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In low-income and middle-income countries, epidemiological evidence suggests that improving social and economic conditions could prevent or reduce incidence of low back pain, but could also create expectations and demands for medical investigations and low-value health care that paradoxically increase the risk of long-term back-related disability (what we term the low back pain paradox).

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EQUITY-BASED APPROACH It should be recognized that the unequal distribution of noncommunicable diseases is ultimately due to the inequitable distribution of social determinants of health, and that action on these determinants, both for vulnerable groups and the entire population, is essential to create inclusive, equitable, economically productive and healthy societies.

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Relation between work life issues and risky behaviours
Workers who are stressed may cope with that by unhealthy behaviors like eating too much, smoking, drinking alcohol. When they have low income they may lack money for buying good food and taking time for cooking, besides financial stress. Therefore, poor work conditions may be a social determinant of risky personal behaviour. For instance, cleaning workers are more obese and over weighted than average. Therefore, we should address work related issues in order to make it possible that workers change their personal behaviours

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Why is changing health-related behavior so difficult?

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Why is changing health-related behavior so difficult?

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Michael P Kelly , Mary Barker
Objective:
The study aims to describe elaborately about the six common errors which have been taken into account as obstacles to implement the evidence derived from  psychology and sociology context of behavioral change.  This paper also recommends a new approach for the development of behavioral sciences.
Six Common Errors
-  It is just common sense
-   It is about getting the message across
- Knowledge and information drive behaviour
- People act rationally
- People act irrationally
- It is possible to predict accurately

Reflections:
- Smoking as an example. There is a need to take into account the social environment of a person related to health behaviors.
- Unhealthy habits as a part of person's daily routines, habits or an individual's self-image, for example, smoking is a part of my daily routines and I'm identifying myself as a smoker. Despite you have the knowledge that smoking is not healthy, that might not stop you from smoking, since the habit part of my life in a wider context.
- How can we take into account the social environment and self-image of a person while aiming to change the unhealthy habits of people, such as smoking or excessive alcohol use?