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Addressing stigma among persons living with HIV through the Sujaag project in Pakistan: A socioecological analysis 通过巴基斯坦Sujaag项目解决艾滋病毒感染者的耻辱感:社会生态学分析
IF 3.9 1区 社会学 Q1 PSYCHOLOGY, SOCIAL Pub Date : 2022-08-30 DOI: 10.1111/josi.12547
Kainat Khurshid, Tapati Dutta, Kausar S. Khan, Syed Aun Haider, Usman Ali Ahmed, Hashmat Jatoi, Mohammad Tahir, Raja Sarfraz, Aneeta Pasha, Myra Khan, Mehek Ali

HIV-related stigma causes multifaceted problems for people with lived experiences. Stigma leads to feelings of shame and disgrace, and marginalizes persons living with HIV and their caregivers by marring social relationships and impacting health outcomes. In April 2019 Ratodero Tehsil in Larkana District, Pakistan, had an HIV outbreak, where evidence highlighted increase in infection rates among non-high-risk populations, including children. In the aftermath of this outbreak, affected families faced loss of communal ties in part due to stigmatizing attitudes. The Sujaag Project employed Participatory Action Research strategies to address HIV-based stigma and enhance acceptance of people living with HIV in the region. By utilizing a qualitative methodology, this study reports manifestations in changes in HIV stigma at four layers of the Socioecological Model: Individual, Interpersonal, Community and Social, and Macro levels. Findings from focus group discussions and reflective narrative reports gathered at varied points of the project cycle create an understanding of how HIV-related stigma affects wellbeing and how a collaborative and participatory approach aids in re-establishment of social relationships. This study informs contextual methodologies for incorporating lived experiences of HIV in program design, service delivery, and policy influence, and can be adapted for other stigmatized illnesses in similar contexts.

与艾滋病毒有关的污名给有亲身经历的人带来多方面的问题。污名化导致羞耻感和耻辱感,并通过破坏社会关系和影响健康结果使艾滋病毒感染者及其照顾者边缘化。2019年4月,巴基斯坦拉卡纳县的Ratodero Tehsil爆发了艾滋病毒疫情,有证据表明,包括儿童在内的非高危人群的感染率有所上升。在这次疫情之后,受影响的家庭面临失去社区关系的问题,部分原因是污名化的态度。Sujaag项目采用参与式行动研究战略来解决基于艾滋病毒的耻辱感,提高该地区对艾滋病毒感染者的接受程度。本研究采用定性方法,在社会生态模型的四个层面(个人、人际、社区和社会以及宏观层面)报告了艾滋病耻辱感的变化表现。在项目周期的不同阶段收集的焦点小组讨论和反思性叙述报告的结果使人们了解与艾滋病毒相关的耻辱如何影响福祉,以及协作和参与性方法如何有助于重建社会关系。这项研究为将艾滋病毒的生活经验纳入规划设计、服务提供和政策影响提供了背景方法,并且可以适用于类似背景下的其他污名化疾病。
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引用次数: 4
Is protecting older adults from COVID-19 ageism? A comparative cross-cultural constructive grounded theory from the United Kingdom and Colombia 保护老年人免受COVID-19年龄歧视吗?英国和哥伦比亚的跨文化建构理论比较
IF 3.9 1区 社会学 Q1 PSYCHOLOGY, SOCIAL Pub Date : 2022-08-17 DOI: 10.1111/josi.12538
Elfriede Derrer-Merk, Maria-Fernanda Reyes-Rodriguez, Ana-Maria Salazar, Marisol Guevara, Gabriela Rodríguez, Ana-María Fonseca, Nicolas Camacho, Scott Ferson, Adam Mannis, Richard P Bentall, Kate M Bennett

The COVID-19 pandemic impacted people's lives all over the world, requiring health and safety measures intended to stop the virus from spreading. This study explores whether an unintended consequence of these measures is a new form of ageism. We explore, using qualitative methods, the experiences of older adults living through the pandemic in the United Kingdom and Colombia. Although there were some small differences between countries, for the most part, the experiences were similar. We found that older adults reported that they were seen as a homogenous group and experienced both benevolent and hostile ageism and a loss of autonomy as a consequence of COVID-19 protection measures. Participants from both countries expressed anger and frustration, and increased anxiety, and felt that their individuality was ignored. We recommend that policy-makers, the media, and wider society consider the impact of such health and safety measures on older adults in preparing for future pandemics and health challenges.

COVID-19大流行影响了全世界人民的生活,需要采取旨在阻止病毒传播的健康和安全措施。这项研究探讨了这些措施的意外后果是否是一种新的年龄歧视形式。我们使用定性方法探讨了在英国和哥伦比亚经历大流行的老年人的经历。虽然国家之间有一些小的差异,但在大多数情况下,经历是相似的。我们发现,老年人报告说,他们被视为一个同质群体,由于COVID-19保护措施,他们遭受了善意和敌意的年龄歧视,并失去了自主权。来自两国的参与者都表达了愤怒和沮丧,并增加了焦虑,感觉他们的个性被忽视了。我们建议决策者、媒体和更广泛的社会在为未来的大流行和卫生挑战做准备时考虑此类卫生和安全措施对老年人的影响。
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引用次数: 16
When skinfolk are kinfolk: Higher perceived support and acceptance characterize close same-race (vs. interracial) relationships for people of color 当皮肤族是亲属时:更高的感知支持和接受度是有色人种与同种族(相对于跨种族)关系密切的特征
IF 3.9 1区 社会学 Q1 PSYCHOLOGY, SOCIAL Pub Date : 2022-08-17 DOI: 10.1111/josi.12534
Régine Debrosse, Sabrina Thai, Tess Brieva

People of color cope with racial stigma daily. In this context, support and acceptance from people who share similar racial/ethnic backgrounds can take a special importance. In two studies, using a national U.S. sample (n = 1618) and a term-long weekly-diary design (n = 103), Black, Latine, and Asian students received more support and acceptance from close same-race (vs. interracial) relationships. Compared to White participants, Black and Latine participants reported greater support and acceptance from their relationships. Furthermore, greater support and acceptance in same-race relationships predicted greater flourishing and lower depressive affect, even after controlling for support and acceptance in interracial relationships. These results underscore the importance of same-race relationships for people of color in the U.S. In conjunction with practices addressing structural barriers, opportunities to connect with same-race peers can nurture the flourishment of people of color in the U.S. and possibly other contexts in which they are stigmatized.

有色人种每天都要面对种族歧视。在这种情况下,拥有相似种族/民族背景的人的支持和接受可能具有特别重要的意义。在两项研究中,使用美国全国样本(n = 1618)和一个长期的每周日记设计(n = 103),黑人,拉丁裔和亚洲学生从亲密的同种族(相对于跨种族)关系中获得更多的支持和接受。与白人参与者相比,黑人和拉丁裔参与者从他们的关系中获得了更多的支持和接受。此外,在同种族关系中,更多的支持和接受预示着更大的繁荣和更低的抑郁情绪,即使在控制了跨种族关系中的支持和接受之后也是如此。这些结果强调了同种族关系对美国有色人种的重要性,结合解决结构性障碍的做法,与同种族同龄人联系的机会可以促进美国有色人种的繁荣,甚至可能在其他有色人种被污名化的环境中。
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引用次数: 4
Eradicating ageism through social campaigns: An Israeli case study in the shadows of the COVID-19 pandemic 通过社会运动消除年龄歧视:2019冠状病毒病大流行阴影下的以色列案例研究
IF 3.9 1区 社会学 Q1 PSYCHOLOGY, SOCIAL Pub Date : 2022-08-15 DOI: 10.1111/josi.12540
Sarit Okun, Liat Ayalon

This study examined three social campaigns for the eradication of ageism that were undertaken in Israel during the COVID-19 pandemic (April, 2020–May, 2021). The documentation and analysis of the campaigns were undertaken via the lens of the Theory of Change and Five Key Principles for social campaigns: planning strategically, communicating effectively, fostering community engagement, implementing key activities, and using research. We conducted desk reviews and qualitative interviews with the campaigns’ organizers. The Theory of Change implemented by the campaigns targeted self-ageism among independent older people and/or employers of older adults. All campaigns emphasized “active aging” and “successful aging,” to decrease (self)-ageism. The focus on one dimension of active and positive aging may result in ageism and exclusion of older people who do not fit into the category of independent and active people. The complex timing of the campaigns had influenced the degree of implementation of the five key principles. The joining of forces of different organizations and the employment of more diverse representations of old age, may facilitate the achievement of campaign goals. Finally, an empirical evaluation of social campaigns’ efforts is still necessary to gather evidence about the effectiveness of social campaigns.

本研究审查了2019冠状病毒病大流行期间(2020年4月至2021年5月)在以色列开展的三项消除年龄歧视的社会运动。这些活动的记录和分析是通过变革理论和社会运动的五个关键原则进行的:战略规划、有效沟通、促进社区参与、实施关键活动和利用研究。我们对这些活动的组织者进行了书面评论和定性访谈。运动实施的变革理论针对的是独立老年人和/或老年人雇主中的自我年龄歧视。所有的运动都强调“积极老龄化”和“成功老龄化”,以减少(自我)年龄歧视。对积极和积极老龄化的一个维度的关注可能导致年龄歧视和排斥那些不属于独立和积极人群的老年人。运动的复杂时间安排影响了五项关键原则的执行程度。不同组织的联合力量和雇用更多样化的老年人代表,可能有助于实现运动目标。最后,对社会运动的努力进行实证评估仍然是必要的,以收集有关社会运动有效性的证据。
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引用次数: 10
Reducing ageism toward older adults and highlighting older adults as contributors during the COVID-19 pandemic 减少对老年人的年龄歧视,强调老年人在COVID-19大流行期间的贡献
IF 3.9 1区 社会学 Q1 PSYCHOLOGY, SOCIAL Pub Date : 2022-08-09 DOI: 10.1111/josi.12545
Ashley Lytle, Sheri R. Levy

The COVID-19 pandemic exacerbated ageism (stereotyping, prejudice, and discrimination) toward older adults in the United States, highlighting the belief that older adults are a burden. Prior to the pandemic, a growing body of research sought to reduce ageism using the PEACE (Positive Education about Aging and Contact Experiences) model. Extending that research, participants were randomly assigned to watch three videos (less than 10 min total) that challenged stereotypes about aging and older adults, depicted positive intergenerational contact, and highlighted older adults as contributors to society (experimental condition) or three videos on wallpaper (control condition). Experimental participants (undergraduate students in Study 1 and a national community sample of young adults in Study 2) reported increased endorsement of older adults as contributors to society and positive stereotypes of older adults. In addition, in Study 2, negative stereotypes of older adults and views of intergenerational conflict were also reduced among experimental (vs. control) participants. These promising findings show that relatively brief ageism reduction interventions are effective during the pandemic and for the first time, that the perception of older adults as contributors to society can be increased. Future directions and implications for social policies are discussed.

2019冠状病毒病大流行加剧了美国对老年人的年龄歧视(陈规定型观念、偏见和歧视),凸显了老年人是负担的观念。在大流行之前,越来越多的研究机构试图利用PEACE(关于老龄化和接触经验的积极教育)模式减少年龄歧视。在这项研究的扩展中,参与者被随机分配观看三段视频(总共不到10分钟),这些视频挑战了对老龄化和老年人的刻板印象,描绘了积极的代际接触,并强调老年人是社会的贡献者(实验条件)或三段墙纸视频(控制条件)。实验参与者(研究1中的本科生和研究2中的全国社区年轻人样本)报告说,老年人作为社会贡献者的认可增加了,老年人的积极刻板印象也增加了。此外,在研究2中,实验参与者(与对照组相比)对老年人的负面刻板印象和代际冲突的看法也有所减少。这些令人鼓舞的发现表明,在大流行期间,相对短暂的减少年龄歧视干预措施是有效的,这是第一次,老年人作为社会贡献者的观念可以得到加强。讨论了未来社会政策的发展方向和影响。
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引用次数: 18
“You are stealing our present”: Younger people's ageism towards older people predicts attitude towards age-based COVID-19 restriction measures “你在偷走我们的礼物”:年轻人对老年人的年龄歧视预示着人们对基于年龄的COVID-19限制措施的态度。
IF 3.9 1区 社会学 Q1 PSYCHOLOGY, SOCIAL Pub Date : 2022-08-09 DOI: 10.1111/josi.12537
Federica Spaccatini, Ilaria Giovannelli, Maria Giuseppina Pacilli

The COVID-19 pandemic emerged to be a fertile ground for age-based prejudice and discrimination. In particular, a growing literature investigated ageism towards older people at the individual and the interpersonal level, providing evidence of its prevalence, antecedents and negative consequences. However, less much is known on the phenomenon at the intergroup level. To fill this gap, the present correlational research investigated the effects of younger people's endorsement of ageism towards older people on the attitude towards COVID-19 restriction measures primarily targeted to older (vs. younger) population. In the autumn of 2020, five hundred and eighty-two Italian participants (83.3% females; Mage = 20.02, SDage = 2.83) completed an online questionnaire. Results revealed that the younger people's endorsement of ageism towards older people increased the attribution of culpability for the severity of COVID-19 restriction measures to older (vs. younger) people, which, in turn positively affected the attitudes towards older (vs. younger) people isolation and support for selective lockdown on older population only. The main contributions of the study, limitations, future research directions, and practice implications are discussed.

新冠肺炎大流行已成为基于年龄的偏见和歧视的肥沃土壤。特别是,越来越多的文献从个人和人际层面调查了对老年人的年龄歧视,提供了其普遍性、前因和负面后果的证据。然而,在群体间层面对这一现象知之甚少。为了填补这一空白,目前的相关研究调查了年轻人对老年人的年龄歧视对主要针对老年人(相对于年轻人)的新冠肺炎限制措施的态度的影响。2020年秋季,582名意大利参与者(83.3%为女性;M年龄=20.02,SD年龄=2.83)完成了一份在线问卷。结果显示,年轻人对老年人年龄歧视的认可增加了对新冠肺炎限制措施严重性的责任归属于老年人(与年轻人相比),这反过来又积极影响了对老年人隔离和支持仅对老年人进行选择性封锁的态度。讨论了本研究的主要贡献、局限性、未来的研究方向和实践意义。
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引用次数: 14
Couples losing kinship: A systematic review of weight stigma in romantic relationships 失去亲属关系的夫妻:对恋爱关系中体重耻辱的系统回顾
IF 3.9 1区 社会学 Q1 PSYCHOLOGY, SOCIAL Pub Date : 2022-08-08 DOI: 10.1111/josi.12542
Alexandria M. Schmidt, Madeline Jubran, Emily Georgia Salivar, Paula M. Brochu

Romantic relationship quality is a robust predictor of health and well-being. With increasing awareness of the pervasiveness and harm of weight stigma, it is important to understand the role of weight stigma within romantic relationships. This systematic review sought to synthesize the findings of research examining the association between weight stigma and relationship functioning. Following PRISMA guidelines, 32 relevant articles were identified. Only nine assessed or manipulated weight stigma directly; most measured body mass index (BMI) and examined associations with relationship outcomes. Although, the association between BMI and relationship functioning was inconsistent across studies, weight stigma, most notably in the form of weight criticism between partners, was consistently associated with poorer relationship functioning, including lower relationship satisfaction, sexual intimacy, relationship stability, and constructive communication during conflict. The existing literature is limited by convenience samples of primarily White, heterosexual adults in individualistic countries. Several studies reinforced and expressed weight stigmatizing beliefs due to reliance on weight-normative perspectives on health to interpret findings. Future research is encouraged to examine the association between weight stigma and relationship functioning and underlying mechanisms using dyadic, longitudinal designs that incorporate weight-inclusive approaches. The development of couples-based interventions to address weight stigma in relationships is sorely needed.

恋爱关系的质量是健康和幸福的有力预测指标。随着人们对体重耻辱感的普遍性和危害的认识不断提高,了解体重耻辱感在恋爱关系中的作用变得非常重要。这篇系统综述试图综合研究体重耻辱感和关系功能之间关系的研究结果。按照PRISMA准则,确定了32篇相关文章。只有9个国家直接评估或操纵了柱头重量;大多数人测量了身体质量指数(BMI),并检查了与关系结果的关系。虽然BMI和关系功能之间的关系在研究中并不一致,但体重耻辱,尤其是伴侣之间体重批评的形式,始终与较差的关系功能相关,包括较低的关系满意度、性亲密度、关系稳定性和冲突期间的建设性沟通。现有的文献受限于个人主义国家中主要是白人、异性恋成年人的方便样本。一些研究加强并表达了体重污名化的信念,因为依赖于体重规范的健康观点来解释研究结果。未来的研究被鼓励去检验体重病耻感和关系功能之间的关联,以及使用包含体重的方法的二元纵向设计的潜在机制。迫切需要发展以夫妻为基础的干预措施,以解决关系中的体重耻辱感。结果显示,BMI与女孩和男孩的约会暴力受害之间没有关联。然而,总的来说,认为自己“太胖”的青春期女孩比不认为自己“太胖”的青春期女孩报告了更多的心理和身体伤害。还观察到种族/民族差异。黑人女孩的身体质量指数或自我感觉体重与约会暴力受害者之间没有明显的联系。西班牙裔女孩体重指数“超重”
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引用次数: 5
Perceptions of societal ageism and declines in subjective memory during the COVID-19 pandemic: Longitudinal evidence from US adults aged ≥55 years COVID-19大流行期间对社会年龄歧视和主观记忆下降的看法:来自年龄≥55岁的美国成年人的纵向证据
IF 3.9 1区 社会学 Q1 PSYCHOLOGY, SOCIAL Pub Date : 2022-08-07 DOI: 10.1111/josi.12544
Ella Cohn-Schwartz, Jessica M. Finlay, Lindsay C. Kobayashi

The cognitive health of older adults since the COVID-19 pandemic onset is unclear, as is the potential impact of pandemic-associated societal ageism on perceived cognition. We investigated associations between perceptions of societal ageism and changes in subjective memory over a 10-month period during the COVID-19 pandemic. We collected longitudinal data from monthly online questionnaires in the nationwide COVID-19 Coping Study of US adults aged ≥55 from April 2020 to January 2021 (N = 4444). We analyzed the data using multivariable longitudinal multilevel models. We identified an overall decline in subjective memory, especially in the initial months of the pandemic. Adults who perceived that societal respect for older adults decreased during the pandemic experienced more rapid declines in their subjective memory. These findings suggest that aging adults perceived a decline in their memory, especially during the initial months of the COVID-19 pandemic. Societal interventions to combat ageism may help improve subjective memory and could decrease risk for cognitive decline among middle-aged and older adults.

自2019冠状病毒病大流行以来,老年人的认知健康状况尚不清楚,与大流行相关的社会年龄歧视对感知认知的潜在影响也不清楚。我们调查了在COVID-19大流行期间10个月期间对社会年龄歧视的看法与主观记忆变化之间的关系。我们收集了2020年4月至2021年1月期间全美年龄≥55岁的美国成年人COVID-19应对研究(N = 4444)的月度在线问卷的纵向数据。我们使用多变量纵向多水平模型分析数据。我们发现主观记忆总体下降,特别是在大流行的最初几个月。认为在疫情期间社会对老年人的尊重有所下降的成年人,其主观记忆下降得更快。这些发现表明,老年人的记忆力有所下降,尤其是在COVID-19大流行的最初几个月。对抗年龄歧视的社会干预可能有助于改善主观记忆,并可能降低中老年人认知能力下降的风险。
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引用次数: 10
Self-disclosure of concealable stigmatized identities: A dyadic longitudinal investigation guided by the contact hypothesis 隐性污名化身份的自我披露:接触假说指导下的二元纵向调查
IF 3.9 1区 社会学 Q1 PSYCHOLOGY, SOCIAL Pub Date : 2022-08-07 DOI: 10.1111/josi.12543
Taylor Ballinger, Amy Canevello, Jennifer Crocker, Tao Jiang, Diane M. Quinn

Stigma reduction research finds that brief interactions with a person with mental illness can reduce prejudiced attitudes. We examined whether this finding extends to real relationships over an extended period of time. First-year college roommate dyads, one of whom reported a mental illness diagnosis participated in a longitudinal study (N = 166 dyads across three American universities). Based on contact theory, we tested whether mental illness prejudice declines when: (a) the student with mental illness disclosed that information to their roommate; (b) the roommate perceived the disclosure; and (c) the roommate relationship was close. Registered analyses showed that student disclosure predicted roommate perception (β = .52, p < .001), but roommate perception of the disclosure did not significantly predict reduced prejudice from the start to the end of the academic year (β = −.13, p = .172). Relationship closeness did not moderate how likely roommates were to perceive students’ disclosures. Notably, overall levels of mental illness prejudice were very low in this American college sample, suggesting that the value of stigma interventions may depend on the context. Directions for future research and social policy implications are discussed.

减少耻辱感的研究发现,与精神疾病患者的短暂互动可以减少偏见态度。我们研究了这一发现是否适用于长期的真实关系。大学一年级室友二人组,其中一人报告患有精神疾病,参与了一项纵向研究(美国三所大学的166对二人组)。基于接触理论,我们测试了心理疾病偏见在以下情况下是否会下降:(a)有心理疾病的学生将这些信息透露给他们的室友;(b)室友察觉到该披露;(3)室友关系很亲密。注册分析显示,学生披露可以预测室友感知(β = 0.52, p <.001),但室友对披露的感知并不能显著预测从学年开始到学年结束时偏见的减少(β =−)。13, p = .172)。亲密关系并没有调节室友对学生信息披露的感知程度。值得注意的是,在这个美国大学样本中,精神疾病偏见的总体水平非常低,这表明污名化干预的价值可能取决于环境。讨论了未来的研究方向和社会政策意义。
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引用次数: 3
Intergenerational programming during the pandemic: Transformation during (constantly) changing times 大流行期间的代际规划:(不断)变化时期的转型
IF 3.9 1区 社会学 Q1 PSYCHOLOGY, SOCIAL Pub Date : 2022-08-07 DOI: 10.1111/josi.12530
Shannon E. Jarrott, Skye N. Leedahl, Tamar E. Shovali, Carson De Fries, Amy DelPo, Erica Estus, Caroline Gangji, Leslie Hasche, Jill Juris, Roddy MacInnes, Matthew Schilz, Rachel M. Scrivano, Andrew Steward, Catherine Taylor, Anne Walker

Intergenerational programs have long been employed to reduce ageism and optimize youth and older adult development. Most involve in-person meetings, which COVID-19 arrested. ​​Needs for safety and social contact were amplified during COVID-19, leading to modified programming that engaged generations remotely rather than eliminating it. Our collective case study incorporates four intergenerational programs in five US states prior to and during COVID-19. Each aims to reduce ageism, incorporating nutrition education, technology skills, or photography programming. Authors present case goals, participants, implementation methods, including responses to COVID-19, outcomes, and lessons learned. Technology afforded opportunities for intergenerational connections; non-technological methods also were employed. Across cases, programmatic foci were maintained through adaptive programming. Community partners’ awareness of immediate needs facilitated responsive programming with universities, who leveraged unique resources. While new methods and partnerships will continue post-pandemic, authors concurred that virtual contact cannot fully substitute for in-person relationship-building. Remote programming maintained ties between groups ready to resume shared in-person programming as soon as possible; they now have tested means for responding to routine or novel cancellations of in-person programming. Able to implement in-person and remote intergenerational programming, communities can fight ageism and pursue diverse goals regardless of health, transportation, weather, or other restrictions.

长期以来,代际项目一直被用来减少年龄歧视,优化青年和老年人的发展。大多数都涉及面对面的会议,而COVID-19阻止了这一点。在2019冠状病毒病期间,对安全和社会接触的需求被放大,导致对规划进行了修改,使几代人远程参与,而不是消除这种需求。我们的集体案例研究纳入了美国五个州在COVID-19之前和期间的四个代际项目。每个项目都旨在减少年龄歧视,结合营养教育、技术技能或摄影节目。作者介绍了案例目标、参与者、实施方法,包括应对COVID-19的措施、成果和经验教训。科技为代际联系提供了机会;非技术方法也被采用。在各个案例中,通过自适应规划保持了程序性焦点。社区合作伙伴对当前需求的认识促进了与利用独特资源的大学的响应性规划。虽然新的方法和伙伴关系将在大流行后继续存在,但作者一致认为,虚拟接触不能完全取代面对面的关系建立。远程编程保持了准备尽快恢复面对面编程的小组之间的联系;现在,他们已经测试了应对常规或新奇的现场节目取消的方法。能够实施面对面和远程代际编程,社区可以对抗年龄歧视,追求多样化的目标,而不受健康、交通、天气或其他限制的影响。
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引用次数: 8
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