text: These responses are probably very much influenced**by occupational, sector and country-specific**
  **cultures of defining and expressing a health problem**and a different opinion on the job. It is clearly 
  not realistic that workers in Poland or Sweden suffer 10 times more often from a work-related health 
  problem than workers in Ireland or Romania. Suppression or resistance to express a health problem 
  might be one cause for such low figures for countries with a high degree of manual work, be it highly or 
  low skilled.258 It might also be that a high awareness of health issues — not only caused by the risk but 
  also by the necessary prevention measures — results in high response values for both questions, that 
  is,**high awareness of risks might be the cause for well-developed prevention measures and**