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Systematic error due to recall (wish or self-compliance bias) in the perception of exposure to SHS as well as in the reporting of respiratory symptoms cannot be disregarded [62], [63].
A focus on the individual using subjective perception of exposure promotes individual intervention versus work culture or organizational context intervention.
Evidence is also presented supporting the hypothesis that perception of exposure and, therefore, of risk, may explain the results of the study.
In the case of chemical emergencies the perception of exposure has been shown to have similar effects on distress and general symptomatology as actual exposure [ 25].
The post-exposure period after sham exposure was compared with the post-exposure period after real exposure to test whether the real exposure influenced the perception of exposure in the post-exposure period.
Consequently the use of population mean perception of exposure as estimates of true exposure may be problematic if there has been significant local media interest in this subject irrespective of any objective measure of pollution.
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In our sample, non-nationals were more likely to be diagnosed later than Italians, as already reported elsewhere [ 16, 17] suggesting a low access to HIV testing sites, or a poor perception of exposures at risk for HIV, or the presence of language, cultural or socioeconomic barriers.
Although there is a risk that differences in the prevalence of respiratory disease could bias the population perception estimates of exposure severity, this is unlikely to be a major problem unless disease prevalence is extremely high.
Variables about self-reported perception of environmental exposure were correlated to distance classes used to define traffic-related exposure in both males and females, with subjects living within 100 m from the main road showing the highest self-reported exposure to traffic.
The between perception of individual exposure to different environmental stimuli; microclimate, noise and especially particulate matter (PM) was examined.
The present study comprises a sample of 434 industrial workers exposed to noise pressure levels greater than the action level defined in Portuguese legislation (85 dB(A)) and it aims at analysing the associations between some particular aspects of individual risk perception of noise exposure and the HPD use, as well as identifying the main factors influencing individual's risk perception.
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