3. Epidemiological Evaluation Paradigm focuses on individual-
level pathology
Leaving many unanswered social-behavioral questions we try
to address with “mixed methods.”
Yet we know that individuals live in complex social, economic
and political ecosystems that shape behavioral options
Why do the health sciences have so few tried and true
methods for studying communities as complex systems?
Alcohol use/abuse in low-income communities is a diagnostic
example