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1.
For a two variance component mixed linear model, it is shown that under suitable conditions there exists a nonlinear unbiased estimator that is better than a best linear unbiased estimator defined with respect to a given singular covariance matrix. It is also shown how this result applies to improving on intra-block estimators and on estimators like the unweighted means estimator in a random one-way model.  相似文献   
2.
Surveys were employed to explore the experiences of children in care and their carers about traditional fostering. They also examined the perspectives of randomly selected adults in the community about the practice of traditional foster care in the Tamale area of northern Ghana. The 74 participants responded to closed- and open-ended interview questions about traditional foster care. Frequencies and thematic grouping of qualitative responses showed that the need to keep family ties alive was the key reason for placement of children with family and kin. Majority of the children expressed satisfaction with living in foster care, even though they had experienced physical and emotional abuse and intimidation. Although most carers were not formally employed and had little personal income, they were positive about having the care role, but faced challenges in providing for many children in a difficult economic situation. The report highlights the role of reciprocity, altruistic and socio-cultural factors in quality of care, and the potential for the traditional kinship foster care to provide suitable avenues of placement for children as recommended by the Ghana child rights law. It also identifies the need for education for carers around children's needs and Ghana's child rights law.  相似文献   
3.
Men who have sex with men (MSM) and transgender individuals of color, the largest demographic in the House Ball Community (HBC), are amongst the group at highest risk for HIV infection in the United States. The HBC have limited access to culturally appropriate HIV education. This study aimed to develop a partnership with HBC leaders to uncover strategies for increasing HIV prevention knowledge, including participation in HIV vaccine trials. To this end a research institution-community-HBC partnership was established. In-depth qualitative and quantitative data were collected from the 14 HBC leaders in Western New York, revealing that knowledge of HIV and related vaccine trials was limited. Barriers to increasing HIV knowledge included fear of peer judgment, having inaccurate information about HIV, and lack of education. Among the HBC, community partnerships will further aid in the development of future HIV prevention programs and increase individuals’ willingness to participate in future HIV vaccine trials.  相似文献   
4.
5.
This study aims to examine an untested research model that explains the direct- and indirect influences of Academic Coping, Friendship Quality, and Student Engagement on Student Quality of School Life. This study employed the quantitative-based cross-sectional survey method. The sample consisted of 2400 Malaysian secondary Form Four students chosen equally from 50 schools using Multistage Stratified Cluster Sampling procedure. Self-reported questionnaire was administered. The data was analyzed with Partial Least Square approach using SmartPLS 2.0. Findings showed that Academic Coping, Student Engagement, and Friendship Quality significantly explained about 46 % of variance in Student Quality of School Life. Student Engagement also contributed approximately 44 % of variance in mediating the relationship between Academic Coping and Student Quality of School Life; and approximately 67 % of variance between Friendship Quality and Student Quality of School Life. Findings indicated the predictability of the model in terms of predictive relevance and global goodness of fit. Limitations and suggestions for future studies are discussed.  相似文献   
6.
Ghana's Livelihood Empowerment Against Poverty (LEAP) programme provides conditional cash transfers to poor households in deprived communities. Beyond the potentiality of the LEAP programme to reduce poverty, its implications for shaping state–citizen relations and inclusive citizenship have been largely ignored. This study explored the implications of the programme on notions of citizenship among cash recipients. The findings indicate that the programme generates interfaces that strengthen state–citizen interaction and serves as a promising avenue for reintegration. However, it is also characterised by undue delay in cash payment and weak institutional capacity to mediate interactive processes and grievances, which suggests that the contractual relationship and the state's accountability are weak. Furthermore, the programme has negatively influenced community social relations, limiting the forms of agency beneficiaries exercised. The study concludes that although LEAP represents a landmark in Ghana's quest for inclusive citizenship, it undermines social relations and citizens’ rights to hold the state accountable, which unavoidably limits effective state building.  相似文献   
7.
Abstract

The article examines public perceptions of capitation payment system and the implications for health-seeking behavior in rural and urban Ghana. Drawing on qualitative approach, the study employed focus groups (n?=?20), in-depth (n?=?20), and key informant (n?=?14) interviews with community-based adult men and women, aged 18–65?years in Ashanti Region. Tape recorded interviews were transcribed and analyzed thematically. Results indicated that majority of respondents have heard about the capitation but only a small proportion of them understood what the whole policy entails and the rationale for its introduction. While general dissatisfaction with and negative perceptions of the capitation still persisted among majority of the study population, this did not translate into nonuse of health services. For subscribers to derive optimal benefits from the capitation, political commitment in continuing public education using the most accessible media modulation is key. More importantly, public and private healthcare providers should increase investments in improving healthcare delivery system. Future studies should employ quantitative approaches with region-wide sample in order to confirm the relationships between capitation enrollment and health-seeking behavior.  相似文献   
8.
This article does not have an abstract  相似文献   
9.

Background

Estimated date of birth (EDB) is used to guide the care provided to women during pregnancy and birth, although its imprecision is recognised. Alternatives to the EDB have been suggested for use with women however their attitudes to timing of birth information have not been examined.

Aims

To explore women’s expectations of giving birth on or near their EDB, and their attitudes to alternative estimates for timing of birth.

Methods

A survey of pregnant women attending four public hospitals in Sydney, Australia, between July and December 2012.

Results

Among 769 surveyed women, 42% expected to birth before their due date, 16% after the due date, 15% within a day or so of the due date, and 27% had no expectations. Nulliparous women were more likely to expect to give birth before their due date. Women in the earlier stages of pregnancy were more likely to have no expectations or to expect to birth before the EDB while women in later pregnancy were more likely to expect birth after their due date. For timing of birth information, only 30% of women preferred an EDB; the remainder favoured other options.

Conclusions

Most women understood the EDB is imprecise. The majority of women expressed a preference for timing of birth information in a format other than an EDB. In support of woman-centred care, clinicians should consider discussing other options for estimated timing of birth information with the women in their care.  相似文献   
10.
Domestic violence (DV) against married women is widely prevalent across Bangladesh and this merits nuanced attention. Multifarious factors are believed to perpetuate DV in different socioeconomic contexts within the country. This study aimed to understand the causes and contexts of DV in the Sylhet region (a distinct sub‐culture that carries Sylheti identity). This was a qualitative study based on the experiences of 42 victims of DV who sought help from two social welfare organizations, namely ‘Women Support Program (WSP)’ and ‘Bangladesh Legal Aid and Services Trust (BLAST)’, both located in Sylhet. Using in‐depth interviews, we tried to interact with the victims to retrieve the causes and contexts of DV in Sylhet. Findings revealed that a number of factors led to DV. These causal and contextual factors for DV were dowry practice, illiteracy, cultural approval of wife beating, women's silence, polygyny, socioeconomic dependency of the wife, conflicts related to extra‐ and premarital affairs, poverty, stigmatization, and drug addiction of the husband. The study concluded that all these factors could be brought under the umbrella of age‐old patriarchal cultural values that continue to create the contexts where DV takes place unabated.  相似文献   
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