The synergy index (s) is a quantitative measure used to assess the interaction between two or more exposures and their combined effect on a specific outcome. It helps to determine whether the effects of multiple factors are greater than, equal to, or less than the sum of their individual effects. A synergy index greater than 1 indicates a synergistic effect, where the combined impact is more significant than expected, while a value less than 1 suggests an antagonistic interaction.