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SOC 780-VTAdvanced Medical SociologyFall 2019Professor: Magdalena Szaflarski, Ph.D.Class day/time: Friday 11:00-1:30Office location: Class location: HHB 456 Phone #: Email (best contact): szaflam@uab.eduOffice hours: By appointment(typically Mon 11-12:30 and Wed 2-3:30)COURSE DESCRIPTIONMedical sociology is an area of sociological inquiry that provides an analytical framework for understanding the social contexts of health, illness, and health care. This course offers an overview of the current state of socio-medical theory and research. The key theories and theoretical perspectives covered in the course include: the social determinants of health framework; fundamental cause theory; social construction of health, illness, and health care; medicalization; health lifestyles theory; and, social capital and health. Examples of current research representing these theories/theoretical perspectives will be incorporated into course readings and class discussions. In addition, conceptual thinking and research regarding the role of gender, race/ethnicity, and class/socioeconomic status in health and health care and emerging new topics will be examined. The course is intended for doctoral students in medical sociology and graduate/post-graduate trainees in other health-related fields. Some background in sociology/social science and health issues is recommended. COURSE OBJECTIVESThis course aims to solidly ground students in the current theory and research in medical sociology by focusing on the following learning objectives: To develop advanced conceptual thinking about social issues in health, illness, and health care. This will be accomplished through in-depth review and critical discussion of key theoretical perspectives in the field along with relevant research examples. To understand and appreciate diverse methodological approaches that underpin medical sociology research. This will be achieved by reviewing and evaluating selected research studies that illustrate different research designs and methods (e.g., qualitative and quantitative approaches).To apply advanced medical sociology knowledge to develop original research questions and research proposals. To achieve this objective, each student will complete a seminar paper on a selected health issue using relevant medical sociology literature. The goal is to formulate a new research question and draft a research plan for a potential study.COURSE STRUCTUREThis course will be taught as a seminar. Students will take turns to present and lead discussion on assigned topics. Students are expected to complete assigned readings/material ahead of class and come to class prepared to participate. The goal for class meetings and discussions is to review, understand, and critically evaluate ideas presented in the course readings/material. There will also be opportunities to write on topics of interest within medical sociology and share this work and get feedback from other course participants.BOOKSRequired:Cockerham, William C. 2013a. Medical Sociology on the Move: New Directions in Theory. Springer. ISBN (paperback) 978-94-017-8098-8Newhart, Michelle and William Dolphin. 2019. The Medicalization of Marijuana: Legitimacy, Stigma, and the Patient Experience. New York: Routledge. ISBN (paperback) 978-1-138-32088-8Supplementary (optional):Bird, Chloe, Conrad Peter, Fremont, Allen M., and Stefan Timmermans (eds.). 2010. Handbook of Medical Sociology. Sixth Edition. Nashville: Vanderbilt University Press. ISBN978-0-8265-1721-0 (ebook via WorldCat - see UAB Libraries online)Pescosolido, B.A., Martin, J.K., McLeod, J.D., Rogers, A. (eds.). 2011. Handbook of the Sociology of Health, Illness, and Healing: A Blueprint for the 21st Century. Springer. ISBN (paperback) 978-1-4419-7260-6Cockerham, William C. 2017. Medical Sociology. 14th edition. Taylor & Francis. ISBN-10: 978-1-13866832-4Cockerham, William C. 2013. Social Causes of Health and Disease. John Wiley & Sons. ISBN (paperback) 978-0-745-66120-9OTHER REQUIRED READING See Article/Chapter List and Course & Reading Schedule in the back of the syllabus for additional required reading and assignment deadlines.COURSE REQUIREMENTSAttendance and participation are required. Discuss any absences with the instructor. Although attendance doesn’t count toward the course grade, grade may be lowered by lack of or non-regular attendance/participation.Leading/moderating discussion on a rotating basis and other participation (30% of the course grade); share session materials (slides, other) on Canvas (under Discussions) right after class, by the end of day.Seminar paper on a selected health/medicine issue within medical sociology, including a class presentation (50% of the course grade) – 20 pages, double-spaced (text/manuscript body), plus references/extra material (e.g., tables/figures if desired). Topics/concepts should be discussed with the instructor. Paper progress check-ins are scheduled in class monthly.Weekly discussion questions - Write 5 discussion questions with brief answers based on readings for each class session (20%); make sure each reading is covered by 1-2 questions; bring copies for class; submit via Canvas Assignment on the day of class.ABSENCES AND MISSED WORKPlease discuss any absences and missed work with the instructor ahead of time or as soon as possible after the fact. Make-up work may be assigned, per instructor’s discretion.WITHDRAWAL, PASS-FAIL, & AUDIT POLICIESSee University guidelines (UAB website) for withdrawal, pass-fail, and audit policies. Specifically, consult the UAB Registrar’s office and Academic Calendar 2019-2020 for important dates related to these policies. ACADEMIC INTEGRITYThe University rules, including any codes of conduct, and other documented policies of the department, college, and university related to academic integrity will be enforced. Any violation of these regulations, including acts of plagiarism or cheating, will be dealt with on an individual basis according to the severity of the misconduct. Please consult the UAB Student Conduct Code for details.DSS ACCESSIBILITY UAB is committed to providing an accessible learning experience for all students. If you are a student with a disability that qualifies under Americans with Disabilities Act (ADA) and Section 504 of the Rehabilitation Act, and you require accommodations, please contact Disability Support Services for information on accommodations, registration and procedures. Requests for reasonable accommodations involve an interactive process and consist of a collaborative effort among the student, DSS, faculty and staff. If you are registered with Disability Support Services, please contact DSS to discuss accommodations that may be necessary in this course. If you have a disability but have not contacted Disability Support Services, please call 934-4205 or visit or Hill Student Center Suite 409. TITLE IX The University of Alabama at Birmingham is committed to providing an environment that is free from sexual misconduct, which includes gender-based assault, harassment, exploitation, dating and domestic violence, stalking, as well as discrimination based on sex, sexual orientation, gender identity, and gender expression. If you have experienced any of the aforementioned conduct, we encourage you to report the incident. UAB provides several avenues for reporting. For more information about Title IX, policy, reporting, protections, resources and supports, please visit for UAB’s Title IX Policy, UAB’s Equal Opportunity, Anti-Harassment Policy and Duty to Report and Non-Retaliation Policy.MODIFICATIONSThis syllabus represents a tentative plan and may be subject to modification by the instructor. Adequate prior notice of any modifications will be given. See below: Article/Chapter List and Course & Reading ScheduleArticle/Chapter List (Required Readings)(*) Reading from the current Comprehensive Exam (Comps) required reading list.Baldwin, Aleta, Brian Dodge, Vanessa R. Schick, Brenda Light, Phillip W. Schnarrs, Debby Herbenick, and J. Dennis Fortenberry. “Health Care Providers: What's Working, What's Not, and Where Do We Go from Here?” 2018. Journal of Health Care for the Poor and Underserved 29 (4): 1300-1318.Bor, Jacob, Atheendar S Venkataramani, David R Williams, and Alexander C Tsai. 2018. “Police Killings and Their Spillover Effects on the Mental Health of Black Americans: A Population-Based, Quasi-Experimental Study.” Lancet 392: 302–10.Boyd, Rhea W. 2018. “Police violence and the built harm of structural racism.” Lancet 392: 258-259.*Case, Anne and Christian Paxson. 2005. “Sex Differences in Morbidity and Mortality.” Demography 42(2): 189-214.*Cockerham, William C. 2005. “Health Lifestyle Theory and the Convergence of Agency and Structure.” Journal of Health and Social Behavior 46(1):51-67.Cockerham, William C. 2013b. Social Causes of Health and Disease. John Wiley & Sons - selected sections, see Course & Reading Schedule*Conrad, Peter. 2005. “The Shifting Engines of Medicalization.” Journal of Health and Social Behavior 46(1):3-14. Conrad, Peter and Kristin K. Barker. 2010. “The Social Construction of Illness: Key Insights and Policy Implications.” Journal of Health and Social Behavior 51(S): S67-S79.*Hayward, Mark D. and Bridget K. Gorman. 2004. “The Long Arm of Childhood: The Influence of Early-Life Social Conditions on Men’s Mortality.” Demography 41(1):87-107. Heavey, Emily, Justin Waring, Aoife De Brun, Pamela Dawson, and Jason Scott. 2019. “Patients’ Conceptualizations of Responsibility for Healthcare: A Typology for Understanding Differing Attributions in the Context of Patient Safety.” Journal of Health and Social Behavior 60(2): 188-203.Homan, Patricia. 2019. “Structural Sexism and Health in the United States: A New Perspective on Health Inequality and the Gender System.” American Sociological Review 84(3): 486-516.*Horwitz. AV. 2017. “Social Context, Biology, and the Definition of Disorder.” Journal of Health and Social Behavior 58(2): 131-145. Light, Donald W. 2010. “Health-Care Professionals, Markets, and Countervailing Powers.” Pp. 270-289 in Handbook of Medical Sociology, edited by C.E. Bird, P. Conrad, A.M. Fremont, and S. Timmermans. Nashville, TN: Vanderbilt University Press.*Link, Bruce G. and Jo C. Phelan. 1995. “Social Conditions as Fundamental Causes of Disease.” Journal of Health and Social Behavior 35:80-94. Montez, Jennifer Karas, Mark D. Hayward, and Anna Zajacova. 2019. “Educational disparities in adult health: U.S. states as institutional actors on the association.” Socius 5: 1-14.Murayama, Hiroshi, Yoshinori Fujiwara, and Ichiro Kawachi. 2012. “Social Capital and Health: A Review of Prospective Multilevel Studies.” Journal of Epidemiology 22(3):179-187.*Pearlin, Leonard I., Scott Schieman, Elna M. Fazio, and Setphen C. Meersman. 2005. “Stress, Health, and the Life Course: Some Conceptual Perspectives.” Journal of Health and Social Behavior 46(2): 205-219.Perry, Brea. 2017. "Gendering Genetics: Biological Contingencies in the?Protective Effects of Social Integration for Men and Women," American Journal of Sociology 121(6):1655-1696. 2016.*Pescosolido, BA. 2015. “Linking the Social Brain to the Social World through Network Connections.” Pp. 247-279 in Social Neuroscience: Brain, Mind, and Society, Shutt et al. (eds). Cambridge, Mass.: Harvard University Press. Oh, Hyeyoung. 2017. “Resisting Throughput Pressures: Physicians’ and Patients’ Strategies to Manage Hospital Discharge.” Journal of Health and Social Behavior 58(1):116-130.Scambler, Graham 2014. “Medical Sociology in the Twenty-First Century: Eight Key Books.” Contemporary Sociology 43(2): 155-160.Stepanikova, Irena and Gabriela Oats. 2017. “Perceived Discrimination and Privilege in Health Care: The Role of Socioeconomic Status and Race.” American Journal of Preventive Medicine 52(1 Suppl 1): S86-S94.Shih, Regina A., Meenakshi M. Fernandes, and Chloe E. Bird. 2010. “The Application of Biomarker Data to the Study of Social Determinants of Health.” Pp. 395-417 in Handbook of Medical Sociology, edited by C.E. Bird, P. Conrad, A.M. Fremont, and S. Timmermans. Nashville, TN: Vanderbilt University Press.*Takeuchi, David T. 2016. “Vintage Wine in New Bottles: Infusing Select Ideas into the Study of Immigration, Immigrants, and Mental Health.” Journal of Health and Social Behavior 57(4): 423-435. Thoits, Peggy A. 2011. “Mechanisms Linking Social Support to Physical and Mental Health.” Journal of Health and Social Behavior 52(2) 145–161.Timmermans, Stefan. 2010. “Evidence-Based Medicine: Sociological Explorations.” Pp. 309-323 in Handbook of Medical Sociology, edited by C.E. Bird, P. Conrad, A.M. Fremont, and S. Timmermans. Nashville, TN: Vanderbilt University Press.Umberson, Debra and Jennifer Karas Montez. 2010. “Social Relationships and Health: A Flashpoint for Health Policy.” Journal of Health and Social Behavior 51(S): S54-S66.*Williams, David R. 2012. “Miles to Go Before We Sleep: Racial Inequalities in Health.” Journal of Health and Social Behavior 53: 279-295.Williams, David R. 2018. “Stress and the Mental Health of Populations of Color: Advancing Our Understanding of Race-related Stressors.” Journal of Health and Social Behavior 59(4): 466-485.World Health Organization (WHO). 2010. A Conceptual Framework for Action on the Social Determinants of Health: Social Determinants of Health Discussion Paper 2 (Debates, Policy & Practice, Case Studies), Solar O. and A. Irwin (eds.) (Geneva: WHO Press) - selected sections, see Course & Reading ScheduleOther Resources: Key Medical Sociology Journals and Other Serials (for your reference, use as needed)Journal of Health and Social Behavior (JHSB) Social Science and Medicine (SSM)Sociology of Health and Illness (SHI)American Journal of Public Health (AJPH)Advances in Medical Sociology (book series)The Society and Mental HealthCOURSE & READING SCHEDULE AT-A-GLANCEFall 2019(*) Comps required reading.WeekDateAgendaRequired ReadingsPresenter/Discussion leader18/30IntroductionsCourse overviewIntro to theory in medical sociologyOverview of research areas and methodologiesNo assigned readingsDr. Szaflarski29/6Theory in medical sociologySocial context and health inequalities: an overview Social determinants of health (SDH) frameworkCockerham 2013a: Chapter 1Scambler 2014WHO 2010, pp. 4-49Dr. Szaflarski39/13Social context and health inequalities (cont.)Class & socioeconomic status (SES)Modern Marxism/critical theoryFundamental cause theory (FCT)Cockerham 2013a: Chapters 5-6 Cockerham 2013b: Chapters 4-5Link and Phelan 1995*Student49/20SDH: Further LookEducation and healthHealth lifestylesLife course and healthMontez et al. 2019Cockerham 2013a: Chapter 7 Cockerham 2005*Hayward and Gorman 2004*Student59/27SDH: Further Look (cont.): Gender and healthPaper topics/concepts check-inCockerham 2013a: Chapter 8 Case & Paxson*Homan 2019Baldwin et al. 2018 (& further trans/non-binary & health reading)Student610/4SDH Further Look (cont.): Race, ethnicity, and healthStructural racismDiscrimination in health careWilliams 2012*Takeuchi 2016*Bor et al. 2018 + Boyd 2018 letterStepanikova and Oates 2017Student710/11Social capital/social ties and healthSocial capital and healthRole of social support and social networksCockerham 2013a: Chapter 12 Murayama et al. 2012Pescosolido 2015*Thoits 2011Umberson & Montez 2010*Student810/18Symbolic interaction theory and healthSocial construction and healthCannabis book intro & overviewCockerham 2013a: Chapters 2-3Conrad and Barker 2010 Cannabis book: Preface, Introduction, and Appendix AStudent910/25Medical professionMedicalizationCannabis book discussion (cont.)Paper progress check-inCockerham 2013a: chapters 9-10Conrad 2005*Cannabis book (cont.) – Ch. 1-2 (pp. 18-74)Student1011/1Health care organization, delivery, and impact Cannabis book discussion (cont.)Light 2010Heavey et al. 2019Oh 2017Cannabis book (cont.) – Ch. 3-4 (pp. 75-119)Student1111/8Stress, mental health, and copingStress, health, and the life courseRace, stress, and mental healthReligion and healthCannabis book discussion (cont.)Pearlin et al. 2005*Williams 2018Cadge and Fair 2010Cannabis book (cont.) – Ch. 5-6 (pp. 120-156)Student1211/15Social context-biologySocial context-biology-defining disorderBiomarkersGenetics Cannabis book discussion (cont.)Horwitz 2017*Shih et al. 2010Perry 2017Cannabis book (cont.) – Ch. 7-8 (pp. 157-188)Student1311/22Biomedicine/biotechnologyEvidence-based medicineTBDCannabis book discussion (cont.)Papers check-inTimmermans 2010TBDCannabis book (finish) – Ch. 9-10 + Conclusion (pp. 189-253)Student1411/25-29FALL/THANKSGIVING BREAK1512/6Paper presentationsCourse conclusionNo readings / work on papers & presentationsStudentsDr. Szaflarski1612/9-13FINALS WEEKPaper due: Monday, December 9th, 11:59p.m. via Canvas Assignment ................
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