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Business owners in Chinese mainland, Vietnam, Mexico, India and Turkey are all high on the stress league table and are working in environments where high growth is expeced.

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This was followed by pressure on cashflow (26%), competitor activities (21%) and heavy workload (19%).

The survey also found a link between stress levels and the number of days taken off by an individual in a year.

Stress was the main cause of high levels of longterm public sector absence, with three-quarters of public sector organisations putting stress among the top five causes of absence.

The survey shows why closing the gap between public and private sector absence has proved so difficult for all governments over the years.

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