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Daily health and well-being among caregivers with multiple adverse childhood experiences: The role of family support and strain 具有多重不良童年经历的照顾者的日常健康和福祉:家庭支持和压力的作用
IF 3.4 2区 社会学 Q1 Medicine Pub Date : 2025-09-12 DOI: 10.1016/j.alcr.2025.100704
Jooyoung Kong , Yin Liu , David M. Almeida , Stephanie Robert

Background and objective

Caregiving for aging parents is a prevalent experience for middle- and older adults in the US. Utilizing a life course perspective to family caregiving, this study examined the associations between providing care to parents and four daily well-being outcomes while also testing the moderating roles of Adverse Childhood Experiences (ACEs) and current family support or strain.

Participants and setting

Using data from the National Study of Daily Experiences 3, a daily diary project of the Midlife in the United States study (MIDUS), we analyzed a sample of 434 caregivers and their 1123 daily diary records. A multilevel modeling approach was used to examine intra-individual patterns.

Results

For caregivers who reported three or more ACEs, daily negative affect was higher on days they provided care compared to days they did not. For these caregivers, positive family support buffered the associations between daily caregiving to parents and higher negative affect, lower positive affect, and poorer sleep quality. Family strain exacerbated the effects of daily caregiving to parents on higher negative affect, lower positive affect, more physical symptoms, and poorer sleep quality.

Conclusions

ACEs may play a crucial role in contextualizing caregivers’ daily health outcomes. The findings of the current study enhance our understanding of adult-child caregivers who experienced multiple ACEs and highlight their need for trauma-informed support.
背景与目的在美国,为年迈的父母提供照顾是一种普遍的经历。本研究利用家庭照顾的生命历程视角,研究了为父母提供照顾与四种日常幸福结果之间的关系,同时也测试了不良童年经历(ace)和当前家庭支持或压力的调节作用。参与者和环境使用来自国家日常经历研究的数据,这是美国中年研究(MIDUS)的一个日常日记项目,我们分析了434名护理人员的样本和他们的1123份日常日记记录。采用多层次建模方法检查个体内部模式。结果对于报告三次或三次以上不良经历的护理人员,提供护理的日子比不提供护理的日子每天的负面影响更高。对于这些照顾者来说,积极的家庭支持缓冲了日常照顾父母与较高的负面影响、较低的积极影响和较差的睡眠质量之间的关联。家庭紧张加剧了日常照顾对父母的负面影响,降低了积极影响,增加了身体症状,降低了睡眠质量。结论saces可能在护理人员的日常健康状况中起着至关重要的作用。本研究的发现增强了我们对经历过多次ace的成人儿童看护人的理解,并强调了他们对创伤知情支持的需求。
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引用次数: 0
Heterogeneity or disadvantage? Partnership, childbearing, and employment trajectories of the descendants of immigrants in the United Kingdom 异质性还是劣势?英国移民后裔的伴侣关系、生育和就业轨迹
IF 3.4 2区 社会学 Q1 Medicine Pub Date : 2025-08-29 DOI: 10.1016/j.alcr.2025.100703
Júlia Mikolai, Hill Kulu
We investigate how partnership, fertility, and employment changes interact in the lives of immigrants’ descendants in the UK. Although these domains are intertwined in individuals’ lives, most studies on migrants and minorities have examined them separately. We apply multi-channel sequence analysis to data from the UK Household Longitudinal Study to establish the main types of joint partnership, fertility, and employment trajectories among the native population and the descendants of immigrants (i.e., 1.5 and second generation). We analyse women and men separately. We find first that the descendants of European/Western immigrants exhibit family and employment trajectories similar to those of the native British population. Second, the descendants of Caribbean immigrants have diverse partnership and fertility patterns, but their employment outcomes are similar or even better compared to those of native women and men. Third, among women of South Asian descent, conservative partnership and family formation patterns are coupled with low labour market attachment. It is not the heterogeneity in partnership and family formation patterns which poses a challenge, rather that these patterns co-exist with low labour market participation. This is likely to have serious long-term implications for the wellbeing of second-generation women.
我们调查了伴侣关系、生育和就业变化如何在英国移民后代的生活中相互作用。尽管这些领域在个人生活中是交织在一起的,但大多数关于移民和少数民族的研究都是分开研究的。我们对来自英国家庭纵向研究的数据进行了多通道序列分析,以建立本地人口和移民后代(即1.5代和第二代)之间的联合伙伴关系、生育率和就业轨迹的主要类型。我们分别分析女性和男性。我们首先发现,欧洲/西方移民的后代表现出与英国本土人口相似的家庭和就业轨迹。其次,加勒比移民的后代有不同的伴侣关系和生育模式,但他们的就业结果与当地女性和男性相似,甚至更好。第三,在南亚裔女性中,保守的伴侣关系和家庭形成模式与较低的劳动力市场依恋相结合。构成挑战的不是伙伴关系和家庭形成模式的异质性,而是这些模式与劳动力市场参与率低并存。这可能会对第二代女性的福祉产生严重的长期影响。
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引用次数: 0
Trends in intergenerational coresidence in Taiwan: Age, period, and cohort analysis, 2000–2020 台湾世代共居趋势:年龄、时期与世代分析,2000-2020年
IF 3.4 2区 社会学 Q1 Medicine Pub Date : 2025-08-28 DOI: 10.1016/j.alcr.2025.100702
Yung-Han Chang
In the context of ongoing social and demographic changes, eldercare and living arrangements have become increasingly challenging in many aging societies, including Taiwan. Historically, high levels of coresidence between parents and adult children were largely upheld by filial piety in Taiwan. However, the declining influence of filial traditions has been accompanied by shifts in intergenerational coresidence (IC) patterns. Although tracing how coresidence has evolved is key to understanding family dynamics in East Asian contexts, studies have produced mixed results, largely due to the age-period-cohort (APC) identification problem. To address this gap, this study draws on longitudinal data from the Panel Study of Family Dynamics Survey (2000–2020) and applies an adapted hierarchical APC (HAPC) model to disentangle patterns of parents' coresidence with children across APC trends within a multilevel framework. The analysis reveals that the age effect follows a U-shaped pattern with notable gender differences—women experience a milder decline and an earlier resurgence in IC, along with cohort variations. Among the pre-boomer cohort (1935–1945), coresidence tends to decline, specifically among women, without a clear U-shape, whereas the boomer cohort (1946–1963) sees a rise in IC around age 60. These findings elucidate the complex interplay between time-varying factors and IC as it unfolds across individual life courses within the broader family life cycle. While filial traditions remain influential, deviations from traditional coresidence patterns suggest changes in intergenerational reciprocity and highlight the growing importance of children’s circumstances on IC.
在持续的社会和人口变化的背景下,老年人的照顾和生活安排在许多老龄化社会变得越来越具有挑战性,包括台湾。从历史上看,在台湾,父母和成年子女之间的高度同居在很大程度上是由孝道维持的。然而,孝道传统影响的减弱伴随着代际共居模式的转变。虽然追踪同居如何演变是理解东亚背景下家庭动态的关键,但由于年龄-时期-队列(APC)识别问题,研究结果好坏参半。为了解决这一差距,本研究利用了家庭动态调查小组研究(2000-2020)的纵向数据,并应用了一个适应的分层APC (HAPC)模型,在多层次框架内解开父母与子女共同居住的模式。分析显示,年龄的影响遵循u型模式,性别差异显著——女性的IC下降幅度较小,复苏时间较早,同时存在群体差异。在前婴儿潮一代(1935-1945)中,同居倾向于下降,特别是在女性中,没有明显的u型曲线,而婴儿潮一代(1946-1963)在60岁左右的时候,同居倾向有所上升。这些发现阐明了时变因素与IC之间复杂的相互作用,因为它在更广泛的家庭生命周期中展现在个人生命过程中。虽然孝道传统仍然有影响,但与传统同居模式的偏离表明代际互惠的变化,并突出了儿童环境对亲子关系的日益重要。
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引用次数: 0
Labor supply response of women across the divorce process and the moderating role of children 妇女离婚过程中的劳动力供给反应及子女的调节作用
IF 3.4 2区 社会学 Q1 Medicine Pub Date : 2025-08-08 DOI: 10.1016/j.alcr.2025.100694
Matthias Klingler
Employment is widely considered a key coping strategy for women against the economic burden of divorce. However, few studies have explored how women adjust their labor supply across the divorce process, particularly considering the moderating role of children’s presence and age. This study uses longitudinal data from the German Socio-Economic Panel (SOEP) from 1984 to 2021 in an event-study approach with fixed effects regressions and an extended control group design. This design allows group-specific age trends to be controlled for in moderation analyses. The findings show that women increase their labor supply in anticipation of divorce, intensify it during the transition period, and subsequently stabilize at a higher level. Whereas childless women show minimal changes in their labor supply, all groups of mothers experience an increase, which is sustained after divorce. Mothers of children aged six years and above tend to increase their labor supply primarily by working more hours, whereas there is some indication that mothers of children aged five years and below mainly enter or re-enter employment. Overall, the results suggest that increased economic activity is an important coping strategy for women during the divorce process, with mothers showing the most pronounced increase in labor supply.
就业被广泛认为是女性应对离婚经济负担的关键策略。然而,很少有研究探讨女性如何在离婚过程中调整劳动力供应,特别是考虑到孩子的存在和年龄的调节作用。本研究采用固定效应回归和扩展对照组设计的事件研究方法,使用1984年至2021年德国社会经济研究小组(SOEP)的纵向数据。这种设计允许在适度分析中控制特定群体的年龄趋势。研究结果表明,女性在预期离婚时增加了劳动力供给,在过渡时期增加了劳动力供给,随后稳定在较高水平。没有孩子的女性的劳动力供给变化很小,而所有母亲群体的劳动力供给都有所增加,而且在离婚后还会持续。6岁及以上儿童的母亲往往主要通过增加工作时间来增加劳动力供应,而有迹象表明,5岁及以下儿童的母亲主要进入或重新就业。总体而言,研究结果表明,在离婚过程中,增加经济活动是女性的一个重要应对策略,母亲们在劳动力供应方面的增长最为明显。
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引用次数: 0
Contrasting destinations? Emerging intention trajectories of latent family size 对比目的地吗?潜在家庭规模的新意向轨迹
IF 3.4 2区 社会学 Q1 Medicine Pub Date : 2025-07-26 DOI: 10.1016/j.alcr.2025.100693
Dávid Erát , Zsolt Spéder
Although fertility levels in European countries, including Hungary, have long been well below the two children per woman required for reproduction, the two-child family ideal has dominated views about the ideal number of children for decades. Our aim was to identify potential alternative trajectories regarding the intended number of children, specifically deliberate childlessness or a preference for large families. Using group-based trajectory analysis, we explored trajectories and several demographic, socioeconomic and attitudinal characteristics associated with them using a subsample of people aged 18–33 from five waves (2001–2016) of the Hungarian Generations and Genders Survey. Our findings reveal that among young people without children at age 18–33, approximately one in ten follow a trajectory of deliberate childlessness, with over a quarter of 18–33-year-olds are on a trajectory towards a large family. The associated criteria largely align with our expectations: age, partnership status, socialisation, educational attainment and support for career orientation significantly influence trajectory selection. However, some unexpected effects emerged, particularly with regard to the effect of education in the case of the voluntary childlessness trajectory.
尽管包括匈牙利在内的欧洲国家的生育率长期以来远低于每个妇女生育所需的两个孩子,但几十年来,两个孩子的家庭理想一直主导着人们对理想孩子数量的看法。我们的目的是确定关于预期子女数量的潜在替代轨迹,特别是故意不生育或偏爱大家庭。使用基于群体的轨迹分析,我们使用匈牙利世代和性别调查五波(2001-2016)中18-33岁人群的子样本,探索了轨迹以及与之相关的几种人口统计学、社会经济和态度特征。我们的研究结果显示,在18-33岁没有孩子的年轻人中,大约十分之一的人遵循故意不生育的轨迹,超过四分之一的18-33岁的人正朝着一个大家庭的方向发展。相关标准与我们的预期基本一致:年龄、伴侣关系、社交、教育程度和对职业方向的支持显著影响轨迹选择。然而,出现了一些意想不到的影响,特别是关于教育对自愿无子女轨迹的影响。
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引用次数: 0
How conflict shapes the impact of infant and child mortality on fertility in the Democratic Republic of the Congo 冲突如何影响刚果民主共和国婴儿和儿童死亡率对生育率的影响
IF 3.4 2区 社会学 Q1 Medicine Pub Date : 2025-07-16 DOI: 10.1016/j.alcr.2025.100692
Guerschom Mugisho
This study investigates the impact of infant or child mortality and its interaction with conflict exposure on fertility in the Democratic Republic of the Congo (DRC). Birth histories of 13,859 married women from the 2007 and 2013/2014 Demographic and Health Surveys were analyzed alongside conflict data from the Uppsala Conflict Data Program. A series of conditional frailty survival models were estimated. Results showed that women who lost an index or non-index child during or before the birth interval were at higher risk of giving birth. These findings provide evidence for an immediate volitional replacement effect, i.e., a deliberate or psychological effort to replace a lost child as soon as possible, as well as a long-term replacement effect reflecting the desire to achieve an ideal family size. The immediate replacement effect was more pronounced among women exposed to conflict, while the long-term effect was weaker. These results, which are robust to alternative measures of conflict, reflect how families respond to infant mortality and conflict. In the short run, conflict increases the urgency to replace deceased children, supporting the fast life history or bereavement theories. By contrast, in the long term, conflict disrupts reproductive planning—likely due to resource scarcity, uncertainty about the future, and other constraints—thereby supporting the economic theory of fertility. Short-term interventions should prioritize improving child health through nutrition and immunization, providing mental health support, and offering culturally sensitive reproductive counseling. In contrast, long-term interventions must focus on economic support and family planning programs to empower women in conflict zones.
本研究调查了刚果民主共和国(DRC)婴儿或儿童死亡率及其与冲突暴露对生育率的影响。研究人员分析了2007年和2013/2014年人口与健康调查中13859名已婚妇女的出生史,并分析了乌普萨拉冲突数据方案中的冲突数据。估计了一系列条件脆弱生存模型。结果显示,在生育间隔期间或之前失去指数或非指数孩子的妇女分娩的风险更高。这些发现为即时的自愿替代效应提供了证据,即一种有意或心理上的努力,以尽快取代失去的孩子,以及一种长期的替代效应,反映了实现理想家庭规模的愿望。在面临冲突的女性中,即时替代效应更为明显,而长期影响则较弱。这些结果对冲突的其他衡量标准是可靠的,反映了家庭如何应对婴儿死亡率和冲突。在短期内,冲突增加了替换死去的孩子的紧迫性,支持了快生活史或丧亲理论。相比之下,从长远来看,冲突破坏了生育计划——可能是由于资源短缺、未来的不确定性和其他限制因素——从而支持了生育的经济理论。短期干预措施应优先考虑通过营养和免疫、提供心理健康支持和提供文化敏感的生殖咨询来改善儿童健康。相反,长期干预措施必须侧重于经济支持和计划生育项目,以增强冲突地区妇女的权能。
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引用次数: 0
Hustling over the life course: Reconciling cultural norms and socio-economic realities for young mothers in Nairobi, Kenya 在生命历程中奔波:肯尼亚内罗毕年轻母亲的文化规范和社会经济现实的调和
IF 3.4 2区 社会学 Q1 Medicine Pub Date : 2025-07-08 DOI: 10.1016/j.alcr.2025.100691
Seung Wan Kim , Kirsten Stoebenau , Milka Omuya , Ann Muthoni , Raphael Musyoki , Rukia Nyambura , Victor Ambula
This paper draws on qualitative interviews with 50 mothers and 31 fathers from the Jamaa na Afya ya Mtoto (JAMO) project to examine the role of “hustling” in romantic relationships and motherhood in low-income communities in Nairobi, Kenya. Using a life-course lens and grounded in the “doing gender” framework, we explore how young mothers engage in hustling to pursue socially recognized adulthood. Thematic analysis reveals two key forms: hustling in motherhood—balancing caregiving with income generation—and hustling in marriage—legitimizing unions through bridewealth involvement and endurance. In a context of economic precarity and limited institutional support, hustling becomes not only a survival strategy but also a gendered practice through which adulthood is performed, reinforced, and at times subtly contested. This study highlights how young adults navigate fragmented life-course trajectories amid shifting gender expectations and material conditions, ultimately reshaping emerging norms around gender, work, and family in low-income urban settings in Africa.
本文通过对Jamaa na Afya ya Mtoto (JAMO)项目的50位母亲和31位父亲的定性访谈,研究了“忙忙碌碌”在肯尼亚内罗毕低收入社区的恋爱关系和母性中的作用。我们从生命历程的角度出发,以“做性别”的框架为基础,探讨年轻母亲如何努力追求社会认可的成年。主题分析揭示了两种关键形式:为人母的奔波——在照顾和创收之间取得平衡;婚姻中的奔波——通过新娘的财富参与和忍耐使婚姻合法化。在经济不稳定和制度支持有限的背景下,忙活不仅成为一种生存策略,而且成为一种性别实践,通过这种实践,成年期得以表现、加强,有时还会受到微妙的质疑。这项研究强调了年轻人如何在不断变化的性别期望和物质条件下驾驭支离破碎的人生轨迹,最终重塑非洲低收入城市环境中围绕性别、工作和家庭的新兴规范。
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引用次数: 0
Diverging trends in the age of social and biological transitions to adulthood 社会和生理年龄向成年过渡的不同趋势
IF 3.4 2区 社会学 Q1 Medicine Pub Date : 2025-06-18 DOI: 10.1016/j.alcr.2025.100690
Vegard Skirbekk , Christian K. Tamnes , Pétur Benedikt Júlíusson , Astanand Jugessur , Tilmann von Soest
We discuss how different disciplines vary in their definitions of what constitutes the transition to adulthood and the age at which this transition is attained. This review synthesizes diverse perspectives on conceptualizing adulthood, exploring markers from demographic, economic, legal, cultural, subjective, psychological, and biological domains―each offering unique insights. We discuss how this life transition has changed over time and across different contexts. We find that while socioeconomic markers such as entering the labor market and first childbirth are increasingly being delayed in contemporary societies, biological markers like puberty occur earlier, while institutional and legal markers of the transition are often constant. Consequently, individuals now experience extended periods of biological maturity before achieving social adulthood. This review highlights the complexities of defining adulthood and underscores the need for an updated and multidisciplinary examination of this significant life stage transition.
我们将讨论不同学科对什么构成了向成年的过渡以及实现这种过渡的年龄的定义是如何不同的。这篇综述综合了对成年概念化的不同观点,探索了人口、经济、法律、文化、主观、心理和生物领域的标记,每一个都提供了独特的见解。我们将讨论这种生活转变是如何随着时间和不同背景而改变的。我们发现,虽然社会经济标志(如进入劳动力市场和第一次分娩)在当代社会越来越晚,但青春期等生物学标志发生得更早,而过渡的制度和法律标志往往是不变的。因此,在达到社会成年期之前,个体现在经历了较长的生理成熟期。这篇综述强调了定义成年期的复杂性,并强调了对这一重要生命阶段过渡进行更新和多学科检查的必要性。
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引用次数: 0
Changes in women’s family trajectories in Mexico and Colombia 墨西哥和哥伦比亚妇女家庭轨迹的变化
IF 3.4 2区 社会学 Q1 Medicine Pub Date : 2025-05-31 DOI: 10.1016/j.alcr.2025.100686
Pilar Wiegand-Cruz , Viviana Salinas
This study investigates the family trajectories of young women in Mexico and Colombia, analysing changes across three birth cohorts and examining the evolving relationship between educational attainment and family trajectories. Utilizing data from the Colombian Demographic and Health Survey (DHS) and the Mexican Encuesta Nacional de la Dinámica Demográfica (ENADID), the study encompasses retrospective partnership and childbearing histories for 45,683 women. Using sequence analysis and hierarchical clustering, we categorized family trajectories into five distinct clusters and employed multinomial logistic regression models to assess the association between family trajectories, birth cohort, and educational attainment. Our findings underscore a shift away from marriage and a rise in cohabitation in women’s family trajectories, coupled with an increase in complexity among younger cohorts, evident through more frequent separations and second-order unions. The study reveals that, despite evolving patterns, the predominant family trajectories within every cohort are characterized by stability, either in the form of marriage or cohabitation.
本研究调查了墨西哥和哥伦比亚年轻女性的家庭轨迹,分析了三个出生队列的变化,并研究了受教育程度和家庭轨迹之间不断发展的关系。这项研究利用哥伦比亚人口与健康调查(DHS)和墨西哥国家调查Dinámica Demográfica (ENADID)的数据,对45,683名妇女的伴侣关系和生育史进行了回顾性调查。利用序列分析和层次聚类,我们将家庭轨迹分为五个不同的类,并采用多项逻辑回归模型来评估家庭轨迹、出生队列和受教育程度之间的关系。我们的研究结果强调了女性家庭轨迹的转变和同居的增加,以及年轻群体中复杂性的增加,从更频繁的分居和二次结合中可以看出。这项研究表明,尽管模式不断演变,但每一组人中主要的家庭轨迹的特点是稳定,要么是婚姻,要么是同居。
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引用次数: 0
Rushed into adulthood: Child marriage and women’s work-family life courses in Egypt 仓促步入成年:埃及的童婚和妇女的工作-家庭生活历程
IF 3.4 2区 社会学 Q1 Medicine Pub Date : 2025-05-30 DOI: 10.1016/j.alcr.2025.100687
Mariam Abouelenin , Yang Hu
Prevalent in the Global South, child marriage powerfully shapes women’s work and family lives. Analyzing data from the Egypt Labor Market Panel Survey, we examine how child marriage influences the work-family life courses of Egyptian women between ages 6 and 30, to advance life course research in two crucial aspects. First, using multichannel sequence analysis, we identified six distinct work-family trajectories of Egyptian women who married as children and compared these with women who married as adults. Girl brides’ work-family trajectories are mostly marked by early fertility and minimal labor force participation, particularly in the public sector. While some clusters combine private-sector work with early, frequent childbearing, most remain out of the labor force despite their education. In contrast, women who married as adults exhibit delayed fertility and greater participation in stable public-sector employment, suggesting that the timing of marriage and childbirth shapes sector-specific work opportunities. Second, we use a counterfactual approach to test key mechanisms—education (human capital) and childbirth timing (gender role)—through which child marriage is expected to shape women’s work-family trajectories. While improved education increases girl brides’ public-sector employment, its impact on family trajectories is minimal. Delayed fertility impacts women’s family but not work trajectories. Our findings reflect critically on mainstream theories of, and interventions in, work-family life courses in the event of child marriage. They highlight the need to scrutinize the transition into “accelerated adulthood” as a distinctive feature of young adult life courses in the Global South, particularly among those affected by child marriage.
童婚在全球南方普遍存在,极大地影响了妇女的工作和家庭生活。分析来自埃及劳动力市场小组调查的数据,我们研究了童婚如何影响6至30岁埃及妇女的工作-家庭生活过程,以推进两个关键方面的生活过程研究。首先,使用多通道序列分析,我们确定了六种不同的工作-家庭轨迹的埃及妇女结婚的孩子,并将这些与妇女结婚的成年人进行比较。少女新娘的工作-家庭轨迹大多以早育和极少的劳动力参与为特征,特别是在公共部门。虽然有些群体将私营部门的工作与早育、频繁生育结合起来,但大多数人尽管受过教育,但仍未进入劳动力市场。相比之下,成年结婚的妇女表现出生育延迟和更多地参与稳定的公共部门就业,这表明结婚和生育的时间决定了特定部门的工作机会。其次,我们使用反事实的方法来测试关键机制——教育(人力资本)和生育时间(性别角色)——通过这些机制,童婚有望塑造女性的工作-家庭轨迹。虽然教育的改善增加了女童新娘在公共部门的就业,但其对家庭轨迹的影响微乎其微。推迟生育会影响女性的家庭,但不会影响她们的工作轨迹。我们的研究结果批判性地反映了主流理论和干预,在童婚事件中的工作-家庭生活过程。他们强调有必要仔细审查过渡到“加速成年”的过程,这是全球南方国家,特别是受童婚影响的国家青年生活过程的一个显著特征。
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引用次数: 0
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