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This could explain the pattern of non-agreement observed here among RA patients with the lowest individual-level incomes, as RA patients are known to have a high burden of work disability [ 34, 35].
Structural human resource shortages (a hardware factor) thus contributed to a high burden of work and pressure to complete tasks quickly, which, compounded in some cases by lack of capacity, contributed to data-entry errors, shortcuts or shirking of these duties altogether.
Second, providing peer support can place a high burden of work and responsibility on supporters, it can expose supporters to emotionally-charged and often blurred relationships with those they are supporting, and it can be inconvenient when paired with the burden of managing their own illness [ 48].
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One reason for misjudging working conditions in primary care in Germany might be due to the fact that many GP trainees work in a single handed practice during their vocational training period and therefore experience a higher burden of work with more working hours than colleagues in group practices [ 20].
Traditional gender norms, a high burden of domestic work (especially for girls), long distances to school are some of the barriers to education.
Because women have less wealth, are more likely to be uneducated and have higher burdens of work [ 13, 14], all deriving from structures that shape gender and economic inequality, we can also expect to observe gender-related disparities, with higher prevalence of NCDs in women than in men.
Studies comparing the rates of hospitalizations and deaths from pH1N1 to the average rates from seasonal influenza revealed a high burden of the disease in children and working population during the 2009-2010 influenza pandemic in different parts of the world [ 2, 9].
Although this high burden of proof might seem daunting, cities can work together to challenge these practices.
Given the fact that a higher proportion of Chinese adults are exposed to SHS at home than in most other low- and middle-income countries with a high burden of tobacco use [ 26], there is considerable work yet to be done to promote voluntary smoke-free policies in private spaces in China.
Both cause a high burden of disease, large impact on social life and work capacity.
Another 67 countries are working towards reducing and controlling the high burden of malaria mortality and morbidity (Feachem 2010; Fernando 2011a).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com