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A Spatial-Temporal Epidemiology of Anxiety Incidence Rates in Iran (2010-2021): An Ecological Study
Fatemeh Majdolashrafi1,2, Ali Delpisheh1,2, Raha Davatgar2
1Safety Promotion and Injury Prevention Research Center, Research Institute for Health Sciences and Environment Shahid Beheshti University of Medical Sciences Tehran Iran.
Health Science Reports
|July 30, 2026
Summary
Anxiety disorder incidence in Iran increased significantly from 2010-2021, outpacing global trends. The study highlights specific high-risk provinces and demographic disparities, emphasizing the need for targeted mental health resource allocation.
Area of Science:
- Epidemiology
- Global Health
- Mental Health Research
Background:
- Anxiety disorders are a leading cause of global disability, impacting daily life.
- Understanding regional patterns is crucial for effective public health interventions.
Purpose of the Study:
- To investigate the spatial and temporal trends of anxiety disorders in Iranian provinces between 2010 and 2021.
- To identify high-risk areas and demographic patterns for targeted mental health strategies.
Main Methods:
- Ecological study utilizing 12 years of data (2010-2021) from the IHME.
- Calculation of annual age-standardized incidence rates (ASR) per 100,000 population.
- Spatial-temporal analysis to assess geographical and temporal distribution of anxiety rates.
Main Results:
- Iran's ASR of anxiety rose by 175.96 per 100,000 population (2010-2021), exceeding global increases.
- Females exhibited higher incidence rates than males.
- Southeastern provinces (Kohgiluyeh, Boyer-Ahmad, Sistan, Baluchestan) showed highest incidence; North Khorasan emerged as an anxiety hotspot (2016-2021).
Conclusions:
- Spatial and temporal trends provide insights for resource allocation in mental health management.
- High-risk provinces require focused interventions to address anxiety disorder prevalence.
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