What evidence exists on the application of biocultural approaches within infectious disease research from low- and middle-income countries? A scoping review of the peer-reviewed literature

There is increasing research interest in bio or socio-cultural approaches in the context of infectious disease challenges, predicated on the notion that addressing health inequities in poor and marginalised populations requires nuanced, place-based understanding of the burden and impacts of health p...

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Main Authors: Emmanuel S. Tomude, Bethan V. Purse, Sarah J. Burthe, Juliette C. Young, Festus A. Asaaga
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Social Sciences and Humanities Open
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Online Access:http://www.sciencedirect.com/science/article/pii/S2590291125004371
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author Emmanuel S. Tomude
Bethan V. Purse
Sarah J. Burthe
Juliette C. Young
Festus A. Asaaga
author_facet Emmanuel S. Tomude
Bethan V. Purse
Sarah J. Burthe
Juliette C. Young
Festus A. Asaaga
author_sort Emmanuel S. Tomude
collection DOAJ
description There is increasing research interest in bio or socio-cultural approaches in the context of infectious disease challenges, predicated on the notion that addressing health inequities in poor and marginalised populations requires nuanced, place-based understanding of the burden and impacts of health problems and associated factors determining health status and outcomes. Yet, to date, there is no systematic synthesis of how extant studies have used a biocultural approach to characterise social vulnerability in the context of zoonoses affecting humans, especially in low-and middle-income countries (LMICs). We conducted a scoping review of the scientific literature that have applied biocultural approaches within zoonoses research from LMICs. In total 43 studies were reviewed mostly from Africa (n = 24), followed by Asia (n = 12) and Latin America (n = 1). Ebola virus disease (n = 13) was the topmost disease of research interest, with reported studies mostly led by authors affiliated to Global North higher education institutions (particularly in the USA). Overall, the review showed that place-based differences and cultural systems are important determinants of vulnerability to many reported disease hazards across LMIC settings. Biocultural approaches are not holistically considered within zoonoses research and largely inclined towards the ‘cultural’ (n = 38) relative to the ‘biological’ (n = 5) aspect that influenced place-based resource use and health decision-making. The top three biocultural categories used were: livelihood practices, beliefs and knowledge systems. Twenty-five social vulnerability indicators (categorised into 6 components) were identified of which at-risk population demography (e.g. children, % of adults), education and socioeconomic status were commonly reported. Altogether, the review highlights the untapped potential of bio-culturally-informed research in advancing granular, place-based understanding of the complex socioecological, political and cultural factors that can lead to differences in disease vulnerabilities and capacities of different populations to adapt.
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spelling doaj-art-ca4f6dc978df44a984a32803e962b6982025-08-20T03:26:51ZengElsevierSocial Sciences and Humanities Open2590-29112025-01-011210170910.1016/j.ssaho.2025.101709What evidence exists on the application of biocultural approaches within infectious disease research from low- and middle-income countries? A scoping review of the peer-reviewed literatureEmmanuel S. Tomude0Bethan V. Purse1Sarah J. Burthe2Juliette C. Young3Festus A. Asaaga4UK Centre for Ecology & Hydrology, Crowmarsh Gifford, Wallingford, OX10 8BB, UK; School of Geography, University of Nottingham, University Park, NG7 2RD, UKUK Centre for Ecology & Hydrology, Crowmarsh Gifford, Wallingford, OX10 8BB, UKUK Centre for Ecology & Hydrology, Bush Estate, Penicuik, Midlothian, EH26 0QB, UKAgroecologie, INRAE, Institut Agro, Univ. Bourgogne, Univ. Bourgogne Franche-Comté, Dijon, FranceUK Centre for Ecology & Hydrology, Crowmarsh Gifford, Wallingford, OX10 8BB, UK; Corresponding author.There is increasing research interest in bio or socio-cultural approaches in the context of infectious disease challenges, predicated on the notion that addressing health inequities in poor and marginalised populations requires nuanced, place-based understanding of the burden and impacts of health problems and associated factors determining health status and outcomes. Yet, to date, there is no systematic synthesis of how extant studies have used a biocultural approach to characterise social vulnerability in the context of zoonoses affecting humans, especially in low-and middle-income countries (LMICs). We conducted a scoping review of the scientific literature that have applied biocultural approaches within zoonoses research from LMICs. In total 43 studies were reviewed mostly from Africa (n = 24), followed by Asia (n = 12) and Latin America (n = 1). Ebola virus disease (n = 13) was the topmost disease of research interest, with reported studies mostly led by authors affiliated to Global North higher education institutions (particularly in the USA). Overall, the review showed that place-based differences and cultural systems are important determinants of vulnerability to many reported disease hazards across LMIC settings. Biocultural approaches are not holistically considered within zoonoses research and largely inclined towards the ‘cultural’ (n = 38) relative to the ‘biological’ (n = 5) aspect that influenced place-based resource use and health decision-making. The top three biocultural categories used were: livelihood practices, beliefs and knowledge systems. Twenty-five social vulnerability indicators (categorised into 6 components) were identified of which at-risk population demography (e.g. children, % of adults), education and socioeconomic status were commonly reported. Altogether, the review highlights the untapped potential of bio-culturally-informed research in advancing granular, place-based understanding of the complex socioecological, political and cultural factors that can lead to differences in disease vulnerabilities and capacities of different populations to adapt.http://www.sciencedirect.com/science/article/pii/S2590291125004371BioculturalSocioculturalZoonosesSocial vulnerabilityLow-and middle-income countries (LMICs)
spellingShingle Emmanuel S. Tomude
Bethan V. Purse
Sarah J. Burthe
Juliette C. Young
Festus A. Asaaga
What evidence exists on the application of biocultural approaches within infectious disease research from low- and middle-income countries? A scoping review of the peer-reviewed literature
Social Sciences and Humanities Open
Biocultural
Sociocultural
Zoonoses
Social vulnerability
Low-and middle-income countries (LMICs)
title What evidence exists on the application of biocultural approaches within infectious disease research from low- and middle-income countries? A scoping review of the peer-reviewed literature
title_full What evidence exists on the application of biocultural approaches within infectious disease research from low- and middle-income countries? A scoping review of the peer-reviewed literature
title_fullStr What evidence exists on the application of biocultural approaches within infectious disease research from low- and middle-income countries? A scoping review of the peer-reviewed literature
title_full_unstemmed What evidence exists on the application of biocultural approaches within infectious disease research from low- and middle-income countries? A scoping review of the peer-reviewed literature
title_short What evidence exists on the application of biocultural approaches within infectious disease research from low- and middle-income countries? A scoping review of the peer-reviewed literature
title_sort what evidence exists on the application of biocultural approaches within infectious disease research from low and middle income countries a scoping review of the peer reviewed literature
topic Biocultural
Sociocultural
Zoonoses
Social vulnerability
Low-and middle-income countries (LMICs)
url http://www.sciencedirect.com/science/article/pii/S2590291125004371
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