課程資訊
課程名稱
性別與健康
Gender and Health 
開課學期
108-1 
授課對象
公共衛生學院  健康行為與社區科學研究所  
授課教師
官晨怡 
課號
HBCS5005 
課程識別碼
850 U0050 
班次
 
學分
2.0 
全/半年
半年 
必/選修
選修 
上課時間
星期四9,10(16:30~18:20) 
上課地點
公衛210 
備註
限學士班三年級以上
總人數上限:30人
外系人數限制:15人 
Ceiba 課程網頁
http://ceiba.ntu.edu.tw/1081HBCS5005_ 
課程簡介影片
 
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核心能力與課程規劃關聯圖
課程大綱
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課程概述

我們將探討在當今社會脈絡中,女性健康如何受到不同社會、文化、政治、經濟力量影響,並著重討論醫療體系中的性別權力關係。本課程規劃七個單元,包括:1.基礎理論與核心命題(性別與健康) 2.醫療場域中的性別關係 (醫學知識的性別分析、性別與醫病關係) 3.女性身體的醫療化 (更年期與文化價值、生產的醫療介入) 4.性別與疾病 (精神醫學與性別政治、女性與HIV/AIDS) 5.差異與健康 (新移民女性健康、女同志健康) 6.老化的性別面向 7.權力關係與抵抗
透過此七大單元,本課程系統性地介紹性別與健康研究的核心概念與重要研究發現。除了指出女性相對於男性而特有的健康議題,也進一步指出基於社會階級、種族、與性取向的差異,特殊女性族群(新移民女性、女同志)的健康需求,藉此豐富與深化學生對於性別與健康的認識。再者,為幫助同學理解性別與健康間的複雜關係,亦加入案例與理論探討,強調女性在照護體系中的協商與行動,呈現性別與健康間多元、複雜的關係。 

課程目標
1. 了解性別與健康研究領域的核心概念與理論
2. 了解性別對於健康造成的多重效應
3. 了解不同性別社群獨特的健康議題
4. 學習在健康議題上進行性別分析與批判的能力 
課程要求
1. 平時成績 15 %:包括出席,以及課堂中的提問與討論。
2. 閱讀心得 15%: 請於每週課前於CEIBA上傳一頁之閱讀心得。
3. 「課堂導讀」25%:導讀同學請熟讀該週閱讀,並提綱挈領地回答以下問題:
- 這文章的主要觀點與論證為何?作者如何呈現這些觀點的?
- 這些觀點是在什麼社會脈絡下產生的?
- 這些觀點如何增加我們對於性別與健康之間的關係?
此外,導讀同學也應收集與分析檔案資料(新聞、官方統計、政策與立法等),呈現該議題在台灣的發展與現況。
4. 期末研究報告 45 %:請同學們自行選擇一個與「性別與健康」有關的題目,報告字數應介於6000-7000字。同學們請利用第7週假期期間,撰寫一頁左右的計畫書,說明你所選定的報告主題,該主題如何有助於我們了解健康與性別的關係,以及你將使用的資料收集方法,於第7週課堂上繳交。建議同學們利用這門課學到的知識與觀點,進行資料分析,資料可為訪談內容、媒體論述、相關官方或醫學報告。若論文(全部或其中一章)與醫療有關的同學,也可利用這個機會進行文獻回顧。請於第18週上課前一天,將報告email至我的信箱。 
預期每週課後學習時數
 
Office Hours
每週三 13:30~15:30 
參考書目
1.成令方等:醫療與社會共舞。台北:群學,2008。
2.盧孳艷、蔣欣欣、林宜平主編:護理與社會。台北:群學,2012。
3.吳嘉苓、傅大為、雷祥麟主編:科技渴望性別。台北:群學,2004。
4. Kuhlmann, E., Annandale, E. (2010) The Palgrave Handbook of Gender and Healthcare. Palgrave Macmillan UK. 
指定閱讀
待補 
評量方式
(僅供參考)
 
No.
項目
百分比
說明
1. 
期末研究報告 
45% 
同學們自行選擇並完成一個與「性別與健康」有關的題目,報告字數應介於6000-7000字。 
2. 
課堂導讀 
25% 
導讀該週閱讀,並報告該議題之台灣現況 
3. 
閱讀心得 
15% 
每週課前於CEIBA上傳一頁之閱讀心得 
4. 
平時成績 
15% 
包括出席,以及課堂中的提問與討論 
 
課程進度
週次
日期
單元主題
第1週
9/12  課程介紹 Introduction

王秀雲,2013,傷寒瑪莉: 性別、歷史與公共衛生,醫療品質雜誌,7(6): 85-87.
Wamala S, Ågren G. (2002) Gender Inequity And Public Health: Getting Down To Real Issues. European Journal Of Public Health 2002; 12: 163–165
 
第2週
9/19  性別、健康與社會: 核心概念與視角 Gender, Health and Society: Concepts and Perspectives

Required Reading:
吳嘉苓,1999。「醫療、性別與權力」,收於王雅各編,《性屬關係》 (下),373-404頁。臺北:心理。
Keir Waddington,李尚仁譯,2014,〈第四章 女性、健康與醫療〉,《歐洲醫療五百年》,台北:左岸文化。
Rieker and Bird (2005) Rethinking gender differences in health: Why we need to integrate social and biological perspectives. Journal of Gerontology. Series B. 60B, Special Issue II, 40-47.

Optional Reading:
Hankivsky, O. (2012). Women’s health, men’s health, and gender and health: Implications of intersectionality. Social Science & Medicine, 74(11), 1712-1720.
Einstein, G. & Shildrick, M. The postconventional body: Retheorising women's health. Social Science & Medicine. 2009, 69(2), 293-300
Tanenbaum et al. Why sex and gender matter in implementation research. BMC Medical Research Methodologies. 2016,16(1):145 
第3週
9/26  ASPPH國際研討會 
第4週
10/03  性別與醫病關係 Gender and Patient-Doctor Relations

Required Reading:
成令方, 2002, 醫 [用] 關係的知識與權力, 台灣社會學, 3, 11-71.
Bertakis KD. (2009) The influence of gender on the doctor-patient interaction. Patient Educ Couns. 76(3):356-60.

Optional Reading:
Schieber, A. et al. (2014). Do gender differences affect the doctor–patient interaction during consultations in general practice? Results from the INTERMEDE study. Family Practice, 31(6):706–713. 
第5週
10/10  國慶日假期 
第6週
10/17  醫學知識的性別分析 Gender Analysis of Medical Knowledge

[觀影與討論] Johnson. Leaving Women’s' Health to Chance/TED TALK

Required Reading:
Emily Martin,顧彩璇譯/吳嘉苓校訂/王秀雲導讀。2004「卵子與精子:科學 如何建構一部以男女刻板性別角色為本的羅曼史」,199-224頁。收於吳嘉苓、傅大為、雷祥麟主編,《性別渴望科技》。臺北:群學。
林宜平,2017,賽伯格的悲歌:東亞的性別、勞動與健康,東亞醫療史:殖民、性別與現代性,頁241-260,台北:中研院人文講座叢書。

Optional Reading:
McKinlay. (1996). Some Contributions from the Social System to Gender Inequities in Heart Disease. Journal of Health and Social Behavior 37(1): 1-26.
Leifheit-Limson EC, Spertus JA, Reid KJ, et al. Prevalence of traditional cardiac risk factors and secondary prevention among patients hospitalized for acute myocardial infarction (AMI): variation by age, sex, and race. J Women’s Health 2013; online
Slopen N, Glynn RJ, Buring JE, et al. Job strain, job insecurity, and incident cardiovascular disease in the Women’s Health Study: results from a 10-year prospective study. PloS One 2012;7(7):e40512.
Cook NR, Cole SR, Buring JE. Aspirin in the primary prevention of cardiovascular disease in the Women’s Health Study: effect of noncompliance. Eur J Epidemiol 2012;27(6):431-438.
Creighton G. & Oliffe J. Theorising masculinities and men's health: A brief history with a view to practice. Health Sociology Review. 2010, 19 4:409-418. 
第7週
10/24  醫療化與性別 Gender and Medicalization

[觀影與討論]性高潮有限公司(記錄片)

Required Reading:
Bell, Susan E. et al (2012) Gender and the Medicalization of Health Care. In: Kuhlmann E., Annandale E. (eds) The Palgrave Handbook of Gender and Healthcare. Palgrave Macmillan, London.
Peter Conrad,許甘霖等譯,2015,男性與男性更年期、禿頭,以及勃起功能障礙的醫療化,社會醫療化:論人類境況如何轉為可治之症,台北:巨流。

Optional Reading:
Miranda R. Waggoner, MA and Cheryl D. Stults, (2010) Gender and Medicalization: Sociologists for Women in Society Fact Sheet.
Courtenay WH. (2000) Constructions of masculinity and their influence on men's well-being: a theory of gender and health. Social Science & Medicine 50:1385-1401 
第8週
10/31  生產的醫療介入 Medical Interventions in Childbirth

Required Reading:
官晨怡 (2013) 生產中的現代性:科技信仰與科技侷限的競技場,臺灣人類學刊11(1): 65 – 91.
Claudia Malacrida and Tiffany Boulton (2014). The best laid plans? Women’s choices, expectations and experiences in childbirth. Health, 18(1) 41–59.

Optional Reading:
Hogan MC, Foreman KJ, Naghavi M, et al. Maternal mortality for 181 countries, 1980-2008: a systematic analysis of progress towards Millennium Development Goal 5. Lancet 2010;375(9726):1609–23 
第9週
11/07  生產議題紀錄片放映與座談 
第10週
11/14  性別、飲食失調與肥胖 Gender, Eating Disorder, and Obesity

Required Reading:
鄭斐文,2012,肥胖科學、醫療化與性別身體政治,科技醫療與社會,14:9-76。
Gustafsson PE, Persson M, Hammarström A (2012). Socio-economic disadvantage and body mass over the life course in women and men: results from the Northern Swedish Cohort. Eur J Public Health, 22(3):322-327.

Optional Reading:
James SA, Fowler-Brown A, Raghunathan TE, Van Hoewyk J (2006). Life-course socioeconomic position and obesity in African American women: the Pitt County Study. Am J Public Health, 96(3):554-560. 
第11週
11/21  女性與愛滋 Women and HIV/AIDS

Required Reading:
柯乃熒等(2011)以性別平等觀點檢視女性感染愛滋病毒的風險與照顧,台灣醫學,15(3):304-310
Gilbert L., Selikow TA. (2012) HIV/AIDS and Gender. In: Kuhlmann E., Annandale E. (eds) The Palgrave Handbook of Gender and Healthcare. Palgrave Macmillan, London

Optional Reading:
Dworkin, S.L. (2005). Who is epidemiologically fathomable in the HIV/AIDS epidemic? Gender, sexuality, and intersectionality in public health. Culture Health & Sexuality, 7(6), 615-623
J.A., Hoffman, S., & Dworkin, S.L. (2010). Rethinking Gender, Heterosexual Men, and Women’s Vulnerability to HIV/AIDS. American Journal of Public Health, 100(3), 435-445. 
第12週
11/28  精神醫學與性別 Gender and Mental Health

Required Reading:
鄧惠文,2008。「精神醫療與性別:以憂鬱症為例」。頁241-
249,於《醫療與社會共舞》。
Busfield J. (2012) Gender and Mental Health. In: Kuhlmann E.,
Annandale E. (eds) The Palgrave Handbook of Gender and Healthcare. Palgrave Macmillan, London.

Optional Reading:
Rosenfield, S. (2012). Triple jeopardy? Mental health at the intersection of gender, race, and class. Social Science & Medicine, 74(11), 1791-1801.
Blehar. (2003). Public Health Context of Women’s Mental Health Research. Psychiatric Clinics of North America 26(3): 781-799.
Lanza di Scalea T, Matthews KA, Avis NE, et al. (2012) Role stress, role reward, and mental health in a multiethnic sample of midlife women: results from the Study of Women's Health Across the Nation (SWAN). J Women’s Health, 21(5):481-489. 
第13週
12/05  同志社群健康 Health for LGBT 

Required Reading: 
余欣庭,2008,〈醫療看不見同性戀、雙性戀、跨性別〉,《性別平等教育季刊》,43: 55-57。 
鍾道詮 李大鵬,2017,社會排除經驗對男同志心理健康的影響,中華心理衛生學刊,30(1):37-68 
Hudaisa Hafeez (2017). Health Care Disparities Among Lesbian, Gay, Bisexual, and Transgender Youth: A Literature Review. Cureus. 9(4): e1184. 

Optional Reading 

American College of Obstetricians and Gynecologists, Committee on Health Care for Underserved Women (2012). Health Care for Lesbians and Bisexual Women. Obstet Gynecol., 119:1077-1080. 
第14週
12/12  移民女性健康 Health of Immigrant Women 

Guest Speaker待邀 
第15週
12/19  更年期與文化價值 Menopause and Cultural Value

Required Reading:
楊舒琴,2012,台灣婦女停經的身體政治,護理與社會,台北:群學。
Lock M. and Kaufert P. (2001). Menopause, local biologies, and cultures of aging. Am J Hum Biol.13(4):494-504.

Optional Reading:
張玨、張菊惠(2003) 男性更年期研究的回顧,台灣衛誌22(2):97–107。
Dillaway. (2005). (Un)Changing Menopausal Bodies: How Women Think and Act in the Face of a Reproductive Transition and Gendered Beauty Ideals. Sex Roles 53(1): 1-17. 
第16週
12/26  性別與長照 Gender, Aging, and Care

Required Reading:
Cameron KA, Song J, Manheim LM, Dunlop DD. (2010) Gender disparities in health and healthcare use among older adults. J Women’s Health, 19(9):1643-1650.
Heying Jenny Zhan (2005). Aging, Health Care, and Elder Care: Perpetuation of Gender Inequalities in China. Health Care for Women International 26(8): 693-712.

Optional Reading:
Sara Arber and Jay Ginn (1993). Gender and inequalities in health in later life. Social Science & Medicine 36(1): 33-46.
Rochon et al. Older Men with Dementia are at greater risk than women of serious events after initiating antipsychotic therapy. Journal of the American Geriatrics Society. 2013, 61(1): 55- 61. 
第17週
1/02  權力關係與抵抗 Power and Resistance

Required Reading:
Nichols, F.H. (2000). History of the Women's Health Movement in the 20th century. J Obstet Gynecol Neonatal Nurs., 29(1), 56-64.

Optional Reading:
Boston Women's Health Book Collective (2005). Our bodies, Ourselves: a New Edition for a New Era. New York: Simon & Schuster. 
第18週
1/09  繳交期末報告 Final Report Due