Students Research Committee, Neyshabur University of Medical Sciences, Neyshabur, Iran.
Department of Clinical Neuroscience and Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Acta Neurol Scand. 2019 Nov;140(5):328-335. doi: 10.1111/ane.13148. Epub 2019 Jul 31.
A rising trend for incidence of multiple sclerosis (MS) has been observed during the recent years in Iran. Several factors have been investigated as the reason, but socioeconomic determinants have been neglected. The present study aimed to investigate the relationship between Human Development Index (HDI), income and education and MS prevalence in the provinces of Iran.
The data used in this study were obtained from three sources: (a) National Registry of MS for MS prevalence data from 2006 to 2013, (b) Statistical Centre of Iran for demographic, income, and percentage of educated people data, and (c) some previous studies for HDI data.
The findings showed high prevalence of MS in the provinces of Iran. Most patients were residents of provinces with a higher socioeconomic level. Significant relationships were found between the prevalence of MS and HDI, income and educational level (P = .002, P = .006, and P = .001, respectively).
Socioeconomic determinants in Iran are different from those in many other countries. It seems that Iranian provinces with a higher socioeconomic level have higher prevalence of MS. Further studies in smaller scale are needed to better understand the relationship between socioeconomic determinants and MS prevalence in the provinces of Iran.
近年来，伊朗多发性硬化症（MS）的发病率呈上升趋势。已经调查了一些因素作为原因，但社会经济决定因素被忽视了。本研究旨在探讨伊朗各省人类发展指数（HDI）、收入和教育与 MS 患病率之间的关系。
本研究使用的数据来自三个来源：（a）MS 国家登记处用于 2006 年至 2013 年的 MS 患病率数据，（b）伊朗统计中心用于人口、收入和受过教育人数的数据，以及（c）一些先前的研究用于 HDI 数据。
研究结果显示，伊朗各省 MS 的患病率较高。大多数患者是社会经济水平较高的省份的居民。MS 的患病率与 HDI、收入和教育水平之间存在显著关系（P = 0.002、P = 0.006 和 P = 0.001）。
伊朗的社会经济决定因素与许多其他国家不同。伊朗社会经济水平较高的省份 MS 患病率较高。需要在较小规模上进行进一步研究，以更好地了解伊朗各省社会经济决定因素与 MS 患病率之间的关系。
