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課程名稱 |
社會流行病學：原理與方法
Social Epidemiology：principle and Methods |
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開課學期 |
101-2 |
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授課對象 |
公共衛生學院 健康促進組 |
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授課教師 |
鄭雅文 |
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課號 |
HPM7034 |
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課程識別碼 |
848 M1080 |
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班次 |
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學分 |
2 |
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全/半年 |
半年 |
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必/選修 |
選修 |
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上課時間 |
星期五3,4(10:20~12:10) |
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上課地點 |
公衛209 |
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備註 |
與陳端容合開
限碩士班以上
總人數上限：30人
外系人數限制：10人 |
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Ceiba 課程網頁 |
http://ceiba.ntu.edu.tw/1012soci_epid |
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課程簡介影片 |
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核心能力關聯 |
核心能力與課程規劃關聯圖 |
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課程大綱
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課程概述 |
流行病學為公衛研究的基礎工具，流行病學知識也是制訂衛生政策最重要的依據。社會流行病學旨在分析疾病問題的「社會致病成因」（social determents of health），試圖結合實證研究，以改善「健康不平等」(social inequalities in health)問題。此課程介紹社會流行病學的基礎原理，包括發展歷程、研究設計與測量、社會致病成因之內容，以及統計分析方法。本課程並希望提升學生閱讀與批判社會流行病學實證論文之能力。 |
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課程目標 |
學生在修習完此課程後，將可以具備以下能力：
1.瞭解社會流行病學的歷史緣起、發展過程、原理原則、相關爭議與政策應用
2.瞭解社會流行病學之研究設計與測量方法
3.瞭解社會流行病之統計分析方法
4.具備分析批判社會流行病學實證論文之能力
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課程要求 |
出席並參與課堂討論、繳交作業、參與期中與期末報告 |
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預期每週課後學習時數 |
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Office Hours |
每週四 13:30~15:30
每週一 15:00~16:00 備註： 鄭雅文老師：每週四1：30∼3：30PM
陳端容老師：每週一3：00∼4：00PM |
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指定閱讀 |
列於下表 |
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參考書目 |
1. J Michael Oakes and Jay S. Kaufman. Methods in Social Epidemiology.
Jossey-Bass, 2006. |
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評量方式
(僅供參考) |
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No. |
項目 |
百分比 |
說明 |
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1. |
課堂參與 |
10% |
出席、參與討論。 |
2. |
期末小組報告1次 |
30% |
學生3∼5人一組，提出社會流行病學研究計畫書，書面資料3000-5000字左右（不含文獻），於6/19週三下午5點前以電子檔繳交。 |
3. |
期中小組作業 |
20% |
學生3∼5人一組，提出社會流行病學研究計畫構想書，以書面資料在1頁以內，於5/17（週五）上課前以電子檔繳交。 |
4. |
期中小考2次 (20% x 2) |
40% |
4/26；6/14 |
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週次 |
日期 |
單元主題 |
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第1週 |
2/22 |
<b>課程介紹（鄭雅文、陳端容）；流行病學基本概念（鄭雅文）</b> |
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第2週 |
3/01 |
<b>社會流行病學的發展歷程與研究取向（鄭雅文）</b><br>
1. Oakes, Kaufman. Introduction: advancing methods in social epidemiology (Chapter 1, ;pp3-20). In: Methods in Social Epidemiology, 2006.<br>
2. 鄭雅文，「社會流行病學」，收錄於《公共衛生學》（第四版中冊）；陳拱北預防醫學基金會；頁 207-231, 2007. |
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第3週 |
3/08 |
<b>社會結構觀點的研究問題（鄭雅文）</b><br>
1. Rose. Sick individuals and sick populations. International Journal of
Epidemiology 2001: 30: 427-432.<br>
2. Lu TH. International comparisons: they do help and are essential for
avoiding type III error. Injury prevention 2001; 7: 270-271. |
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第4週 |
3/15 |
<b>群體因素的測量（鄭雅文）</b><br>
1. Diez-Roux, AV. The Study of Group-Level Factors in Epidemiology:
Rethinking Variables, Study Designs, and Analytical Approaches
Epidemiologic reviews 2004, 26: 104-111.<br>
2. Diez-Roux, AV. Ecologic variables, ecologic studies, and multilevel
studies in public health research. In The Oxford Textbook of Public
Health 5th ed. Detels, R., Beaglehole, R., Lansang, M.A., Gulliford,
M., Eds.:454-471. Oxford University Press. New York, 2009. |
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第5週 |
3/22 |
<b>貧窮與社會經濟地位（鄭雅文）</b><br>
1. Galobardes, Shaw, et al. Indicators of Socioeconomic Position. In:
Methods in Social Epidemiology, 2006 (Chapter 3).<br>
2. Betson & Warlick, 2006. Measuring Poverty. In: Methods in Social
Epidemiology. 2006 (Chapter 5). |
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第6週 |
3/29 |
<b>人際支持、社會網絡與社會資本（陳端容）</b><br>
1. Stansfeld, S. Social support and social cohesion. Chapter 8. In Social
Determinants of Health, 2nd
edition. <br>
2. Christakis, N. and Fowler, J. The Collective Dynamics of Smoking in a
Large Social Network. N Engl J Med 2008; 358:2249-2258.<br>
3. Cunningham, et al., Is there evidence that friends influence obesity
weight? A systematic review of empirical research. Social Science &
Medicine, 75, 1175-1183, 2012.<br>
4. Duan-Rung Chen, Yeh-Yun Lin (2008). Career Advancement of
Hospital-based Physicians: School Stratification or Inequality in Social
Capital? Journal of Management(管理學報), 25(4): 397-409.(optional) |
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第7週 |
4/05 |
春假 |
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第8週 |
4/12 |
<b>貧富差距與健康不平等的測量（鄭雅文）</b><br>
1. Harper and Lynch. Measuring health inequality. In: Methods in Social
Epidemiology (Chapter 6), 2006.<br>
2. Social epidemiology / Jay S. Kaufman. In Rothman, Greenland and
Lash (ed): Modern epidemiology, 2008. |
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第9週 |
4/19 |
<b>工作與健康（鄭雅文）</b><br>
1. Yeh WY, Cheng Y, Chen CJ. Social patterns of pay systems and their
associations with psychosocial job characteristics and burnout among
paid employees in Taiwan. Social Science and Medicine 68:1407-1415,
2009.<br>
2. Cheng Y, Chen CJ. Modifying effects of gender, age and enterprise
size on the associations of workplace justice and health. International
Archives of Occupational and Environmental Health (published on
line: doi:10.1007/s00420-012-0831-z ).<br>
3. Vives A, et al. The Employment Precariousness Scale (EPRES):
psychometric properties of a new tool for epidemiological studies
among waged and salaried workers. Occupational and Environmental
Medicine. 2010: 67: 548-555. <br>
4. 鄭雅文(2013)，「台灣職場疲勞的政策因應與問題」，收錄於《職
業，病了嗎》第十四章，群學出版社。 |
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第10週 |
4/26 |
<b>小考（鄭雅文）</b> |
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第11週 |
5/03 |
<b>性別與健康（陳端容）</b><br>
1. Bartley, M. Gender inequality in health. In Health Inequality: An
Introduction to Concepts, Theories and Methods, 2004. <br>
2. Duan-Rung Chen, Ly-Yun Chang, Meng-Li Yang. Gender-specific
Response to Social Determinants of Self-perceived Health in
Taiwan: A Multilevel Approach. Social Science & Medicine 2008,
67(10), 1630-1640. |
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第12週 |
5/10 |
<b>家庭與健康（陳端容）</b><br>
1. Habib et al., The importance of family management, closeness with
father and family structure in early adolescent alcohol use, Addition
2010, 105, 1750–1758.<br>
2. Duan-Rung Chen, Yeh-Yun Lin, Kuo-Piao. Chung. Career Stress and
Female Managers’ Health in Taiwan’s Hospitals: A Multilevel Model
Approach. Health Care Management Review 2008, 33(1): 40-50. |
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第13週 |
5/17 |
<b>鄰里環境與健康（陳端容）(交期中計劃構想書)</b><br>
1. Blakely, T., Woodward, A. Ecological effects in multi-level studies.
Journal of Epidemiology and Community Health 2000;54:367-374.<br>
2. Diez Roux, Ana V. Investigating Neighborhood and Area Effects on
Health. American Journal of Public Health 2001, 91 (11):1783-1789. |
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第14週 |
5/24 |
<b>多階層模型（Multilevel modeling）(陳端容)</b><br>
1. Hofmann, D. An Overview of the Logic and Rationale of
Hierarchical Linear Models, Journal of Management, Vol. 23, No. 6,
723-744 (1997).<br>
2. Matheson et al. The weight of place: A multilevel analysis of gender,
neighborhood material deprivation, and body mass index among
Canadian adults, Social Science & Medicine 2008, 66: 675-690.<br>
3. Duan-Rung Chen, Tze-Huang Wen (2010). Socio-spatial Patterns of
Neighborhood Effects on Adult Obesity in Taiwan: A Multilevel
Model. Social Science & Medicine 2012, 70: 823-833. |
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第15週 |
5/31 |
<b>生命歷程模型(life course model) (陳端容)</b><br>
1. Wadsworth, et al., Introduction: development and progression of life
course ideas in epidemiology. In Pickles, et al., (ed). Epidemiological
6
Methods in Life Course Research, (Chapter 1)
<br>2. Kuh, D. & Ben-Shlomo, The life course and adult chronic disease: an
historical perspective with particular reference to coronary heart
disease. (Chapter 2). In A Life Course Approach to Chronic Disease
Epidemiology. 2
nd
edition, 2004. |
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第16週 |
6/07 |
<b>因果模型建構：直接效果、中介效果與調節效果 (潛在分數配
對模型(PSM)與結構方程模型(SEM)之運用</b><br>
1. Oakes and Jo Johnson. Propensity Score Matching for Social
Epidemiology. In: Methods in Social Epidemiology (Chapter 15) ,
2006.<br>
2. Guo et al. Propensity score matching strategies for evaluating
substance abuse services for child welfare clients. Children and
Youth Services Review 2006, 28 (4): 357-383. |
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第17週 |
6/14 |
<b>小考（陳端容）</b> |
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第18週 |
6/21 |
<b>期末小組報告（陳端容、鄭雅文）</b> |
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