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Updated: Sep 18, 2025

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Navigating challenges and embracing opportunities toward achieving equitable multiple sclerosis care.

Albert Aboseif1, Justin R Abbatemarco2, Marisa P McGinley2

  • 1Division of Multiple Sclerosis & Autoimmune Neurology, Department of Neurology, Mayo Clinic College of Medicine, Rochester, MN, USA; Center for Multiple Sclerosis & Autoimmune Neurology, Mayo Clinic College of Medicine, Rochester, MN, USA.

Multiple Sclerosis and Related Disorders
|June 24, 2025
PubMed
Summary

Health disparities persist for people with multiple sclerosis (pwMS) despite treatment advances. Addressing race, ethnicity, socioeconomic factors, and social determinants of health (SDOH) is crucial for equitable multiple sclerosis care.

Keywords:
Health disparityInequityMultiple sclerosisSocial determinants of healthSocioeconomic disadvantage

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Area of Science:

  • Neurology
  • Public Health
  • Health Equity

Background:

  • Multiple sclerosis (MS) care has advanced, yet significant disparities in access and outcomes remain.
  • These inequities disproportionately affect vulnerable populations, highlighting systemic issues in healthcare delivery.

Purpose of the Study:

  • To review contemporary issues driving health disparities among people with multiple sclerosis (pwMS).
  • To identify actionable solutions for improving equitable MS care and outcomes.

Main Methods:

  • This review synthesizes current literature on health disparities in multiple sclerosis.
  • It examines the influence of race, ethnicity, socioeconomic status, and social determinants of health (SDOH).

Main Results:

  • Racial and ethnic minorities, and those facing socioeconomic disadvantage, experience greater barriers to MS care.
  • Lack of inclusivity in clinical trials and geographic limitations further exacerbate disparities.

Conclusions:

  • Addressing health disparities in MS requires a multi-faceted approach, including community partnerships and telehealth.
  • Promoting inclusivity in research and care is essential for achieving health equity for all people with MS.