課程資訊
課程名稱
性別與健康
Gender and Health 
開課學期
111-1 
授課對象
學程  人口學程  
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
星期二3,4(10:20~12:10) 
上課地點
公衛208 
備註
[人口學程]選修領域(二)性別、工作與家庭。與黃柏堯、張竹芩合授
限學士班三年級以上
總人數上限:30人
外系人數限制:15人 
 
課程簡介影片
 
核心能力關聯
核心能力與課程規劃關聯圖
課程大綱
為確保您我的權利,請尊重智慧財產權及不得非法影印
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 (性健康、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 (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(老年女性、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NTU COOL上傳一頁之閱讀心得,指出:
 ■ 該週文獻的主要論點為何?
 ■ 作者的論證是否說服你?為什麼?
 ■ 讀完這些文獻,你的心得是什麼?

3. 小組課堂報告 25%:每位同學需挑選一週主題準備小組課堂報告,報告同學請熟讀該週閱讀,並呈現該議題在台灣的發展與現況。報告同學不需繳交該週心得。

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8週上課前上傳至NTU COOL。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。請於12/27 23:59前,將報告上傳至NTU COOL。 
預期每週課後學習時數
 
Office Hours
另約時間 
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
各週選定文獻 
評量方式
(僅供參考)
 
No.
項目
百分比
說明
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% 
每週課前於NTU COOL上傳一頁之閱讀心得 
3. 
課堂報告 
25% 
請同學分組,並挑選一週,報告該議題之台灣現況與發展(15-20分鐘) 
4. 
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。 
 
課程進度
週次
日期
單元主題
第1週
9/6  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
Hammarström, A., Lundman, B., & Norberg, A. (2021). The importance of having a paid job. Gendered experiences of health and ill-health in daily life among middle-aged women and men. BMC Public Health, 21(1), 1-11.

**欲申請旁聽同學請寄信至助教信箱(r09850011@ntu.edu.tw)** 
第2週
9/13  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.
Bewley, S., McCartney, M., Meads, C., & Rogers, A. (2021). Sex, gender, and medical data. BMJ, 372.
Shapiro, J. R., Klein, S. L., & Morgan, R. (2021). Stop ‘controlling’ for sex and gender in global health research. BMJ Global Health, 6(4), e005714.

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
9/20  性別與醫病關係 Gender and Doctor-Patient Relationship

Required Reading:
成令方,2008,醫病關係的新視角:醫『用』關係,醫療與社會共舞,頁126-135
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.
Himmelstein, M. S., & Sanchez, D. T. (2016). Masculinity in the doctor's office: Masculinity, gendered doctor preference and doctor–patient communication. Preventive medicine, 84, 34-40.

Optional Reading:
Bertakis KD. (2009) The influence of gender on the doctor-patient interaction. Patient Educ Couns. 76(3):356-60. 
第4週
9/27  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,2004《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。
Nature. (2020). Accounting for sex and gender makes for better science. Nature., 588, 196.

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.
Heidari, S. (2022). Gender perspective in COVID-19. SESPAS Report 2022. Gaceta Sanitaria, 36, S26-S29.
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5週
10/4  醫療化與性別(一) Gender and Medicalization Part One

[觀影與討論]性高潮有限公司(紀錄片) 
第6週
10/11  醫療化與性別(二) Gender and Medicalization Part Two

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7週
10/18  生產的醫療介入 Childbirth and Medical Interventions

[邀請演講]生產改革行動聯盟:「生產再發現」 
第8週
10/25  期中考週 
第9週
11/1  女性與愛滋 Gender and HIV/AIDS

Required Reading:
蔡春美,2014,台灣女性愛滋病毒感染者生活經驗初探質性研究,臺灣社會工作學刊 ; 14期 (2014 / 07 / 01) , P.1 - 55
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:
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
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10週
11/8  外賓演講
李柏翰老師(全球衛生學程)
Underrepresentation or Overexposure
Queer Ambivalence to the Global Healthification of Injustice
[中文演講] 
第11週
11/15  精神醫學與性別 Gender and Mental Health

Required Reading:
郭淑珍,2022,公共衛生觀點的心理健康:以婦女的憂鬱症為例,《人文社會與醫療學刊》第九期,頁 61-80
Busfield J. (2012) Gender and Mental Health. In: Kuhlmann E., Annandale E. (eds) The Palgrave Handbook of Gender and Healthcare. Palgrave Macmillan, London.
Remes, O., Lafortune, L., Khaw, K. T., & Brayne, C. (2017). Sex and gender in psychiatry. The Lancet Psychiatry, 4(2), e1.

Optional 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》。
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12週
11/22  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.
Gemma M. Carney (2018) Toward a gender politics of aging, Journal of Women & Aging, 30:3, 242-258

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13週
11/29  性別與長照 Gender and Long-term Care

Required Reading:
李逸、周汎澔、陳彰惠,2011,家庭照顧者議題-從性別、私領域到公共政策的觀點,護理雜誌 (58卷2期) , P57 - 62.
韋淑玲,2009,從女性主義觀點談老年婦女相關的健康議題,領導護理 ; 10卷2期 , P7 - 14
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.
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. 
第14週
12/6  權力關係與抵抗 Power Relationships 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.
Hawkes, S., Buse, K., & Kapilashrami, A. (2017). Gender blind? An analysis of global public-private partnerships for health. Globalization and health, 13(1), 1-11.

Optional Reading:
Boston Women's Health Book Collective (2005). Our bodies, Ourselves: a New Edition for a New Era. New York: Simon & Schuster.  
第15週
12/13  外賓演講
張竹芩老師(全球衛生學程專案教師)
從美國墮胎辯論談生殖權議題 
第16週
12/20  撰寫期末報告 Final Report 
第17週
12/27  繳交期末報告Final Report