健康框架替代健康框架社会决定因素的辩证过程。

IF 9.6 1区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American journal of public health Pub Date : 2025-09-18 DOI:10.2105/ajph.2025.308239

Samuel R Friedman,Suzan M Walters,Ashly E Jordan,David C Perlman,Georgios K Nikolopoulos,Pedro Mateu-Gelabert,Diana Rossi,Jerzy Eisenberg-Guyot

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引用次数: 0

摘要

事实证明，健康的社会决定因素框架有助于解决许多健康结果的社会原因的研究和实践。然而，随着世界生态和社会的快速变化，其局限性可能会制约其价值。我们认为，SDOH没有充分纳入快速变化或“远上游”的社会过程（特别是社会运动），社会冲突和创造性社会创新的辩证法，或双向因果关系。生态社会理论解决了其中的一些问题，而辩证框架在快速的社会变革和混乱时期提供了额外的见解。讨论了对研究方法和实践的启示。公共卫生。2025年9月18日提前在线发布：e1-e9。https://doi.org/10.2105/AJPH.2025.308239)。

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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 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. Published online ahead of print September 18, 2025:e1-e9. https://doi.org/10.2105/AJPH.2025.308239).

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来源期刊

American journal of public health 医学-公共卫生、环境卫生与职业卫生

CiteScore

9.50

自引率

3.90%

发文量

1109

审稿时长

2-4 weeks

期刊介绍： The American Journal of Public Health (AJPH) is dedicated to publishing original work in research, research methods, and program evaluation within the field of public health. The journal's mission is to advance public health research, policy, practice, and education.