Dialectical Processes of Health Framework as an Alternative to Social Determinants of Health Framework.
The social determinants of health (SDOH) framework has proven useful for research and practice in addressing the social causes of many health outcomes. However, its limitations may restrict its value as the world undergoes rapid ecological and social change. We argue that SDOH does not adequately in...
| Publicado en: | American Journal of Public Health Vol. 115; no. 11; pp. 1868 - 1877 |
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| Autores principales: | , , , , , , , |
| Formato: | Artículo |
| Publicado: |
American Public Health Association
Nov2025
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=188519051&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 188519051 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Nov2025 vid: 115 iid: 11 pid: 44 pub: American Public Health Association artinfo: ui: 188519051 10.2105/AJPH.2025.308239 ppf: 1868 ppct: 9 formats: tig: atl: Dialectical Processes of Health Framework as an Alternative to Social Determinants of Health Framework. aug: au: Friedman, Samuel R. Walters, Suzan M. Jordan, Ashly E. Perlman, David C. Nikolopoulos, Georgios K. Mateu-Gelabert, Pedro Rossi, Diana Eisenberg-Guyot, Jerzy affil: Center for Opioid Epidemiology and Policy and Department of Population Health, NYU Grossman School of Medicine, New York, NY. Center for Drug Use and HIV/HCV Research, New York, NY. Medical School, University of Cyprus, Nicosia, Cyprus. Professor and researcher, and a founding member and consultant of Intercambios Civil Association, Buenos Aires, Argentina su: Health services accessibility Community health services Community support Social determinants of health Social justice Health policy Climate change Social change Social theory Evaluation of medical care Public health Health equity Health promotion Critical theory Social problems Conceptual structures Mathematical models Theory sug: subj: Health services accessibility Community health services Community support Social determinants of health Social justice Health policy Climate change Social change Social theory Evaluation of medical care Public health Health equity Health promotion Critical theory Social problems Community health centres All Other Outpatient Care Centers Residential Mental Health and Substance Abuse Facilities Other Individual and Family Services Other local, municipal and regional public administration Administration of Public Health Programs Health and Welfare Funds Conceptual structures Mathematical models Theory ab: The social determinants of health (SDOH) framework has proven useful for research and practice in addressing the social causes of many health outcomes. However, its limitations may restrict its value as the world undergoes rapid ecological and social change. We argue that SDOH does not adequately incorporate rapidly changing or "far upstream" social processes (particularly social movements), the dialectics of social conflict and creative social innovation, or bidirectional causation. Ecosocial theory addresses some of these issues, yet dialectical frameworks offer additional insights during periods of rapid social change and disruption. The implications for research methods and practice are discussed. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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