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971.
Sports betting is growing exponentially, is heavily marketed and successfully targets young adult males. Associated gambling problems are increasing. Therefore, understanding risk factors for problem gambling amongst sports bettors is an increasingly important area of research to inform the appropriate design and targeting of public health and treatment interventions. This study aimed to identify demographic, behavioural and normative risk factors for gambling problems amongst sports bettors. An online survey of 639 Australian sports bettors using online, telephone and retail betting channels was conducted. Results indicated that vulnerable sports bettors for higher risk gambling are those who are young, male, single, educated, and employed full-time or a full-time student. Risk of problem gambling was also found to increase with greater frequency and expenditure on sports betting, greater diversity of gambling involvement, and with more impulsive responses to betting opportunities, including in-play live action betting. Normative influences from media advertising and from significant others were also associated with greater problem gambling risk. The results of this study can inform a suite of intervention, protection and treatment initiatives targeted especially at young male adults and adolescents that can help to limit the harm from this gambling form.  相似文献   
972.
This study examined harm, hurt, and neglect by caregivers as well as self-neglect and physical and mental health status among 113 lesbian, gay, and bisexual (LGB) older adults aged 60–88 years, who attended community-based social and recreation programs or groups in the United States. Reporting on their experiences with caregivers, 22.1% of the participants experienced at least one type of harm, including physical, emotional, verbal, sexual, financial, and neglectful; additionally, 25.7% of the participants reported they knew LGB older adults who experienced at least one type of harm from his or her caregiver. With regard to self-neglect, 62.8% reported experiencing it; those indicating positive psychological health reported fewer experiences with self-neglect.  相似文献   
973.
974.
This article demonstrates several ways in which the constraints that the COVID‐19 pandemic has posed for families can provide transformative opportunities to strengthen family relationships, become more resilient, and resolve conflicts and longstanding difficulties. Since most families worldwide have been greatly impacted on many fronts by the pandemic, they are looking to us for hope, guidance, and solutions for coping with high levels of anxiety about living in a world where life as we knew it has been turned on its head and we are struggling to cope with uncertainty about what the future will bring. However, in spite of all the limitations and health consequences COVID‐19 has posed for our client families, the majority have been quite resourceful and creative in coming up with their own novel self‐generated coping, problem‐solving, and health‐enhancing strategies well before we see them for the first time. Finally, the article discusses how the constraints of COVID‐19 afford family therapists with many opportunities to further hone their therapeutic alliance‐building skills, gain an intimate insider’s view of their clients’ daily lives that are not accessible in our offices, and co‐design with them therapeutic experiments that can produce high‐quality solutions.  相似文献   
975.
This article is one of the first to assess the impact of alcohol availability, an important but understudied neighborhood element, and other social disorganization measures for Latino and black aggravated assault and robbery victimizations. Using data from Miami, Florida, for 1996 and 1997, we find that although most predictors have similar effects on the outcomes for both groups, higher alcohol availability rates are associated with more Latino but not black victims. To explain this finding, we relate the criminogenic influence of alcohol to contextual features of Latino and black neighborhoods, thereby integrating qualitative observations and quantitative data. Higher concentrations of recent immigrants are also related to fewer black assault victims, more Latino assault victims, but not to robberies for either group.  相似文献   
976.
977.
This paper argues for the importance of adopting a population‐level approach to promote more effective parenting and to reduce the risk of child maltreatment. Family‐based interventions based on social learning principles have been shown to make a useful contribution in the treatment of child maltreatment. However, typically such programmes have been used to treat parents who have already become involved in the child protection system. We argue that the creation of community‐wide support structures to support positive parenting is needed to reduce the prevalence of child maltreatment. Such an approach requires several criteria to be met. These include having knowledge about the prevalence rates for the targeted child outcomes sought, knowledge about the prevalence of various parenting and family risk factors, evidence that changing family risk factors reduces the prevalence of targeted problems, having culturally appropriate, cost‐effective, evidence‐based interventions available and making these widely accessible. Copyright © 2003 John Wiley & Sons, Ltd.  相似文献   
978.
Estimation in Semiparametric Marginal Shared Gamma Frailty Models   总被引:1,自引:0,他引:1  
The semiparametric marginal shared frailty models in survival analysis have the non–parametric hazard functions multiplied by a random frailty in each cluster, and the survival times conditional on frailties are assumed to be independent. In addition, the marginal hazard functions have the same form as in the usual Cox proportional hazard models. In this paper, an approach based on maximum likelihood and expectation–maximization is applied to semiparametric marginal shared gamma frailty models, where the frailties are assumed to be gamma distributed with mean 1 and variance θ. The estimates of the fixed–effect parameters and their standard errors obtained using this approach are compared in terms of both bias and efficiency with those obtained using the extended marginal approach. Similarly, the standard errors of our frailty variance estimates are found to compare favourably with those obtained using other methods. The asymptotic distribution of the frailty variance estimates is shown to be a 50–50 mixture of a point mass at zero and a truncated normal random variable on the positive axis for θ0 = 0. Simulations demonstrate that, for θ0 < 0, it is approximately an x −(100 − x )%, 0 ≤ x ≤ 50, mixture between a point mass at zero and a truncated normal random variable on the positive axis for small samples and small values of θ0; otherwise, it is approximately normal.  相似文献   
979.
Summary.  We present a general method of adjustment for non-ignorable non-response in studies where one or more further attempts are made to contact initial non-responders. A logistic regression model relates the probability of response at each contact attempt to covariates and outcomes of interest. We assume that the effect of these covariates and outcomes on the probability of response is the same at all contact attempts. Knowledge of the number of contact attempts enables estimation of the model by using only information from the respondents and the number of non-responders. Three approaches for fitting the response models and estimating parameters of substantive interest and their standard errors are compared: a modified conditional likelihood method in which the fitted inverse probabilities of response are used in weighted analyses for the outcomes of interest, an EM procedure with the Louis formula and a Bayesian approach using Markov chain Monte Carlo methods. We further propose the creation of several sets of weights to incorporate uncertainty in the probability weights in subsequent analyses. Our methods are applied as a sensitivity analysis to a postal survey of symptoms in Persian Gulf War veterans and other servicemen.  相似文献   
980.
The bulk of fear–of–crime research has been limited to one questionnaire item that asks respondents to assess their personal safety by answering "how safe they feel alone in their neighborhoods at night." More recently, however, studies have pointed to the multidimensional nature of fear of crime and perceived risk of victimization. Following this line of inquiry, we investigate the potential impact of several variable sets on three measures of fear of crime or risk perception—the traditional risk assessment of being alone at night, a measure of worry about crime, and a more general assessment of neighborhood safety. Of particular interest are the relative effects of neighborhood integration variables on the measures of fear/risk. A comparison of the effects of neighborhood integration variables with a set of perceived neighborhood disorder, routine activities, socio–demographic characteristics, and victimization experience variables reveals that the neighborhood disorder (incivilities), income, and crime prevention measures produce the most consistently significant effects on fear of crime and perceived risk. Contrary to our expectations, neighborhood integration variables appear to be relatively unimportant.  相似文献   
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