“…Schooling, 22 in turn, may interfere in therapeutic adherence, due to the difficulty in interpreting professional recommendations and understanding the complexity of the disease, caused by deficits in reading, writing, and speaking skills. Regarding gender, 23 the stereotyped culture of the male model, of strong, active men who do not get sick, still prevails in the Brazilian social construction, which can be an impediment to high levels of HL in this population, because men tend to complain less, deny pain, weakness, and hide their physical and psycho-emotional fragility.…”