國立成功大學醫學院老年學研究所
慢性病流行病學
Chronic Disease Epidemiology
( 3學分；選修 TC 52100)
100學年度第一學期課程大綱
授課老師：邱靜如 助理教授 cjchiu@mail.ncku.edu.tw; 分機5739
上課時間地點：週二下午3:10~6:00，醫學院二樓，204D。
先修課程: 不限
課程簡介：
慢性病是影響中老年健康的重要因子，因此具備能夠設計及分析釐清老年慢性病發生與管理之影響因子，在台灣的老年學研究裡相當重要。由於Biopsychosocial health 為當前了解健康的主流架構，而生命歷程觀點(Life course perspective) 為近年來社會流行病學蓬勃發展之研究取向，本課程除了培養研究生對常見中老年慢性病其流行或疾病管理歷程有基本之瞭解外，旨在提升研究生運用生命歷程觀點及各種流行病學方法以增進對老年慢性病相關問題的研究能力。
課程目標:
學生在修習完此課程後，將可以具備以下能力:
- 瞭解常見的老年慢性病之篩檢、診斷、流行、與病程發展
- 瞭解慢性病對老年人生理、心理與社會健康之影響及常見疾病管理問題
- 理解並具備能夠以生命歷程觀點，釐清老年慢性病的致病成因與不同疾病管理歷程
- 具備能夠設計分析老年慢性病(或共病)其流行或疾病管理與生命歷程之社會心理因素關係之研究
- 具備批判慢性病社會流行病學實證論文之能力
使用書籍：
- Remington PL, Brownson RC, Wegner MV, eds. Chronic disease epidemiology and control. (3rd ed). American Public Health Association. 2010
- Hulley SB, et al., eds. Designing clinical research (3rd ed). Lippincott Williams & Wilkins. 2006
- Diana Kuh, Yoav Ben-Shlomo, eds. A life course approach to chronic disease epidemiology. (2nd ed). Oxford : Oxford University Press. 2004 =>有電子版
- 4. Pickles A,Maughan B,Wadsworth M. Epidemiological Methods in Life Course Research. 1st ed. Oxford: Oxford University Press, 2007
課程進度與閱讀文獻：All chapters will be available on MOODLE.
Week | Topic/Activity | Textbook Chapters** Course Project Deadlines |
1 (9/13) | Course Overview / Introduction to Chronic Diseases Current Issues | Remington (1) |
2 (9/20) | Life Course Influences on Chronic Diseases | Kuh (3,4); Pickles (1)
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3 (9/27) | Biological and Social Processes: Socioeconomic Pathways between Childhood and Adult Health | Kuh (16) |
4 (10/4) | Methods in Chronic Disease Epidemiology : Research Questions & Study Design | Remington (2); Hulley (1, 2,19) Due: Topic |
5 (10/11) | Choosing Study Subjects Sample Size Calculations | Hulley (3,5,6) Due: Specific Aims, Hypothesis |
6 (10/18) | Utilizing Existing Databases & Data Management Chronic Disease Surveillance | Hulley (13, 16); Remington (4) |
7 (10/25) | A Life Course Approach to Diabetes | Kuh (7); Remington (10) Due: Methods outline |
8 (11/1) | A Life Course Approach to Obesity | Kuh (8) |
9 (11/8) | A Life Course Approach to Blood Pressure | Kuh (9) |
10 (11/15) | A Life Course Approach to Heart Disease | Remington (13)
|
11 (11/22) | A Life Course Approach to Dementia
| TBA (CJC may attend GSA conferences in Boston, USA) |
12 (11/29) | A life Course Approach to Respiratory, Allergic, and Chronic Lung Disease | Kuh (10); Remington (15) Due: Background |
13 (12/6) | A life Course Approach to Cancer | Remington (14)
|
14 (12/13) | A Life Course Approach to Biological Aging | Kuh (13) Due: Methods |
15 (12/20) | A Life Course Approach to Neuropsychiatric Outcomes | Kuh (14) Due: Abstract |
16 (12/27) | A Life Course Approach to Metabolic Syndrome and Lifestyle Risk Factors | Remington (TBA) |
17 (1/3) | Final Presentations (Students) | PowerPoint Presentations |
18 (1/11) | Final Presentations (Students) and Course Wrap-up | PowerPoint Presentations Due: Final paper |
作業與評分方式：
No. | 項目 | 百分比 | 說明 |
1 | 期中口頭報告指定文獻部分 | 30% | 學生自選7-16週之主題兩個，針對課程指定閱讀、自選SSCI文獻及疾病簡介進行口頭報告(兩人一組，一人報告約一小時十五分鐘)。需於報告前一周(或更早以前)與老師討論所有報告的大綱與選定文獻(若不確定要報告哪篇，可與老師討論)，並於周一晚上12點以前上傳PPT與自選文獻原文至MOODLE。 |
2 | 期中口頭報告疾病介紹與自選SSCI 文獻評析部分 | 30% | |
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3 | 期末口頭與書面報告 | 40% | 此報告為引導碩班學生找到喜歡之研究題目並具備良好的研究方法而設計。在學期中分段將書面報告之內容以書面繳交，並於期末進行口頭報告(1小時)與提交最後書面報告(7-10頁,12號單行間距 )。 書面報告內容包含：(a)abstract, (b) introduction/background, (c) objectives, research question/hypothesis, (d) study design, (e) study participants, (f) data collection/measurements, (g) analytical methods, and (h) public health impact of results。 |
Office Hours: By appointment (辦公室：醫學院10樓電梯左轉，左手邊第一間辦公室)
期中口頭報告分組
時間 | 主題 | 指定文獻導讀 | 疾病介紹與自選SSCI 文獻評析 |
7 (10/25) | A Life Course Approach to Diabetes |
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8 (11/1) | A Life Course Approach to Obesity |
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9 (11/8) | A Life Course Approach to Blood Pressure |
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10 (11/15) | A Life Course Approach to Heart Disease |
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11 (11/22) | A Life Course Approach to Dementia |
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12 (11/29) | A life Course Approach to Respiratory, Allergic, and Chronic Lung Disease |
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13 (12/6) | A life Course Approach to Cancer |
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14 (12/13) | A Life Course Approach to Biological Aging |
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15 (12/20) | A Life Course Approach to Neuropsychiatric Outcomes |
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16 (12/27) | A Life Course Approach to Metabolic Syndrome and Lifestyle Risk Factors |
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- 教師: 邱靜如