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81.
Amidst concerns that young people’s mental health is deteriorating, it is important to explore their understandings of symptoms of mental health problems and beliefs around help seeking. Drawing on focus group data from Scottish school pupils, we demonstrate how they understood symptoms of mental health problems and how their characterisations of these symptoms as ‘rare’ and ‘weird’ informed participants’ perceptions that peers, teachers and parents would respond to disclosure in stigmatising ways. Consequently, participants suggested that they would delay or avoid disclosing symptoms of mental health problems. We highlight subtle gender and age differences and outline implications for policy and practice.  相似文献   
82.
This paper reviews the anomaly that seems currently to exist within the profession of social work — on the one hand a denigration of the value and utility of individualized services, and on the other, the increased anonymity of life in today's technological society. It is suggested that the need for individualized services will continue to exist regardless of institutional change and that clinical social work will remain an essential and specialized part of the social work profession. It is postulated that if the clinicians look elsewhere for education and recognition this will be a loss for social work.  相似文献   
83.
Gay men living with HIV/AIDS face a complex of health issues, including those associated with the aging process, long-term HIV infection (25 years or more), and side effects from Highly Active Anti-Retroviral Therapy (HAART). If aging can increase marginalization, this is more likely for the aging HIV positive gay man, who is already marginalized for being queer and living with a stigmatizing disease. This article presents findings from a study of a long-running HIV support group. It locates the members, all gay men living with HIV, in a specific historical and political context to explore how feelings of loss and the struggle to sustain community affect long-term survivors and other older HIV+ gay men. We identify specific challenges presented by aging for men who contracted HIV early in the epidemic, contrasting them with those faced by men infected with the virus later in life. While both groups appear to struggle with a vision of what life could have been, had AIDS not forced loss and change, they also celebrate the community their shared plight has enabled.  相似文献   
84.
Yemen is an oil‐exporting and food‐importing country with the highest levels of poverty in the Middle East and North Africa. The impacts of the triple crisis are likely to further complicate pre‐existing conditions of conflict, oil depletion and governance failure. Using a dynamic CGE model, this article finds that oil‐driven growth in 2008 dominated the negative growth impacts of the food crisis, but that growth was not pro‐poor. The financial crisis of 2009 slowed growth sharply and raised the poverty rate to 42.8%, up from 34.8% in 2005/6. Poverty continues to be higher in rural areas, where almost half the population live in poverty.  相似文献   
85.
86.
While there are several measures of living environment restrictiveness, none has used the youth perspective in conceptualizing and operationalizing restrictiveness. The purpose of this qualitative study was to obtain the perspectives of child welfare involved youth who have lived in out-of-home care. Using focus group methodology, 40 youth were asked to define restriction and give examples of how it is operationalized in practice. Youth defined restriction as “rules”. The rules were about what youth can do, where they can go, who they can be with and how and with whom they can communicate. These rules were primarily characterized as inconsistent, arbitrary, non-individualized and developmentally inappropriate, although some characterized them as beneficial in the long term. Rules were mostly attributed to adult need for power and avoidance of legal responsibility for the youths. Typical feelings about the rules were anger, resentment, feeling labeled, isolated and stigmatized. Relationships influenced perceptions: within a positive relationship, youth understood and tolerated the rules that limited independence. The perception of what were normal restrictions for other youth not in out-of-home care was another influencing factor. These findings are examined in light of cognitive and affective development in adolescence. Recommendations for improving the measurement of living environment restrictiveness as well as enhancing child welfare services are proposed.  相似文献   
87.

Background

The prevalence of fear of birth has been estimated between 8–30%, but there is considerable heterogeneity in research design, definitions, measurement tools used and populations. There are some inconclusive findings about the stability of childbirth fear.

Aim

to assess the prevalence and characteristics of women presenting with scores ≥60 on FOBS-The Fear of Birth Scale, in mid and late pregnancy, and to study change in fear of birth and associated factors.

Methods

A prospective longitudinal cohort study of a one-year cohort of 1212 pregnant women from a northern part of Sweden, recruited in mid pregnancy and followed up in late pregnancy. Fear of birth was assessed using FOBS-The fear of birth scale, with the cut off at ≥60.

Findings

The prevalence of fear of birth was 22% in mid pregnancy and 19% in late pregnancy, a statistically significant decrease. Different patterns were found where some women presented with increased fear and some with decreased fear. The women who experienced more fear or less fear later in pregnancy could not be differentiated by background factors.

Conclusions

More research is needed to explore factors important to reduce fear of childbirth and the optimal time to measure it.  相似文献   
88.
89.
Based on the first national survey of faith‐based social service coalitions in the United States, this article presents data on the degree to which these nonprofit organizations collaborate with other specific organizational types, as well as the range and intensity of these collaborations. In general, faith‐based coalitions tend to collaborate most frequently with other faith‐based agencies, a pattern especially characteristic of the more religiously expressive ones. However, collaboration with non‐faith‐based organizations is also quite common. Based on seven organizational characteristics, we are able to predict which faith‐based coalitions are most likely to collaborate with different types of organizations: coalitions that have more explicitly religious policies and practices with reference to clients and staffs are less likely to participate in intense collaborations with some types of secular organizations, and consistently less likely to do so with all types of governmental agencies.  相似文献   
90.
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