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991.

Background

Sound evidence has linked the experience of adversity with depression. Less is known about this association over time.

Aim

The aim of this study is to determine whether or not social adversity experienced by pregnant women is associated with their patterns of depressive symptoms over their reproductive life course.

Methods

Data were obtained from a cohort of women collected at their first obstetrical clinic visit of an index pregnancy (time-point 1) and at a further six time-points to 27 years following the birth. Latent Class Growth Modelling was used to estimate trajectories of women’s depressive symptoms over this time period. Logistic regression modelling determined the prospective association between measures of adversity in pregnancy and 27-year postpartum depression trajectories, controlling for potential confounders.

Findings

Experiencing financial problems, housing problems, serious disagreements with partners and with others, and experiencing serious health problems in pregnancy were associated with membership of high and middle depression trajectories over the 27 years. Having someone close die or have a serious illness was associated with the high depression trajectory only. Younger maternal age and low family-income at first clinic visit were also associated with an increased risk of women’s membership of both high and middle depression trajectories.

Conclusions

Experiencing adversity during pregnancy predicts subsequent patterns of maternal depression over an extended period of women’s reproductive life course. It is not clear whether women’s experiences of adversity during pregnancy were causally associated with subsequent depression or whether there are other explanations of the observed association.  相似文献   
992.
As one of Asia’s key hubs for transient workers, Singapore’s migration regime creates particularly gendered streams of labour, especially among lower skilled occupations, as is apparent in two key sectors – domestic work and construction work. Drawing on surveys with Bangladeshi construction workers and Indonesian domestic workers based in Singapore, as well as in-depth interviews with each group, this paper examines gendered issues of temporary labour migration, precarity and risk, as they occur against a backdrop of migrant indebtedness. In this paper, we argue that migrant indebtedness occurs along a spectrum that ranges from less visible, or what we call ‘silently’ incurred forms of debt, through to more ‘resonant’ types of debt that are acquired upfront and thus more readily quantifiable. Using this spectrum of migrant indebtedness, we aim to complicate debates about debt-financed migration by underscoring the ways in which notions of debt and unfreedom can be imbricated with both constraints and opportunities for migrants’ agency.  相似文献   
993.
ABSTRACT

Process safety involves worker decisions at various points in an extended process, and much remains unknown regarding sources of variability in worker behavior at these decision points. This paper seeks to explain why some workers may be deviating from sanctioned policies and procedures. Risky choice is analyzed through discussion of positive and negative reinforcement, habituation in terms of respondent and operant behavior, risk discounting, and consequence dimensions that include a review of prospect theory, heuristics, and behavioral decision theory. Recommendations are made for improving our understanding of sources of variability in process safety by conducting systematic research on the perspectives reviewed.  相似文献   
994.

Background

Expectant parents develop varying degrees of emotional affiliation with the unborn child. Interventions supporting this relationship may be beneficial given its link to maternal health behaviour during pregnancy, as well as the parental–infant bond after birth.

Aim

To identify and describe the effects of programmes and strategies that have addressed the parental–fetal relationship.

Method

English-language primary studies, published between 2005–2015, were identified and their methodological quality was assessed. Databases used included CINAHL, Cochrane Library, MEDLINE, PsycINFO and Web of Science. Key search terms included maternal/paternal–fetal attachment, prenatal bond, parental–fetal relationship and intervention. RCTs, non-RCTs, observational and non-comparative studies, before and after studies and case studies were included.

Findings

Twenty-seven papers were included. Studies evaluated the effects of various strategies, including ultrasound and screening procedures, fetal awareness interventions, social and psychological support techniques, educational programmes and relaxation strategies. Results are inconsistent due to the diversity of interventions and significant variation in methodological quality.

Conclusion

There is insufficient evidence to support definitive conclusions regarding the efficacy of any included intervention. A number of limitations, such as non-probability sampling, lack of blinding, and insufficient follow-up weaken the evidence. The inclusion of fathers in only three studies reflects the overall neglect of men in research regarding the prenatal relationship. Further in-depth study of the nature of the maternal/paternal–fetal relationship may be needed in order to allow for the identification of interventions that are consistently beneficial and worthwhile.  相似文献   
995.
This study takes a step forward in addressing the influence of stock options on executive risk-taking behavior, examining the moderating role of the executive hierarchy—CEOs versus non-CEO executives—and the gender effect within these corporate positions. Panel data analysis for matched samples of S&P 1500 listed firms between 2006 and 2011 confirms both hierarchical and gender differences in the relationship between executive stock options (ESOs) and risk taking. The maximum wealth at risk at which risk-increasing behavior changes to risk-reducing behavior—in the inverted U-shaped relationship—is higher for CEOs than for non-CEO executives, while gender differences in the ESO risk-taking effect are stronger at the level of CEOs. Thus, our evidence shows the importance of considering executive’s decision-making freedom (by means of hierarchy) in order to predict risk preferences according to executive gender.  相似文献   
996.
The recognition of poverty as a multidimensional concept has led to the development of more adequate tools for its identification. By allowing for subgroup and regional decompositions, those instruments are useful to allocate public action where most needed. This paper applies the Alkire and Foster (2011a) Multidimensional Poverty Index (MPI) to study single-mother and biparental families in Nicaragua, modifying its original structure to match more closely with the country’s current structural problems. Using Nicaragua’s last Demographic and Health Survey (DHS 2011/2012), our multidimensional poverty figures contrast with the government’s national poverty line estimates, suggesting that income poverty overestimates the number of poor people. Thus, our MPI can help as a complement for traditional consumption poverty and Basic Needs analysis; even extending the exploration by using other official household surveys. On the other hand, multidimensional poverty analysis found poverty dominance of male-headed families over single-mother and female-headed biparental families, which serves to contradict the notion of women being more vulnerable than men. Within the MPI, the most important contributor was the Living Standards dimension, composed by indicators directly related to housing conditions, and the second most deprived dimension was Education. A strong policy implication that arises from our findings is the reduction of the urban–rural poverty gap. Specifically, our findings exalt the need for governmental policies directed to reduce Nicaragua’s housing and educational deficits as a priority, particularly in rural areas.  相似文献   
997.
Increasing evidence suggests that different patterns of activity participation confer several positive well-being outcomes through the later years of life. The aim of the present study is to examine the likelihood of higher well-being linked with a socially engaged lifestyle with a view to extending prior research. Data on a nationally representative sample of adults aged 65 and older from eleven European countries (n = 7025) was drawn from the first Wave of the Survey of Health, Aging and Retirement in Europe (SHARE, 2004/5). Socially and productively oriented activities were administered as salient aspects of activity participation and were rated on frequency of involvement. Well-being was defined by the clustering of six indicators including life satisfaction, quality of life, self-rated health, psychological distress, chronic diseases and Body Mass Index (BMI). The effect of activity participation on the clustering of well-being indicators was estimated according to complex samples ordinal regression models. The overall pattern was that of a significantly increased likelihood for frequently active participants to present multiple presence of positive well-being outcomes (p < 0.05). This held true not only at the individual level but also across most SHARE countries. Although the findings of the current analysis cannot identify the direction of causality of the observed effects, they still lend some support to the reasonable conjecture that old-age activity engagement matters for individuals’ wellbeing and testify to the suggestion that public health and social care interventions should consider the respective potential well-being gains and therefore foster the facilitation of activities and attachments.  相似文献   
998.
Household air pollution is a leading cause of death globally, as 4.3 million people die prematurely each year from illness attributable to use of solid fuels (WHO 2016a). Many studies contend that gender inequalities are likely to greatly shape the global distribution of solid fuel use and its negative health consequences. We conduct an analysis of 91 developing nations using structural equation models on the prevalence of female indoor air pollution deaths among women and the ratio of female to male indoor air pollution deaths. The results illustrate that women’s status is a robust predictor of solid fuel use, and that improved women’s status also correlates directly with lower female to male indoor air pollution deaths ratios and indirectly with reduced female death prevalence through lower solid fuel dependence. Women’s status additionally mediates the effects of some other notable predictors, such as economic development. Overall, the results bring attention to a “silent killer” in less-developed nations and illustrate that greater female empowerment is an important avenue in addressing this global pandemic.  相似文献   
999.
Framed by Pearlin’s Stress Process Model, this study prospectively examines the effects of primary stress factors reflecting the duration, amount, and type of care on the depressive symptoms of spousal caregivers over a2-year period, and whether the effects of stressors differ between husbands and wives. Data are from the 2004 and 2006 waves of the Health and Retirement Study and we included community-dwelling respondents providing activities of daily life (ADL) and/or instrumental activities of daily life (IADL) help to their spouses/partners (N = 774). Results from multivariate regression models indicate that none of the primary stressors were associated with depressive symptoms. However, wives providing only personal care had significantly more depressive symptoms than wives providing only instrumental care, while husbands providing different types of care showed no such differences. To illuminate strategies for reducing the higher distress experienced by wife caregivers engaged in personal care assistance, further studies are needed incorporating couples’ relational dynamics and gendered experiences in personal care.  相似文献   
1000.
We investigate the redistributive and welfare effects of disinflation in a two-agent New Keynesian model characterized by limited asset market participation and wealth inequality. We highlight two key mechanisms driving our long-run results: (1) the cash in advance constraint on firms working capital; (2) dividends endogeneity. These two channels point in opposite directions. Lower inflation softens the cash in advance constraint and, by raising labor demand, lowers inequality. But disinflation also raises dividends and this increases inequality. The disinflation is always welfare-improving for asset holders. We obtain ambiguous results for non-asset holders, who suffer substantial consumption losses during the transition. (JEL E31, E5, D3, D6)  相似文献   
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