Broadening the Environmental Lens to Include Social and Structural Determinants of Women's Health Disparities.

BACKGROUND: Due to the physical, metabolic, and hormonal changes before, during, and after pregnancy, women-defined here as people assigned female at birth-are particularly susceptible to environmental insults. Racism, a driving force of social determinants of health, exacerbates this susceptibility by affecting exposure to both chemical and nonchemical stressors to create women's health disparities. OBJECTIVES: To better understand and address social and structural determinants of women's health disparities, the National Institute of Environmental Health Sciences (NIEHS) hosted a workshop focused on the environmental impacts on women's health disparities and reproductive health in April 2022. This commentary summarizes foundational research and unique insights shared by workshop participants, who emphasized the need to broaden the definition of the environment to include upstream social and structural determinants of health. We also summarize current challenges and recommendations, as discussed by workshop participants, to address women's environmental and reproductive health disparities. DISCUSSION: The challenges related to women's health equity, as identified by workshop attendees, included developing research approaches to better capture the social and structural environment in both human and animal studies, integrating environmental health principles into clinical care, and implementing more inclusive publishing and funding approaches. Workshop participants discussed recommendations in each of these areas that encourage interdisciplinary collaboration among researchers, clinicians, funders, publishers, and community members. https://doi.org/10.1289/EHP12996.

Colonization of Solidago altissima by the specialist aphid Uroleucon nigrotuberculatum: effects of genetic identity and leaf chemistry.

In dominant old-field plant species, genotypic variation in traits important for herbivorous insects may explain variation in insect species abundance. While the importance of plant genetic identity on arthropod abundance has been demonstrated, specific factors that drive genotype choice by insects remain largely unknown. Sixteen genotypes of the widely distributed plant species Solidago altissima were used to investigate the possible role of nutrients and terpene secondary metabolites in shaping the abundance of a common specialist aphid, Uroleucon nigrotuberculatum. Ramets were propagated in a greenhouse and then transferred to a natural field setting. After 76 days, aphid abundance was quantified and leaf tissue assayed for nutrients and terpenes. Aphids/g plant biomass significantly differed among genotypes, with a 30-fold difference observed among plant genotypes. Leaf nitrogen, C:N ratio and water did not vary among genotypes. Of eight terpenes quantified, five were influenced by plant genotype. Aphid abundance increased marginally with the concentration of the monoterpene ß-pinene in leaf tissue (P = 0.056). A partial least squares analysis determined that nutritional chemicals did not explain aphid responses, while 49% of the variation in aphid colonization among genotypes was explained by terpenes. This study is one of the first to demonstrate that variation in allelochemicals may be related to differences in the abundance of a key herbivore among genotypes of a plant species that exhibits large intraspecific genetic variation.