Evidence map›Paper›PMID 40966564›Full record

ArticleAmerican journal of public health2025

Dialectical Processes of Health Framework as an Alternative to Social Determinants of Health Framework.

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

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Socioenvironmental disasters and the dialectics of overdose mortality.The International journal on drug policy · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Samuel R FriedmanSamuel 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.ORCID 0000-0003-2083-1226
Suzan M WaltersSamuel 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.
Ashly E JordanSamuel 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.
David C PerlmanSamuel 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.ORCID 0000-0001-5674-025X
Georgios K NikolopoulosSamuel 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.ORCID 0000-0002-3307-0246
Pedro Mateu-GelabertSamuel 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.
Diana RossiSamuel 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.
Jerzy Eisenberg-GuyotSamuel 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.ORCID 0000-0003-3851-267X

Funding

Transdisciplinary Theoretical Svnthesis and Development CoreP30DA011041 · NIDA · NEW YORK UNIVERSITY · PI Holly Hagan · 1998 to 2026
$38.9M
Understanding the short- and long-term effects of the COVID-19 pandemic on the overdose crisisR01DA058991 · NIDA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Magdalena Cerda, SAMUEL R FRIEDMAN · 2023 to 2026
$3.7M
Intersectional Stigma Experiences, Pre-exposure Prophylaxis (PrEP), and Other Service Use Among People Who Inject DrugsK01DA053159 · NIDA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI WALTERS, SUZAN M · 2021 to 2025
$927k
NIDA NIH HHS K01 DA053159NIDA NIH HHS P30 DA011041NIDA NIH HHS R01 DA058991
6 · The paper itself

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. (

Indexed as

Social ChangeSocial Determinants of HealthHumansPublic Health

Identifiers

PMID40966564
PMCPMC12510083

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.