HLTH 22: HEALTH & SOCIAL JUSTICE
Foothill College Course Outline of Record
|Hours:||4 lecture per week (48 total per quarter)|
|Advisory:||One of the following: ENGL 1A, 1AH or 1S & 1T.|
|Degree & Credit Status:||Degree-Applicable Credit Course|
|Foothill GE:||Area VII: Lifelong Learning|
|Grade Type:||Letter Grade (Request for Pass/No Pass)|
The student will be able to:
A. Describe disparities in health outcomes in the United States by race, socioeconomic status and gender.
B. Compare and contrast two paradigms that seek to explain these health disparities: individual approach and public health model.
C. Review recent public health literature detailing ways that race, socioeconomic status and gender become embodied in disparate health outcomes.
D. Contrast United States policy on access to health insurance with that of other developed countries, and analyze new health care policies, such as the Affordable Care Act.
E. Analyze the contribution of environmental conditions to disparate health outcomes, using case studies.
F. Analyze case studies of prevalent health problems to compare individual behavior change approaches versus public health approaches.
G. Describe strategies or tactics to improve health inequalities, such as advocacy, community organizing, and/or policy change.
H. Outline advocacy skills, such as preparing a policy brief, giving public testimony, community outreach, and/or writing a letter to an editor or politician.
I. Identify, assess and utilize credible information resources on public health current issues, such as the Internet, social media, media outlets, and libraries.
A. Disparities in health outcomes
1. Socioeconomic status, education level and poverty as determinants of health
a. Distribution of educational levels, income and wealth in the United States
b. Policy proposals to address poverty and inequities
2. Race/gender as factors in unequal health outcomes
a. Historic origins of race in the United States
b. Research on race as a social construct versus a biological category
c. Policy proposals to reduce racial and gender differentials
3. Infectious and chronic disease and their social determinants
a. Health disparities in low income communities
b. Program and policy development to reduce disease
c. Information sources and significant organizations
B. Paradigms that seek to explain these health disparities: individual approach and public health model
1. Individual approach
2. Public health model
C. Recent public health literature detailing ways that race, socioeconomic status and gender become embodied in disparate health outcomes
D. United States policy versus other developed countries access to health insurance, including comparative analysis of health insurance across the United States and Internationally
1. US health care
a. Access to health care
b. Health insurance crisis
c. Recent health care policies, such as the Affordable Care Act and future policy
2. Canadian health care
3. European health care
4. Great Britain health care
5. Other international health care models
E. Case studies that analyze the contribution of environmental conditions to disparate health outcomes. Environmental justice, conditions and health outcomes
1. Toxic sources in low-income communities
2. Inadequate community resources and poor schooling in low-income communities
3. Reducing risks for urban communities through environmental equity strategies
F. Case studies of prevalent health problems to comparing individual behavior change approaches versus public health approaches
2. Obesity, nutrition and exercise
G. Strategies or tactics to improve health policies and outcomes
1. Agency and individual responsibility
2. Advocacy and community organizing
3. Coalition building
4. Good policy for health
5. Policy change
H. Advocacy skills
1. Policy brief
2. Public testimony
3. Community outreach
4. Expressing opinions to an editor or politician
I. Credible information resources on public health current issues
2. Social media
3. Media outlets
J. Topic issues
1. Public health disaster
2. Reproductive rights
Special Facilities and/or Equipment
B. When taught via Foothill Global Access, on-going access to computer with email software and hardware; email address.
Method(s) of Evaluation
Methods of Evaluation may include but are not limited to the following:
C. Scenario and case study analysis projects
D. Written assignments that evaluate understanding of course objectives and content
Method(s) of Instruction
C. Cases and discussion questions
D. Electronic discussions/chat
E. Practice activities to gauge understanding of content
F. Review of comprehension of key concepts
G. Quiz knowledge of key terms
Representative Text(s) and Other Materials
Rose, Patti. Health Disparities, Diversity, And Inclusion: Context, Controversies, and Solutions. 1st ed. Jones & Bartlett Learning, 2018.
Budrys, Grace. Unequal Health: How Inequality Contributes to Health or Illness. 3rd ed. Rowman & Littlefield, 2017.
LaVeist, T., and L. Isaac, eds. Race, Ethnicity, and Health: A Public Health Reader. 2nd ed. Jossey-Bass/Wiley, 2013.
Hofrichter. Health and Social Justice: Politics, Ideology and Inequalities in the Distribution of Disease. San Francisco, CA: Wiley, 2003.
Ruger, Jennifer. Health and Social Justice. 1st ed. Oxford University Press, 2010.
Donahoe, Martin. Public Health and Social Justice - A Jossey Bass Reader. 1st ed. Jossey Bass-Wiley, 2013.
"Better Health through Equity: Case Studies in Reframing Public Health Work." Washington, DC: American Public Health Association (APHA), 2015.
"A conceptual framework for action on the social determinants of health, Discussion Paper 2." Geneva: World Health Organization, 2010: apps.who.int/iris/bitstream/10665/44489/1/9789241500852_eng.pdf
"Healthy People 2020: Disparities." Office of Disease Prevention and Health Promotion: www.healthypeople.gov/2020/about/foundation-health-measures/Disparities
California News Reel, Unnatural Causes. Video Documentary Series.
"Healthy People 2020: Health Disparities Data - Go to DATA2020." Office of Disease Prevention and Health Promotion: www.healthypeople.gov/2020/data-search/health-disparities-data
Although one or more text is older than the suggested "5 years or newer" standard, it remains a seminal text in this area of study.
Types and/or Examples of Required Reading, Writing, and Outside of Class Assignments
A. Assigned reading from textbook and completion of post tests at the end of each section of the course (approximately 50 pages/week).
B. Practice activities to gauge understanding of content.
C. Review comprehension of key concepts.
D. Quiz knowledge of key terms.
E. Research essays on classroom discussion topics.
F. Project: analysis of health disparities issues in the media.
G. Review authoritative internet sources of health/social justice information.