課程資訊
課程名稱
社會與健康導論
Introduction to Society and Healt 
開課學期
110-1 
授課對象
學程  人口學程  
授課教師
江東亮 
課號
HPM5005 
課程識別碼
848 U1050 
班次
 
學分
2.0 
全/半年
半年 
必/選修
選修 
上課時間
星期二6,7(13:20~15:10) 
上課地點
公衛212 
備註
[人口學程] 選修領域(一)人口與健康。兼通識A5*。與張弘潔合授
總人數上限:50人
外系人數限制:10人 
 
課程簡介影片
 
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課程大綱
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課程概述

This course explores health equity and social determinants of health. The first part reviews basic concepts of health equity, vital signs of world and Taiwan, and the contribution of medical care to population health. The second part examines health inequalities from different social dimensions, including economic development, social class, gender, neighborhood, social exclusion, life course, globalization, and so on. The third part presents selected issues such as pathways linking social factors and health, global movement for health equity, and health inequalities in Taiwan. 

課程目標
At the end of this course students should be able to:
1. describe the concept of health equity;
2. illustrate health inequalities in different social dimensions; and
3. discuss mechanisms linking social factors and health. 
課程要求
This course meets for two hours once a week and is conducted mainly as a participatory seminar. Students are expected to read the required readings and prepare a one-page note before the class. There will be a short photo voice project report, due January 13, 2022, on social inequalities of health. Students will be graded according to their performance in one-page note (30%), class participation (40%), and the photo voice report (30%). 
預期每週課後學習時數
 
Office Hours
 
參考書目
WHO Commission on Social Determinants of Health-- http://www.who.int/social_determinants/en/
The Gapminder organization--http://www.gapminder.org/
TL Chiang’s Blog: Society and Health-- http://2020hfa.blog.ntu.edu.tw/sdh2016/
PhotoVoice --http://www.photovoice.org/ 
指定閱讀
待補 
評量方式
(僅供參考)
 
No.
項目
百分比
說明
1. 
one-page note 
30% 
每週需要繳交「一頁筆記」: 1. 基本要素  -內容:上週學習心得感想,及本週閱讀重點摘要  -要求:有焦點、有邏輯、有自己風格  -規格:限A4紙一頁,12號字體,單行間距 2. 心得感想  -用自己的話,說出與上週上課有關的心中感受與想法,包括:收穫、詮釋、評論、疑問、聯想、期望、啟示……等等  -最好與自己生活經驗相結合,具故事情節,可以打動人心  -不是上週的上課筆記或重點  -篇幅:約2/3版面 (500-700字) 3. 重點摘要  -詳細閱讀本週教材後,陳述與上課主題相關的重點或中心思想  -盡可能重新加以組織,用自己的話表達,內容要簡明易懂  -不要只抄襲原文、或翻譯、或充滿細節  -篇幅:至多1/3版面 
2. 
class participation 
40% 
 
3. 
photo voice report 
30% 
期末繳交一則影像發聲(photo voice)或評論(commentary): 1. 基本要素  -內容:扣緊三大學習目標(請參考課程大綱)  -要求:有焦點、有邏輯、有自己風格 2. 三大學習目標  -能瞭解健康平權的概念  -能描述一個健康不平等現象  -能分析工作與健康的政策議題 3. 影像發聲  -用影像報導一則健康不平等的故事  -從健康平權及社會決定因素的觀點出發  -規格:一組照片(1-3張),文字1200字內,A4紙,12號字體,單行間距  -評審:標題、故事、社會決定因素、攝影技巧 
 
課程進度
週次
日期
單元主題
第1週
9/28  Welcome (Online)

1. 江東亮:新世紀、新台灣、人人健康,發表於「臺大對新世紀新政府的期許」,國立臺灣大學,台北,4月29-30日,2000年。*

2. 江東亮:公共衛生與預防醫學的區別:歷史觀點。台灣衛誌 2017; 36:423-26。*

3. 新冠疫情:BBC全球調查顯示世界貧富不均加深,Available at: https://www.bbc.com/zhongwen/trad/world-54113945  
第2週
10/5  Health Equity (Online)

1. 呂宗學、陳端容、江東亮:釐清健康不平等相關名詞。台灣衛誌 2015; 34:115-118。*

2. Whitehead M. The concepts and principles of equity and health. Copenhagen: World Health Organization Regional Office for Europe, (EUR/ICP/PRD 414). Available at: http://www.who.dk/Document/PAE/conceptsrpd414.pdf*

3. The Gapminder organization--http://www.gapminder.org/ 
第3週
10/12  The Role of Medical Care

1. Bunker JP, Frazier HS, Mosteller F. Improving health: measuring effects of medical care. Milbank Q 1994;72:225-58. *

2. Lee YC, Huang YT, Tsai YW, Huang SM, Kuo KN, McKee M, Nolte E. The impact of universal National Health Insurance on population health: the experience of Taiwan. BMC Health Serv Res 2010; 10:225. *

3. Makary MA, Daniel M. Medical error—the third leading cause of death in the US. BMJ 2016; 353:i2139. 
第4週
10/19  Economic Development

1. Preston SH. The changing relation between mortality and level of economic development. Popul Stud 1975;29:231-48. (Reprint in Int J Epidemiol 2007; 36:484-90). *

2. Wilkinson RG. Income distribution and life expectancy. BMJ 1992; 301:65-8.

3. Chiang TL. Economic transition and changing relation between income inequality and mortality in Taiwan: regression analysis. BMJ 1999; 319:1162-5.* 
第5週
10/26  Titanic

1. RMS Titanic-- http://en.wikipedia.org/wiki/RMS_Titanic

2. Encyclopedia Titanica--http://www.encyclopedia-titanica.org 
第6週
11/02  Social Class

1. Davey Smith G, Carroll D, Rankin S, Rowan D. Socioeconomic differentials in mortality: evidence from Glasgow graveyards. BMJ 1992; 305:1554-7.*

2. Black D, Morris JN, Smith C, Townsend P, Whitehead M. Inequalities in Health: The Black Report and the Health Divide. London: Penguin, 1988; Chapter 2 and 3. http://www.sochealth.co.uk/public-health-and-wellbeing/poverty-and-inequality/the-black-report-1980/ 
第7週
11/09  Gender

1. Caroline Criado Perez(2020)。《被隱形的女性:從各式數據看女性受到的不公對待,消弭生活、職場、設計、醫療中的各種歧視》。洪夏天譯。臺北。商周出版。第10章。

2. Denton M, Prus S, Walters V. Gender differences in health: a Canadian study of the psychosocial, structural and behavioural determinants of health. Soc Sci Med 2004;58:2585-2600. 
第8週
11/16  Place/Neighborhood

1. Krieger N. Historical roots of social epidemiology: socioeconomic gradients in health and contextual analysis. Int J Epidemiol 2001; 30:899-900. *

2. Horowitz CR, Colson KA, Hebert PL, Lancaster K. Barries to buying healthy foods for people with diabetes: evidence of environmental disparities. Am J Public Health 2004;94:1549-54.*

3. 李宜家、林慧淳、江東亮:地區剝奪程度、個人社經地位與臺灣男性成人的吸菸行為。台灣衛誌 2003; 22:10-16。

4. 江宛霖、江東亮:台灣縣市兒童貧窮與死亡率之關係:1980-2009年。台灣衛誌 2016; 35:260-267。 
第9週
11/23  Work/Employment

1.Bartley M, Ferrie J, Montgomery. Health and labor market disadvantage: unemployment, non-employment, and job insecurity. In: Social Determinants of Health, 78-96. *

2. Marmot MG, Bosma H, Hemingway H, Brunner E, Stansfeld S. Contribution of job control and other risk factors to social variations in coronary heart disease incidence. Lancet 1997;350:235-39.

3. Cheng Y, Chen CW, Chen CJ, Chiang TL. Job insecurity and its association with health among employees in the Taiwanese general population. Soc Sci Med 2005;61:41-52.*

4.Tsai SL, Lan CF, Lee CH, Huang N, Chou YJ. Involuntary unemployment and mortality in Taiwan. J Formos Med Assoc 2004;103:900–907. 
第10週
11/30  Social Exclusion

1.刻板「原」罪從哪來?研究「微歧視」的台大學者盼修復族人創傷

2. Nazroo JY. The structuring of ethnic inequalities in health: economic position, racial discrimination, and racism. Am J Public Health 2003; 93(2): 277-284.

3. Everyone Included: Social Impact of COVID-19. Available at : https://www.un.org/development/desa/dspd/everyone-included-covid-19.html 
第11週
12/07  Early Life/ Life Course

1. The nine months that made you (BBC, 2012).

2. 江宛霖、江東亮:生命早期經驗與非傳染性疾病防治:歷史備忘錄。台灣衛誌 2019; 38:118-123。*

3.Wu CLJ, Chiang TL. Comparing child health in Taiwan and selected industrialized countries. J Formosan Med Assoc 2007;106:177-80. * 
第12週
12/14  Globalization

1. McMichael AJ, Friel S, Nyong A, Corvalan C. Global environmental change and health: impacts, inequalities, and the health sector. BMJ 2008; 336: 191-194.

2. Rivas I, Kumar P, Hagen-Zanker A. Exposure to air pollutants during commuting in London: Are there inequalities among different socio-economic groups? Environmental International 2017; 101:143-157.

3. 環保署:臺北都會區通勤期間之空氣污染物暴露量調查,2018. Available at: https://enews.epa.gov.tw/Page/3B3C62C78849F32F/2650cb9c-feaa-4a42-8be5-cd13b0895104

4. 張弘潔、Edgar Zavala-Pelayo:政策、能源與健康:從哥斯大黎加的健康環境權談起。台灣衛誌 2019;38:338-341。 
第13週
12/21  Pathways Linking Social Factors to Health

1. Black D, Morris JN, Smith C, Townsend P, Whitehead M. Inequalities in Health: the Black Report and the Health Divide. London: Penguin, 1988; Chapter 6. http://www.sochealth.co.uk/public-health-and-wellbeing/poverty-and-inequality/the-black-report-1980/black-report-6-explanation-of-health-inequalities/*

2. McEwen BS. Brain on stress: How the social environment gets under the skin. PNAS 2012;109(Suppl 2):17180-5. *

3. Sen A. Health in development. Bull WHO 1999; 77:619-23.  
第14週
12/28  Global movement for health equity

1. 江東亮:公共衛生與健康不平等:三個歷史的教訓。台灣衛誌 2015; 34:1-4。*

2. 曾育慧、江東亮:全球發展新紀元:從千禧年發展目標到永續發展目標。台灣衛誌 2017; 36:1-5。*

3. 江宛霖、江東亮:超越全民健保,追求人人健康,載於楊志良(主編):健康保險。台北:文華,2019。

4. 衛生福利部國民健康署、英國倫敦大學健康公平學院:臺灣健康不平等報告。臺北市:健康署,2017。 
第15週
01/04  Student Presentation 
第16週
01/11  Student Presentation 
第17週
01/18  Student Presentation / Term Paper Due