Summary: Exposure to unpleasant stimuli that might make you feel queasy or disgusted may be evolution’s way of keeping us healthy and helping us to avoid infection.
Source: Washington State University
You might want to pay attention to those bad, queasy feelings. New research, published in theย Proceedings of the National Academy of Sciencesย on Feb. 15, suggests that disgust could be the bodyโs way of helping humans avoid infection.
The study is the first in its field to directly test whether people who experience a greater pathogen disgust sensitivityโโthose who are more prone to feel disgustโโwill become exposed to fewer pathogens in their local environments, and thus suffer fewer infections.
โWe found that people with higher levels of disgust had lower levels of inflammatory biomarkers that were indicative of having bacterial or viral infections,โ said Aaron Blackwell, a Washington State University associate professor of anthropology and co-author on the paper. โWhile the study shows that disgust functions to protect against infection, it also showed it varies across different environments, based on how easily people can avoid certain things.โ
Blackwell, along with a research team led by Tara Cepon-Robins of University Colorado, Colorado Springs, examined data from households in three indigenous Ecuadorian Shuar communities. The communities were all located in high-pathogen environments but with differing levels of economic development and participation in traditional subsistence activities such as hunting.
The researchers found that the protective effect of disgust worked well where people could afford to avoid things that repulsed them. These were in communities with higher economic development with advantages like better access to clean water and foods purchased at a market.
But in the communities that relied more heavily on subsistence activities like hunting and small-scale agriculture, people must encounter potential pathogens to acquire foodโโfor example, exposure to animal feces or potentially-contaminated water sourcesโโthere were lower levels of disgust.
The protective effect of disgust also did not work for every pathogen, Blackwell pointed out.
โHaving a high level of disgust sensitivity protected against some kinds of infections, but not necessarily against others like parasitic worm infections that are common in this area,โ he said. โIt makes sense because their eggs and larvae are transmitted through the soil, and when you make your living hunting and growing your own food, soils are hard to avoid.โ
Unfortunately, feelings of disgust are also unlikely to help in pandemics, including the current one, according to Blackwell, who recently wrote on theย role of pathogen-avoidance psychology in pandemicsย in Trends of Cognitive Sciences.
โDisgust doesnโt protect us very well against pandemics like COVID-19 in part because a lot of people are asymptomatic,โ he said. โWe donโt get any cues of what to avoid. You canโt see it.โ
Charles Darwin first hypothesized that humans evolved a sense of disgust to help avoid tainted food, and while many studies have supported that theory, until now, no studies have directly tested whether greater pathogen disgust sensitivity is associated with fewer current infections.
This study supports the hypothesis that disgust is an evolved human emotion that functions as a disease-avoidance mechanism, helping humans to reduce their exposure to pathogens. The findings also demonstrate that the human disgust response is calibrated to the local costs and benefits of avoidance and infection.
Theย study was conducted as part of theย Shuar Health and Life History Project.ย In addition to WSU and University of Colorado, Colorado Springs the project includes researchers from Washington University in St. Louis, Northern Arizona University, Baylor University, University of Oregon and Queens College, City University of New York.
About this health and evolutionary neuroscience research news
Source: Washington State University
Contact: Press Office – Washington State University
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Original Research: Closed access.
“Pathogen disgust sensitivity protects against infection in a high pathogen environment” by Aaron Blackwell et al. PNAS
Abstract
Pathogen disgust sensitivity protects against infection in a high pathogen environment
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.

