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This paper examines excess mortality following spousal bereavement by time since bereavement, sex, age, and education. The main hypothesis challenged is that higher education buffers the harmful effects of spousal loss. Using a log-rate model, death-rate ratios (widowed/married) are estimated for 49,849 and 126,746 Belgian widowers and widows and an equal number of non-bereaved controls matched to the bereaved on their socio-demographic characteristics. The hypothesis that the more educated suffer less excess mortality is not supported. Although higher educational levels are associated with lower mortality in general, they do not alleviate the effects of bereavement. On the contrary, in the period immediately following spousal loss, the more highly educated seem to have more, rather than less, excess mortality. Three possible arguments are suggested to account for this: education-related differences in the partner-relationship, structural differences in the availability of appropriate social support, and cultural differences in potential support networks.  相似文献   
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This paper brings together some preliminary data on the management of men with learning disabilities who have unacceptable/abusive sexual behaviour patterns with a small pilot study which specifically explores the roles of women support workers in relation to difficult sexual behaviour. A specific focus on the behaviour of men with learning disabilities is justified because of consistent evidence that it is men, rather than women, service users who challenge services in this way. The studies explore with staff the boundaries of what is considered acceptable sexual behaviour and how breaches of these are responded to within services. One issue which we have chosen to highlight is the frequent exposure of women staff to the men's sexual behaviour, sometimes precipitated by the unusual relationship that exists between the two parties, and exacerbated by the lack of clear management guidance within the gendered hierarchies found in service agencies.  相似文献   
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Using responses to 3,315 survey questions asked of nationalsamples, we examine how policy preferences of Americans havechanged over the last 45 years. The data indicate that therehas been considerable stability in public opinion: responsesto half the 613 repeated policy items show no significant changeat all; approximately half the detectable changes were lessthan 10 percentage points; and rarely did preferences fluctuatesignificantly back and forth within a short time period. Foreignpolicy changes were no larger or more frequent than domestic,but they did tend to occur more abruptly. When opinion shiftsoccurred, they were not random or capricious; they were usuallyrelated to important changes in citizens' social and economicenvironments. Rapid shifts generally coincided with major eventsin international affairs or the economy.  相似文献   
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Invoking Public Opinion: Policy Elites and Social Security   总被引:1,自引:0,他引:1  
Do policy elites invoke public opinion? When they do, are theirclaims based on evidence from public opinion surveys? To learnabout the claims that policy elites make, we examined statementsthe president and members of Congress, experts, and interestgroup leaders in congressional hearings made about Social Security.To learn about opinion data on Social Security, we conducteda Lexis-Nexis search of the archives of the Roper Center forPublic Opinion Research. Our analyses show that policy elitesdiscussing Social Security did invoke public opinion. Contraryto our expectations, however, few of the elite invocations ofpublic opinion cited specific surveys or concrete facts aboutthe distribution of opinion. Although claims directly contradictingsurvey evidence were relatively rare, only with the rather fewspecific claims by congressional elites did we find much clear-cutsupport in the available polling data. Relatively seldom couldwe find clear-cut support for the elites' general claims. Moreover,some of the most frequent claims about public opinion—couldhave been contested but seldom were. The highly visible andwell-polled case of Social Security suggests that specific,data-based elite invocations of public opinion may be even lesscommon on other, lower-visibility and less-polled issues. Italso suggests that survey research professionals might do wellto intensify their scrutiny of public discourse about publicopinion and to increase their efforts to bring scientific expertiseto bear upon such discourse.  相似文献   
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Defending Community Care: Can Normalization do the Job?   总被引:1,自引:0,他引:1  
Correspondence to Helen Smith, Lecturer in Mental Health, Centre for the Applied Psychology of Social Care, The University, Canterbury, Kent CT2 7LZ. Summary One of the major reasons for the confusion around communitycare is the lack of an ideology to guide and influence its implementation.Normalization is probably the most relevant theory in this fieldyet it is riven with contradictions and conflicts. This articleexamines these conflicts and proposes that normalization needsto develop a perspective on power and powerlessness if it isto respond adequately to the challenges of providing communitycare in the 1990s.  相似文献   
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With the transnational turn in the social sciences attention has now turned to ‘global civil society’, ‘transnational civil society’, ‘transnational networks’ and, most recently, ‘migrant’ or ‘diasporic civil society’. Claims are being made about the developmental potential of these new configurations of civil society, and the global connections forged by migrant and diaspora associational life have been reified into things called ‘networks’ for the purpose of enrolling them into development policy. In this article, we challenge the network model through an analysis of transnational Cameroonian and Tanzanian home associations. The idea of a network suggests an overly robust and ordered set of linkages for what are in effect often loose and transient connections. African home associations draw attention to the historically‐embedded and mundane ways in which forms of associational life can be ‘transnational’ outside the formalized structures and Eurocentric development hierarchies created by international NGOs and other development institutions. Although they form largely invisible connections operating outside these hierarchies, African home associations unsettle assumptions about the geography of civil society and its relationship with development. Close attention to the histories and geographies of African home associations reveals that power and agency more often lie with migrants and elites within Africa than with the transnational diaspora.  相似文献   
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Constituency, Party, and Representation in Congress   总被引:1,自引:0,他引:1  
Using congressional districts as primary sampling units, the1978 National Election Survey provides improved (though stillimperfect) measures of district opinion. Together with Censusdata on district demography, roll call voting scales, and informationon congressmen's party and personal characteristics, they permita new examination of representation in Congress. Using thesedata we found a high degree of representation of district opinionon social welfare and (surprisingly) on women's issues, nearlyas much on racial issues, and much less on law and order oron abortion. District demography and congressmen's party addsubstantially to the explanation of roll call votes. There isnot, however, much "responsible party" representation in Congress.Future representation studies must face questions about thecomplex interplay among these factors, including reciprocalinfluences.  相似文献   
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