伊朗被诊断患有多发性硬化症的个人的经济和社会地位
Fereshteh Ghadiri1, Mohammad Ali Sahraian1, Fereshteh Ashtari2
1Multiple Sclerosis Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
Archives of Iranian medicine
|February 1, 2024
概括
失业和未婚与伊朗多发性硬化症 (MS) 患者的治疗结果更差有关. 财政和社会支持可以减轻患者和社会负担.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 健康的社会经济决定因素
背景情况:
- 社会经济地位 (SES) 是影响多发性硬化症 (MS) 患者结果的潜在因素.
- 了解SES决定因素对于管理MS,一种慢性神经疾病至关重要.
研究的目的:
- 确定影响伊朗MS患者的社会经济因素.
- 分析SES,残疾和MS疾病进展之间的关系.
主要方法:
- 使用伊朗全国性多发性硬化病登记处 (NMSRI) 进行基于人口的研究.
- 将所有注册的多发性硬化患者纳入到2022年1月8日.
主要成果:
- 总共分析了5153名多发性硬化症患者,74.5%是女性,70.8%已婚,53.8%缺乏学术学位.
- 失业 (OR:3.75) 和未婚 (OR:2.60) 与扩展残疾状况表 (EDSS) ≥6.6显著相关.
- 失业的患者经历了较短的疾病进展时间 (P=0.03),早期发病年龄与更长的进展时间相关.
结论:
- 社会经济因素,特别是失业和婚姻状况,显著影响MS残疾和进展.
- 建议采取有针对性的经济和社会支持干预措施,以减少与MS相关的患者和社会负担.
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