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  1. 1581
    “…Although there is no easy way to cope with this dual hardship, the people and the health system, even in a fragile and shock-prone setting like Myanmar, stayed resilient by developing alternative pathways for seeking and providing health services.…”
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    Community stressors and coping mechanisms in accessing the health system during a double crisis: a qualitative case study from Yangon Region, Myanmar
  2. 1582
    “…BACKGROUND: The goal of universal health coverage (UHC) is that every individual has access to high-quality health services without running the consequences of financial hardship. The World health report 2013 "Research for universal health coverage" states a performant National Health Research Systems (NHRS) can contribute by providing solutions to challenges encountered in advancing towards UHC by 2030. …”
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    An assessment of the performance of the national health research system in Mauritius
  3. 1583
    “…Early interventions for preventing multimorbidity among people with low SES could be intensified to protect older adults from financial hardship. In addition, concerted efforts are needed to increase patients’ rational healthcare utilization and strengthen current medical security for people with high SES to reduce economic disparities in CHE. …”
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    Associations among socioeconomic status, multimorbidity of non-communicable diseases, and the risk of household catastrophic health expenditure in China: a population-based cohort study
  4. 1584
    “…As for unmet inpatient care needs, although its probability increased from 0.76 to 1.48%, the percentage of reasons for financial hardship decreased from 47.62 to 28.57%. The HI for unmet hospitalization need was − 0.07 in 2013 and − 0.05 in 2018, and neither was statistically significant. …”
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    Income-related equity in inpatient care utilization and unmet needs between 2013 and 2018 in Tibet, China
  5. 1585
    “…Among these determinants, health literacy and financial hardship emerged as key recurring factors shaping poor patient experiences that should be prioritized for attention by cancer care services. …”
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    Socio-demographic and health-related determinants of patients’ overall rating and experiences of cancer care
  6. 1586
    “…CONCLUSIONS: A constellation of factors may be associated with help-seeking in school by minority Israeli Arab adolescents: they are students at higher risk for an emotional or behavioral disorder, they have more socio-economic hardship, they feel less comfortable at home and they are more likely to live in the larger Muslim cities. …”
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    Help seeking in school by Israeli Arab minority adolescents with emotional and behavioral problems: results from the Galilee Study
  7. 1587
    por Stawicki, Stanislaw P, Jeanmonod, Rebecca, Miller, Andrew C, Paladino, Lorenzo, Gaieski, David F, Yaffee, Anna Q, De Wulf, Annelies, Grover, Joydeep, Papadimos, Thomas J., Bloem, Christina, Galwankar, Sagar C, Chauhan, Vivek, Firstenberg, Michael S., Di Somma, Salvatore, Jeanmonod, Donald, Garg, Sona M, Tucci, Veronica, Anderson, Harry L, Fatimah, Lateef, Worlton, Tamara J, Dubhashi, Siddharth P, Glaze, Krystal S, Sinha, Sagar, Opara, Ijeoma Nnodim, Yellapu, Vikas, Kelkar, Dhanashree, El-Menyar, Ayman, Krishnan, Vimal, Venkataramanaiah, S, Leyfman, Yan, Saoud Al Thani, Hassan Ali, WB Nanayakkara, Prabath, Nanda, Sudip, Cioè-Peña, Eric, Sardesai, Indrani, Chandra, Shruti, Munasinghe, Aruna, Dutta, Vibha, Dal Ponte, Silvana Teixeira, Izurieta, Ricardo, Asensio, Juan A, Garg, Manish
    Publicado 2020
    “…Implementation of social and physical isolation measures has caused sudden and profound economic hardship, with marked decreases in global trade and local small business activity alike, and full ramifications likely yet to be felt. …”
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    The 2019–2020 Novel Coronavirus (Severe Acute Respiratory Syndrome Coronavirus 2) Pandemic: A Joint American College of Academic International Medicine-World Academic Council of Emergency Medicine Multidisciplinary COVID-19 Working Group Consensus Paper
  8. 1588
    “…These factors suggest multifaceted pro-poor interventions that will protect them from hardship and reduce their socioeconomic inequalities in coverage of full vaccination. …”
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    Socioeconomic inequalities in non- coverage of full vaccination among children in Bangladesh: a comparative study of Demographic and Health Surveys, 2007 and 2017–18
  9. 1589
    “…For physical IPV only, reduced discrepant reporting was also associated with baseline household-level financial hardship and more severe or extensive experience of IPV. …”
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    Longitudinal inconsistencies in women’s self-reports of lifetime experience of physical and sexual IPV: evidence from the MAISHA trial and follow-on study in North-western Tanzania
  10. 1590
    “…Further interventions are needed targeting the uninsured and patients facing transportation hardship. Additionally, association between counselling of women patients by a female data collector and greater return to follow-up needs further exploration to optimize counselling procedures. …”
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    Enablers and barriers to post-discharge follow-up among women who have undergone a caesarean section: experiences from a prospective cohort in rural Rwanda
  11. 1591
    “…METHODS: The Sickle Cell Transplantation Evaluation of Long-Term and Late Effects Registry (STELLAR) was designed to enroll patients with SCD ≥1 year post-HCT, their siblings without SCD, and nontransplanted controls with SCD to collect web-based participant self-reports of health status and practices by using the Bone Marrow Transplant Survivor Study (BMTSS) surveys, health-related quality of life (HRQOL) using the Patient-Reported Outcomes Measurement Information System (PROMIS) Pediatric Profile-25 or Pediatric Profile-29 survey, chronic graft-versus-host disease (cGVHD) using the symptom scale survey, daily pain using an electronic pain diary, the economic impact of HCT using the financial hardship survey, sexual function using the PROMIS Sexual Function SexFSv2.0 survey, and economic productivity using the American Time Use Survey (ATUS). …”
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    Sickle Cell Transplantation Evaluation of Long-term and Late Effects Registry (STELLAR) to Compare Long-term Outcomes After Hematopoietic Cell Transplantation to Those in Siblings Without Sickle Cell Disease and in Nontransplanted Individuals With Sickle Cell Disease: Design and Feasibility Study
  12. 1592
    “…BACKGROUND: Financial risk protection (FRP), defined as households’ access to needed healthcare services without experiencing undue financial hardship, is a critical health systems target, particularly in low- and middle-income countries (LMICs). …”
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    Financial risk protection from out-of-pocket health spending in low- and middle-income countries: a scoping review of the literature
  13. 1593
    “…At baseline, mean age was 57 years, mean years since diagnosis was 2 years, 76% had a high school education or less, and 34% reported financial hardship. The overall median CAR slope was 0.10, and median cortisol AUCg (in thousands) was 11.34 (range = 0.93, 36.66). …”
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    Cortisol levels in rural Latina breast cancer survivors participating in a peer-delivered cognitive-behavioral stress management intervention: The Nuevo Amanecer-II RCT
  14. 1594
    “…Such hardship was significantly less common among White compared with Black participants (odds ratio, 0.20; 95% CI, 0.16-0.25). …”
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    Design, Implementation, and Outcomes of a Volunteer-Staffed Case Investigation and Contact Tracing Initiative at an Urban Academic Medical Center
  15. 1595
    “…CONCLUSION: Though many individuals in our sample experienced hardship, minority populations were unequally impacted by pandemic-related adversity in work life, home life, and wellbeing. …”
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    The COVID-19 pandemic’s intersectional impact on work life, home life and wellbeing: an exploratory mixed-methods analysis of Georgia women’s experiences during the pandemic
  16. 1596
    “…RESULTS: Major reasons adduced for SPGs were: economic hardship (41%), ignorance of the goat’s pregnancy status (21%), increased demand for chevon (13%) and feed scarcity during drought (11%). …”
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    Indiscriminate slaughter of pregnant goats for meat in Enugu, Nigeria: Causes, prevalence, implications and ways-out
  17. 1597
    “…Completed university education (aOR: 0.61, 95% CI, 0.44–0.84) and no financial hardship < 12 months (aOR: 0.06, 95% CI, 0.06–0.07) were protective factors for menstrual poverty. …”
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    Menstruation and social inequities in Spain: a cross-sectional online survey-based study
  18. 1598
    “…Concerns regarding financial hardship, stigmatization, loneliness, limited access to health care services, failure to find medical supplies, and transmission of COVID-19 to family and friends were more prevalent in the HD group. …”
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    Psychological review of hemodialysis patients and kidney transplant recipients during the COVID-19 pandemic
  19. 1599
    por Collier, Jane, Kienzler, Hanna
    Publicado 2018
    “…In particular, study participants highlighted how political determinants, notably the detrimental impact of the Israeli occupation, and social determinants, directly and indirectly influence behavioural determinants due to physical and bureaucratic barriers to accessing health facilities, economic hardship and chronic stress. These stressors, in turn, were perceived as having a negative effect on individual behavioural risk factors including smoking, unhealthy diet and an increasingly sedentary lifestyle. …”
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    Barriers to cardiovascular disease secondary prevention care in the West Bank, Palestine – a health professional perspective
  20. 1600
    “…Despite some improvements with ACA implementation, large burdens remained, and further reform is needed to protect this population from excessive hardship.…”
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    Associations of Insurance Churn and Catastrophic Health Expenditures With Implementation of the Affordable Care Act Among Nonelderly Patients With Cancer in the United States
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