, 1985.
- Aunger R. The Electric meme. New York: The Free Press, 2002.
- Parker R. Miasma: pollution and purity in early Greek religion. Oxford: Clarendon Press, 1983.
- Hippocrates. Hippocratic writings. Harmondsworth: Penguin, 1983.
- 1985, Victorian Stud, 28, 381
- 1997, J Hist Med, 52, 114
- 1994, Cahiers Santé, 4, 335
Cited by
Sorted by citations
Disgust as a disease-avoidance mechanism.
Oaten, M., Stevenson, R. J., & Case, T. I. (2009) · Psychological Bulletin · doi:10.1037/a0014823 · Cited by 1,120
Disgust as an adaptive system for disease avoidance behaviour
Curtis, V., de Barra, M., & Aunger, R. (2011) · Philosophical Transactions of the Royal Society B: Biological Sciences · doi:10.1098/rstb.2010.0117 · Cited by 746
Self-citationFincher, C. L., & Thornhill, R. (2012) · Behavioral and Brain Sciences · doi:10.1017/s0140525x11000021 · Cited by 530
Planned, motivated and habitual hygiene behaviour: an eleven country review
Curtis, V. A., Danquah, L. O., & Aunger, R. V. (2009) · Health Education Research · doi:10.1093/her/cyp002 · Cited by 482
Self-citationInfection-avoidance behaviour in humans and other animals
Curtis, V. A. (2014) · Trends in Immunology · doi:10.1016/j.it.2014.08.006 · Cited by 322
Self-citation
Metadata
- Authors
- Curtis, V. A.
- Venue
- Journal of Epidemiology and Community Health
- Publisher
- BMJ
- Published
- 2007-07-13
- Volume
- 61
- Issue
- 8
- Pages
- 660-664
- ISSN
- 0141-7681 (ISSN-L)
- 0143-005X
- 1470-2738
- PMC
- PMC2652987
- OpenAlex
- W2010209884
- Cited by
- 169
- References
- 44
- Citations by year
- 2026: 7 · 2025: 1 · 2024: 7 · 2023: 17 · 2022: 20 · 2021: 10 · 2020: 13 · 2019: 9 · 2018: 11 · 2017: 5 · 2016: 7 · 2015: 14 · 2014: 14 · 2013: 13 · 2012: 6
- FWCI
- 2.19
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Epidemiology & Community Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Unilever
- Topics
- Social Sciences › Arts and Humanities › History and Philosophy of Science › History of Science and Medicine
- Social Sciences › Arts and Humanities › History › History of Emotions Research
- Social Sciences › Arts and Humanities › History › History of Medicine and Tropical Health
- Keywords
- hygiene, disgust, dirt, disease, infection avoidance, animal behavior, germ theory, miasma theory, contagion theory, purification rituals, history of medicine, cultural history, physical anthropology, social construction of illness
- MeSH terms
- Animals, Attitude to Health, Behavior, Animal, Culture, Emotions, Humans, Hygiene, Parasitology, Public Health, Health Behavior
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review