GEORGE MASON UNIVERSITY Social Work 445/Global and Community Health 445 Social Determinants of Health Spring 2012 Dr. Nancy Freeborne Class in Robinson B 202 Robinson B 424 Tuesdays 4:30-7:10 pm 703-993-3578 NFreebor@gmu.edu Blackboard site: http://mymason.gmu.edu Office Hours: Drop In Hours: Tuesdays 12:00-1:00, Thursdays, 3:00-4:00; or schedule an appointment using Appointments Plus: http://chhs.gmu.edu/students/advising-gch.html Prerequisites: 45 credits or permission of instructor CATALOG DESCRIPTION This course will examine the social determinants of health and the application of this framework to social work and public health policy and practice interventions. It will also explore the many social justice factors that affect health and consider which community systems and social change approaches may decrease or eliminate health inequities. BSW PROGRAM GOALS 1. To prepare students for entry level, generalist social work practice with individuals, families, groups, communities, and organizations. 2. To provide opportunities for students to develop proficiency in collaborative, strengths-based and resiliency focused social work practice that is culturally relevant, and effective in leadership, advocacy, innovation, research and technology. 3. To expose students to the complexities of human diversity globally and the range of intervention skills and strategies needed for effective practice. 4. To sensitize students to the dynamics of oppression and discrimination and to involve them in change efforts aimed at achieving policy change and social justice. 5. To encourage students to identify with and contribute to the social work profession, appreciate its history, mission, and values, and aspire to professional leadership roles. 6. To promote adherence to the ethical standards of the profession with client systems, agency personnel, and colleagues. 7. To provide students with a foundation in social work knowledge, values, and skills that will enable them to pursue graduate work and lifelong learning. CORE COMPETENCIES 1. 2. 3. 4. 5. 6. 7. 8. Identify as a professional social worker and conduct oneself accordingly. (Competency 2.1.1) Apply social work ethical principles to guide professional practice. (Competency 2.1.2) Apply critical thinking to inform and communicate professional judgments. (Competency 2.1.3) Engage diversity and difference in practice. (Competency 2.1.4) Advance human rights and social and economic justice. (Competency 2.1.5) Engage in research-informed practice and practice-informed research. (Competency 2.1.6) Apply knowledge of human behavior and the social environment. (Competency 2.1.7) Engage in policy practice to advance social and economic well-being and to deliver effective social work services. (Competency 2.1.8) 9. Respond to contexts that shape practice. (Competency 2.1.9) SOCW 445 Page 1 10. Engage, assess, intervene, and evaluate with individuals, families, groups, organizations, and communities (Competency 2.1.10 a, b, c, d) STUDENT LEARNING OBJECTIVES Upon successful completion of the course, the student will be able to: 1. Identify and articulate how social determinants affect health. 2. Identify and describe the connection between social determinants of health and social work practice. 3. Examine appropriate interventions based on a group’s or population’s needs. 4. Apply specific theoretical content in practical application that addresses current societal issues and social problems. 5. Develop critical thinking skills in the analysis of research and an understanding of the role of social determinants of health at the local, national, and global levels. 6. Demonstrate knowledge of factors which oppress vulnerable populations and affect the health of individuals, communities, and populations. 7. Demonstrate an understanding of appropriate intervention strategies that integrate culture as a broad inclusive concept reflecting age, socioeconomic position, gender, class, race, ethnicity, sexual orientation and other factors. REQUIRED READINGS You will not need to purchase a textbook for this course. Required readings are listed in the syllabus and are easily accessible through the GMU library website. Links are given where possible. A tutorial on how to access library resources will be provided during the first class meeting. USEFUL UNIVERSITY RESOURCES University Policies The University Catalog, http://catalog.gmu.edu, is the central resource for university policies affecting student, faculty, and staff conduct in university academic affairs. Other policies are available at http://universitypolicy.gmu.edu/. All members of the university community are responsible for knowing and following established policies. This link has various resources for students including how to access your email and Blackboard: http://www2.gmu.edu/resources/students/ Office of Disability Services If you are a student with a disability and you need academic accommodations, please see the instructor and contact the Office of Disability Services (ODS) at 703-993-2474. All academic accommodations must be arranged through the ODS (http://ods.gmu.edu). Blackboard (Bb) 9.1 The main URL you will use to log into the system is http://mymason.gmu.edu. You will use the same username and password that you use to access the GMU email system. Here are some contact points if you have any trouble with Blackboard: For issues or questions regarding technology or the Blackboard system, please email courses@gmu.edu or contact the ITU Support Center at 703-993-8870. GCH/SOCW 445 For Walk-in Assistance, see this link for the Collaborative Learning Hub (CLUB) in the Johnson Center http://doit.gmu.edu/studentSection.asp?page=club or call them at 703-993-3141. Writing Center: A114 Robinson Hall 703-993-1200 Online Writing Lab information can be found at http://writingcenter.gmu.edu Counseling and Psychological Services (CAPS) 703-993-2380 http://caps.gmu.edu Mason Emergency System The Mason Alert system provides emergency system through various means of communication. Students can sign up for alerts by visiting the website https://alert.gmu.edu. An emergency poster exists in each classroom explaining what to do in the event of a crisis, and further information about emergency procedures can be found at http://www.gmu.edu/service/cert. ACADEMIC INTEGRITY GMU is an Honor Code university and students are expected to adhere to the University’s Honor Code and academic policies. Please see the University Catalog for a full description of the code and the honor committee process. The principle of academic integrity is taken very seriously and violations are treated gravely. What does academic integrity mean in this course? Essentially this: when you are responsible for a task, you will perform that task. When you rely on someone else’s work in an aspect of the performance of that task, you will give full credit in the proper, accepted form. Another aspect of academic integrity is the free play of ideas. Vigorous discussion and debate are encouraged in this course, with the firm expectation that all aspects of the course will be conducted with civility and respect for differing ideas, perspectives, and traditions. When in doubt (of any kind), please ask for guidance and clarification. Information on the GMU Honor System and Code can be found on the following link: http://mason.gmu.edu/~montecin/plagiarism.htm. Plagiarism will not be tolerated, and plagiarism prevention software may be used to identify work that does not appear to be original. COURSE EXPECTATIONS 1. The use of “person-first language” (e.g., people with disabilities rather than the disabled) in all written and verbal aspects of the class is mandatory. 2. The Department of Social Work requires that students attend all classes. Additionally, it is disruptive for the instructor and other students when a student arrives after class has begun or leaves prior to the end of class. Students with chronic unexcused absences will be referred to the BSW Program Director. GCH/SOCW 445 3. If a student must miss a class, it is his/her responsibility to inform the instructor prior to the beginning of class and to obtain class notes and announcements from another member of the class. 4. Students are expected to complete all assigned readings and assignments before coming to class and be prepared to participate fully in the discussion. 5. Good writing skills and the ability to organize thoughts clearly using proper English are critical for students and future professionals. Grading rubrics for various assignments will be posted in the “Course Resources” folder. Students who have difficulty with writing are encouraged to take extra time to write and proofread work and get help from the Writing Center on campus (www.writingcenter.gmu.edu). 6. Cellular phones, pagers, and other electronic equipment are to be turned off or placed on silent mode during class time. They are disruptive to other students and to the instructor, and compromise the concentration needed for successful learning. Laptop computers should not be used in class for anything other than taking notes. Students who are observed engaging in noncourse-related activities will be marked absent for the day and may be asked to leave if the disruptions continue. 7. Students are expected to demonstrate proper behavior in the classroom in order to create a positive learning environment. One of the core social work values is respect; therefore, any differences in values, opinions, and feelings of class members and guest speakers will be respected. 8. When conducting research for an assignment, particularly for online sources, students should scrutinize the source carefully. This link provides a guide for how to evaluate internet sources: http://www.lib.berkeley.edu/TeachingLib/Guides/Internet/Evaluate.html Note: Wikipedia should not be used as a resource. 9. A positive relationship between the student and the instructor is important. Constructive comments about the course are welcomed since this course will be viewed as a joint effort between the student and the instructor. DEPARTMENT OF SOCIAL WORK GRADING SCALE 94-100 = A 89-93 = A- 85-88 = B+ 82-84 = B 79-81 = B- 75-78 = C+ 69-74 = C 58-68 = D 0-57 = F DEPARTMENT OF SOCIAL WORK POLICY FOR LATE ASSIGNMENTS Assignments are expected to be turned in on Blackboard by the due date and time specified. Students who will not be able to meet a deadline due to serious extenuating circumstances need to speak with the GCH/SOCW 445 instructor at least 24 hours prior to the deadline to negotiate a later due date. Late assignments will receive a 10 % deduction for each day late and must be received by 4:30 p.m. one week after the due date. Assignments submitted thereafter will not be accepted. Late submissions should also be submitted through Blackboard. DEPARTMENT OF SOCIAL WORK POLICY FOR AN INCOMPLETE (IN) GRADE A grade of incomplete (IN) will only be assigned if, due to serious extenuating circumstances, the student is not able to take the final exam or complete a major project by the due date. It is the instructor’s discretion whether or not to allow a student to be assigned an incomplete grade and these situations will be evaluated on a case-by-case basis. GMU POLICY FOR AN INCOMPLETE (IN) GRADE Faculty and student must sign the Incomplete (IN) Grade Agreement Form, which can be obtained in the Social Work or GCH office. ASSIGNMENTS Student learning and achievement will be assessed as follows: 5. Final Project 25% Due Date ongoing See course schedule Sign up in class Draft due: 4/17 Revision due: 4/24 5/8 6. Summary Reflection Paper 15% 5/15 1. 2. 3. 4. Assignment Participation and Attendance Journal Entries Leading Class Discussion Issue Brief Percent of Grade 15% 15% 15% 15% Students will work in groups of 4-5 for leading class discussion, determining areas of focus for the issue briefs, creating proposals for the final project, and implementing portions of the final project. Sign-up sheets for thematic groups will be available on the first day of class. 1. Participation and Attendance (15%) This course will be taught in seminar format. Therefore, it is imperative that students come to class prepared by reading all assignments prior to class. The most effective learning is interactive and collaborative, which requires student participation and cooperative interaction in class discussions and small group work. For each class, students should be prepared to discuss the assigned readings, ask and answer questions, and integrate reading material into class discussions and activities. Each student is expected to be an active member of class discussions. This supports your learning as well as that of your classmates. Please note that this portion of your grade is not based solely on attendance. However, if you are not in class, your absence will be considered as de facto evidence of your non-participation. GCH/SOCW 445 2. Journal Entries (15%) In class we will be watching the documentary series, Unnatural Causes: Is Inequality Making Us Sick? There are six half-hour segments in addition to the lead hour. Each week, after completing the required readings and watching the segment, students will write a journal entry, which will be due by Thursday evening at 11:59 p.m. Late journal entries (within one week of due date) will receive a 10 % deduction per day late. Some weeks will not have a film segment, but journal entries should incorporate that week’s readings and the class discussion. All journal entries should be submitted via the corresponding assignment in Blackboard. Journal entries will give the student an opportunity to reflect upon the readings, the class discussion and the documentary segment or other materials from class to expand on their own thoughts and ideas about how to advance social justice and health equity. Journal entries should identify key concepts and issues presented in each assigned reading (at a minimum), and provide critical reflection and integration of the readings and class discussion. Questions to ponder may include, but are not limited to: How has this topic typically been portrayed by the mainstream media or in the news? In what ways did the material confirm or challenge ideas you held previously? What have you learned from the readings, film, or discussion that challenges the mainstream way of thinking about the issue(s)? How does this issue affect other populations not discussed in the film or readings? How can social workers, public health workers, and other human service professionals create social change regarding this issue? Please make sure to proofread your journal entries for grammar and spelling errors. Journal entries should reflect the students’ ability and/or struggle to integrate the material and think about these issues in a different way. Journal entries will be reviewed every week and graded a minimum of five times (20 points each for a total of 100 points) throughout the semester. Since you will not know which journal entries are graded, be sure to put forth your best effort for each journal entry. 3. Leading Class Discussion (15%) Each thematic group will be expected to lead a portion of the class discussion at least once during the course of the semester (all group members must actively participate). Preparation for leading the discussion involves reading the assignments well before the date and thinking carefully about how to best engage your classmates in a discussion. You can present new information, but should not present material solely from the assigned readings. Instead, you should assume that each student has completed the assigned readings and use various creative methods, activities, or questions to stimulate class discussion. You can incorporate current events, media and popular culture, and anything else that you think will be interesting. Your group should consult and coordinate with the instructor by the Monday prior to the assigned date as discussion leader. For convenience, this planning can also take place on Blackboard using a group planning discussion forum. GCH/SOCW 445 4. Issue Brief (15%) Each student will write an issue brief expanding on their thematic area, but focused for the community forum/event. A draft issue brief suitable for peer review will be due on April 17th. Please bring four copies without your name (for peer review) and one copy (to turn in) with your name on it. Each student will then review, critique, and make helpful suggestions on their classmates’ issue briefs in order to help improve them. Small groups will then work together to examine the comments and offer further suggestions for refinement. Since the small groups will be focused on a thematic area, this process will also help individual group members identify a specific focus for his/her issue brief. Using these peer suggestions, each student will then rewrite the issue brief, which is due one week later on April 24th. In addition to the revised issue brief, please provide a summary of the comments, and why you did or did not incorporate the suggestions. The revised issue briefs will be graded on conciseness, content, formatting, and integration of reasonable suggestions. The issue briefs will be used as tools to educate others about a particular issue and are intended to assist you in developing your skills in communicating clearly, concisely, and effectively; enhance your professional development; and demonstrate that you have mastered an area of focus. Over the course of the semester we will look at different types of issue briefs for style and formatting and discuss ways to communicate ideas effectively. The goal is to create issue briefs that will be informative and useful for the community forum. Students who produce excellent issue briefs for the community forum/event will have the opportunity to receive an increase in points for their Issue Brief grade. 5. Community Forum/Event Final Project (25%) The final project will involve both individual and small group efforts of everyone in the class. Within your small groups, you will come up with a community intervention/social action proposal that focuses on your thematic area. Small groups may also work together to produce a joint proposal. The proposal should include the target audience, which segment(s) of the film you will use, activities/exercises you will use to engage the audience, what outcomes you hope to achieve and how you will measure if those outcomes are achieved. Each group will provide a one-page synopsis of the proposal and make a brief presentation to the class on March 20th. As a class, we will determine how many and which of the proposals to implement on or by March 27th. There may be several different topics or an overarching topic with several subtopics. Students’ individual grades for the final project will be based on the level of active contribution and cooperation in the planning and execution of the final project, the overall quality of any materials produced for the forum, the quality of the presentation, and evaluation from other group members. 6. Summary Reflection Paper (15%) After the community forum, please write up a summary reflection paper (4-5 pages not including title page) and submit on Blackboard by May 15th at 7:10 PM. Please write about both the content and process of the final project and your reflections about the course content overall. GCH/SOCW 445 Content: Think about the overall framework of the social determinants of health and identify 2-3 key themes that have been the most interesting for you over the course of the semester and that may be helpful to you in your future work. It may be helpful to read over your past journal entries to remind yourself of your weekly learning process. Also, in this section, please include a paragraph or two about how you see social workers and/or public health workers using the social determinants of health framework to address issues of social justice. Process: In this section, please reflect on both your own contribution as well as the group process for planning the community forum. Please include your observations of the actual event as well. I am interested in reading your perspective on the value of coordinating and writing the issues briefs, developing the program, and working with other class members. Include both positive and negative observations of the process. Future Possibilities: Now that you have planned and pulled off a community forum, you may have some thoughts about other ways to facilitate events that will encourage different groups of people to talk about the social determinants of health. In the last section, please think about an innovative idea that you would like to see implemented by social workers, public health workers, or other human service professionals. Be as creative as you can and be specific in terms of what materials you would use, how you would organize the event, what topics you would want to cover, your target audience, and what you would hope to accomplish with this event. GCH/SOCW 445 Class Meetings 1/24 Topics/Activities Introduction to the Course What are the Social Determinants of Health? Unnatural Causes: In Sickness and In Wealth 1/31 COURSE SCHEDULE Readings & Assignments/Due Dates Link, B.G., & Phelan, J. (2010). Social conditions as fundamental causes of health inequalities: Theory, evidence, and policy implications. Journal of Health and Social Behavior, 51(S), S28– S40. JOURNAL #1 DUE BY TUESDAY, 1/31 AT 11:59 pm-please note that this is the only time that the journals are due one week after class. Place, Neighborhood, and Health Diez-Roux, A.V., & Mair, C. (2010). Neighborhoods and health. Annals of the New York Academy of Science, 1186, 125–145. Why is your street address such a good predictor of your health? Williams, D. R., & Collins, C. (2001). Racial residential segregation: A fundamental cause of racial disparities in health. Public Health Reports, 116(5), 404–416. Unnatural Causes: Place Matters Hood, E. (2005). Dwelling disparities: How poor housing leads to poor health. Environmental Health Perspectives, 113(5), A311–A317. JOURNAL #2 DUE BY THURSDAY, 2/1 AT 11:59 pm 2/7 Food Security and Health Unnatural Causes: Bad Sugar Scher Zagier, A. (2008, March 31). Food price inflation changes how we shop. Associated Press. Retrieved from http://www.newsvine.com/_news/2008/03/31/1401631-foodprice-inflation-changes-how-we-shop California Center for Public Health Advocacy, PolicyLink, and the UCLA Center for Health Policy Research (2008). Designed for disease: The link between local food environments and obesity and diabetes. Retrieved from http://www.unnaturalcauses.org/assets/uploads/file/DESIGNEDF ORDISEASE_FINAL.pdf Archibold, R. C. (2008, August 31). Indians’ water rights give hope for better health. The New York Times. http://www.nytimes.com/2008/08/31/us/31diabetes.html?partner= permalink&exprod=permalink&pagewanted=print National Institute of Diabetes and Digestive and Kidney Diseases. (2002). The Pima Indians: Pathfinders for Health. Washington, DC: National Institutes of Health. Available at http://diabetes.niddk.nih.gov/dm/pubs/pima/ JOURNAL #3 DUE BY THURSDAY, 2/9 AT 11:59 pm GCH/SOCW 445 Class Meetings 2/14 Topics/Activities Racism imposes an added health burden Unnatural Causes: When the Bough Breaks Readings & Assignments/Due Dates Drexler, M. (2007, July 15). How racism hurts – literally. Boston Globe. Retrieved from http://www.boston.com/news/globe/ideas/articles/2007/07/15/ho w_racism_hurts____literally/ David, R., & Collins, Jr., J. (2007). Disparities in infant mortality: What’s genetics got to do with it? American Journal of Public Health, 97(7), 1191–1197. Jones, C. P. (2000). Levels of racism: A theoretical framework and a gardener’s tale. American Journal of Public Health, 90(8), 1212– 1215. Gee, G., & Ford, C. (2011). Structural racism and health inequities. Du Bois Review, 8(1), 115–132. JOURNAL #4 DUE BY THURSDAY, 2/16 AT 11:59 PM 2/21 Immigrant Health Is there something about life in America that is harmful to health? Unnatural Causes: Becoming American Okie, S. (2007). Immigrants and health care – at the intersection of two broken systems. New England Journal of Medicine, 357(6), 525-529. Viruell-Fuentes, E. A. (2007). Beyond acculturation: Immigration, discrimination, and health research among Mexicans in the United States. Social Science & Medicine, 65, 1524-1535. Cabrera, Y. (2002, August 11). Latina mothers poor in wealth, rich in health. Milwaukee Journal Sentinel. Retrieved from http://www.unnaturalcauses.org/assets/uploads/file/Latino%20pa radox-Journal%20Sentinel.pdf Wakabayashi, C. (2010). Effects of immigration and age on the health of older people in the United States. Journal of Applied Gerontology, 29(6), 697–719. JOURNAL #5 DUE BY THURSDAY, 2/23 AT 11:59 p.m. GCH/SOCW 445 Class Meetings 2/28 Topics/Activities Chronic Stress and Health High demand + low control = chronic stress Unnatural Causes: Not Just a Paycheck Readings & Assignments/Due Dates Avey, H. (2002). How U.S. laws and social policies influence chronic stress and health disparities. Politics of race, culture, and health symposium at Ithaca College. Retrieved from http://www.unnaturalcauses.org/assets/uploads/file/AveyChronic_Stress_and_Health_Disparities.pdf Jacobs, T. (2009, July 1). Getting laid-off may lead to early death – but there are ways to cushion the severe health impact of job loss. AlterNet. Retrieved from http://www.alternet.org/health/141021 deGraaf, J. (2008, August 17). In the U.S., we don’t take enough vacation – really. San Francisco Chronicle. Retrieved from http://www.sfgate.com Perlman, D. (2004, November 30). Early aging tied to chronic stress. San Francisco Chronicle. Retrieved from http://www.sfgate.com/cgibin/article.cgi?file=/c/a/2004/11/30/MNGVNA3PDP1.DTL&type=h ealth JOURNAL #6 DUE BY THURSDAY, 3/1 AT 11:59 p.m. 3/6 Economic and Political Inequality and Health Community Efforts to Improve Health Unnatural Causes: Collateral Damage Williams, D. P., & Hampton, A. (2005). Barriers to health services perceived by Marshallese immigrants. Journal of Immigrant Health, 7(4), 317–326. Reuther, C. (1997). Trouble in paradise. Environmental Health Perspectives, 105(9). Retrieved from http://ehp.niehs.nih.gov/docs/1997/105-9/focus-full.html Accounts of U.S. payments for damage done by nuclear testing in the Marshall Islands are available at: www.nuclearclaimstribunal.com/ Syme, S. L. (2004). Social determinants of health: The community as an empowered partner. Preventing Chronic Disease, 1(1), 1–5. JOURNAL #7 DUE BY THURSDAY, 3/8 AT 11:59 p.m. GCH/SOCW 445 Class Meetings Topics/Activities 3/20 Community Forum/Event Planning _______________________ PRESENTATIONS OF GROUP PROPOSALS AND ONE-PAGE SYNOPSIS (PER GROUP) TO HAND OUT _______________________________________________________ Community Forum /Event Planning Guest speaker on Population Health ________ 3/27 Readings & Assignments/Due Dates Decide on group proposals SMALL GROUP MEETINGS JOURNAL #8 DUE BY THURSDAY, 3/29 AT 11:59 p.m. Provide synopsis of your group meeting and your understanding of your individual and small group contribution to the project. 4/3 Social Justice and Health Planning for Community Forum/Event Daniels, N., Kennedy, B. P., & Kawachi, I. (1999). Why justice is good for our health: The social determinants of health inequalities. Daedalus, 128(4), 215-251. Gil, D. G. (2006). Reflections on health and social justice. Contemporary Justice Review 9(1), 39-46. JOURNAL #9 DUE BY THURSDAY, 4/5 AT 11:59 p.m. SMALL GROUP MEETINGS 4/10 Community Forum /Event Planning 4/17 Peer Review of Issue Briefs DRAFT ISSUE BRIEF DUE IN CLASS – PLEASE BRING FOUR COPIES WITHOUT YOUR NAME (FOR PEER REVIEW) AND ONE WITH YOUR NAME (TO TURN IN) 4/24 We all pay the price for poor health Robert Wood Johnson Foundation Commission to Build a Healthier America (2008). Overcoming obstacles to health: Stories, facts and findings. Available at: http://www.commissiononhealth.org/PDF/ObstaclesToHealthReport.pdf Planning for Community Forum/Event REVISED ISSUE BRIEF DUE IN CLASS 5/1 Final Planning for Community Forum/Event 5/8 GCH/SOCW 445 ALL MATERIALS FOR COMMUNITY FORUM/EVENT DUE COMMUNITY EVENT/FORUM Class Meetings Topics/Activities Readings & Assignments/Due Dates FINAL REFLECTION PAPER DUE VIA BLACKBOARD BY 7:30 p.m. 5/15 Recommended Readings: Acevedo-Garcia D., Soobader, M. J., & Berkman, L. F. (2007). Low birthweight among US Hispanic/Latino subgroups: The effect of maternal foreign-born status and education. Social Science and Medicine, 65(12), 2503–2516. Adler N., & Newman, K. (2002). Socioeconomic disparities in health: Pathways and policies. Health Affairs, 21(2), 60–76. Auerbach, J. & Krimgold B. (Eds.) (2001). Income, socioeconomic status, and health: Exploring the relationships. Washington, DC: National Policy Association Academy for Health Services Research and Health Policy. Berkman L., & Kawachi, I. (Eds.) (2000). Social epidemiology. New York, NY: Oxford University Press. Hofrichter, R. (Ed.). (2003). Health and social justice: Politics, ideology, and inequity in the distribution of disease. San Francisco, CA: Jossey-Bass. Kawachi, I., & Kennedy, B. (Eds.). (2002). The health of nations: Why inequality is harmful to your health. New York, NY: The New Press. LaVeist, T. (Ed.). (2002). Race, ethnicity, and health: A public health reader. San Francisco, CA: JosseyBass. Navarro, V. (Ed.). (2002). The political economy of social inequalities: Consequences for health and quality of life. Amityville, NY: Baywood Publishing Company. Shonkoff, J., & Philips, D. (Eds.). (2000). From neurons to neighborhoods: The science of early childhood development. Washington, DC: National Academy Press. GCH/SOCW 445 Smedley B. D., Stith, A. Y., & Nelson, A. R. (Eds.). (2002). Unequal treatment: Confronting racial and ethnic disparities in health care. Washington, DC: National Academy Press. GCH/SOCW 445