Cited by 936Health disparities and outcomesHealth, psychology, and well-beingResilience and Mental Health

Health psychology: what is an unhealthy environment and how does it get under the skin?

Taylor, Shelley E., Repetti, Rena L., Seeman, Teresa·1997·Annual Review of Psychology

Abstract

This review explores the role of environments in creating chronic and acute health disorders. A general framework for studying the nesting of social environments and the multiple pathways by which environmental factors may adversely affect health is offered. Treating socioeconomic status (SES) and race as contextual factors, we examine characteristics of the environments of community, work, family, and peer interaction for predictors of positive and adverse health outcomes across the lifespan. We consider chronic stress/allostatic load, mental distress, coping skills and resources, and health habits and behaviors as classes of mechanisms that address how unhealthy environments get "under the skin," to create health disorders. Across multiple environments, unhealthy environments are those that threaten safety, that undermine the creation of social ties, and that are conflictual, abusive, or violent. A healthy environment, in contrast, provides safety, opportunities for social integration, and the ability to predict and/or control aspects of that environment.

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Crossref · 10.1146/annurev.psych.48.1.411

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Authors
Taylor, S. E., Repetti, R. L., & Seeman, T.
Affiliations
  • University of California, Los Angeles (US)
  • University of Southern California (US)
Venue
Annual Review of Psychology
Published
1997-02
Volume
48
Issue
1
Pages
411-447
ISSN
  • 0066-4308 (ISSN-L)
  • 1545-2085
OpenAlex
W2136727656
Cited by
936
References
202
Citations by year
2026: 13 · 2025: 15 · 2024: 19 · 2023: 21 · 2022: 28 · 2021: 36 · 2020: 21 · 2019: 33 · 2018: 37 · 2017: 22 · 2016: 26 · 2015: 38 · 2014: 43 · 2013: 49 · 2012: 58
FWCI
3.34
Type
journal article
Language
en
Open access
closed
Locations
  • Annual Review of Psychology (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5r37mh042152-08)
  • U.S. Public Health Service (R29-48593)
  • National Institute on Aging (AG00586)
  • National Institute of Mental Health (MH 42152)
Topics
  • Social Sciences › Health › Health disparities and outcomes
  • Health Sciences › Health Professions › General Health Professions › Health, psychology, and well-being
  • Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
Keywords
environmental health, social environment, socioeconomic status, race, chronic stress, allostatic load, psychological distress, coping, health behavior, community environment, work environment, family environment, peer interaction, social integration, violence and abuse
MeSH terms
Behavioral Medicine, Humans, Internal-External Control, Psychophysiologic Disorders, Risk Factors, Social Environment, Social Support, Somatoform Disorders, Health Behavior

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