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More importantly, whatever form of arrangements are in place, they should guarantee the population access to quality health care that is affordable for which they do not have to suffer any financial hardships in using them (i.e., the core of UHC) [ 61].
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Asians had significantly higher fear of injections (P = 0.003) and expected greater hardship in using insulin than whites (P = 0.03).
Fear of hypoglycemia was the strongest barrier to insulin treatment while expected hardship in using insulin influenced the PIR minimally.
Asians and other nonblack minority groups had significantly higher fear of injections and expected greater hardship in using insulin than whites.
Critical health system challenges include ensuring that vulnerable populations are included under universal health coverage schemes that translate into access to needed health services for all people without financial hardship in using them [ 43].
Previous Swedish studies have analyzed subjective economic hardships using the same item as in this study and demonstrated significant associations with health outcomes [ 41- 43].
In June 1998, the women's levels of objective hardship were assessed using a tailor-made questionnaire tapping into four categories of exposure: Threat, Loss, Scope, and Change [ 42].
Hardship was measured using a series of questions about financial stress (e.g. failure to pay living and medical expenses) and the use of dissaving actions in the previous 12 months.
Hardship was measured using a series of questions about financial stress (e.g. failure to pay basic living and medical expenses) and the use of dissaving actions in the previous 12 months.
But its main purpose is preparing legionnaires for hardships in places where France still uses them for military intervention, like Chad, Djibouti or Ivory Coast.
Sex, age, country of residence, living alone, education, economic hardship were used as independent variables.
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