健康框架的辩证过程作为健康框架的社会决定因素的替代方案
Samuel R Friedman1, Suzan M Walters1, Ashly E Jordan1
1Samuel R. Friedman, Suzan M. Walters, and Jerzy Eisenberg-Guyot are with the Center for Opioid Epidemiology and Policy and Department of Population Health, NYU Grossman School of Medicine, New York, NY. Ashly E. Jordan, David C. Perlman, and Pedro Mateu-Gelabert are with the Center for Drug Use and HIV/HCV Research, New York, NY. Georgios K. Nikolopoulos is with the Medical School, University of Cyprus, Nicosia, Cyprus. Diana Rossi is a retired professor and researcher, and a founding member and consultant of Intercambios Civil Association, Buenos Aires, Argentina.
健康的社会决定因素 (SDOH) 框架需要更新,以应对快速的社会变化. 辩证框架为理解对健康结果的复杂社会影响提供了新的见解.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 环境健康 环境健康
背景情况:
- 健康的社会决定因素 (SDOH) 框架对于理解健康的社会原因有价值.
- 当前的生态和社会变化凸显了现有的SDOH框架的局限性.
- SDOH可能无法完全捕捉动态的社会过程,如社会运动或双向因果关系.
研究的目的:
- 评估当前健康社会决定因素 (SDOH) 框架的局限性.
- 探索其他理论框架,如生态社会理论和辩证框架,用于分析健康结果.
- 讨论对研究方法和公共卫生实践的影响.
主要方法:
- 健康社会决定因素的理论分析和批评 (SDOH) 框架.
- 将SDOH与生态社会理论和辩证框架进行比较.
- 讨论对研究和实践的影响.
主要成果:
- 健康的社会决定因素 (SDOH) 框架在纳入快速变化的社会过程,社会冲突,创新和双向因果关系方面存在局限性.
- 生态社会理论提供了一些改进,但在快速社会变革时期,辩证框架提供了额外的见解.
- 该研究强调,需要更新公共卫生中的理论方法.
结论:
- 健康的社会决定因素 (SDOH) 框架需要加强,以便在全球重大变化中保持相关性.
- 辩证和生态社会理论为更全面地了解健康提供了有价值的观点.
- 研究方法和公共卫生实践必须适应这些更广泛的理论见解.
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