Dialectical Processes of Health Framework as an Alternative to Social Determinants of Health Framework
Year: 2025
Type: article
Abstract: 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. ( Am J Public Health. 2025;115(11):1868–1876. https://doi.org/10.2105/AJPH.2025.308239 )
Language: English
Subfield: Health
Field: Social Sciences
Domain: Social Sciences
Open Access status: green
Awards: Reinvigorating HIV Prevention and Care for People Who Use Drugs: Accelerating Progress and Sustaining Gains in the Midst of Societal Disruption, Understanding the short- and long-term effects of disasters and other Big Events on the overdose crisis, Intersectional Stigma Experiences, Pre-exposure Prophylaxis (PrEP), and Other Service Use Among People Who Inject Drugs
OpenAlex ID: W4414320545