Association of individual and community-level socioeconomic status and education with medication use: a multilevel analysis in the PERSIAN cohort
Higher education was associated with lower medication use, whereas living in more educated communities was linked to higher usage. Although the association between individual SES and medication use was relatively weak, residing in middle-SES communities was associated with lower medication usage. These findings show the importance of addressing community-level factors in health research and policymaking.
Authors
- Alireza Ansari‐Moghaddam (ORCID: https://orcid.org/0000-0002-3267-7193)
- Alireza Moslem (ORCID: https://orcid.org/0000-0003-4478-9480)
- Abbas Rezaianzadeh (ORCID: https://orcid.org/0000-0002-0067-0659)
- Moluk Hadi Alijanvand
- Bita Mesgarpour (ORCID: https://orcid.org/0000-0002-4004-8493)
- Mohsen Tafaghodi (ORCID: https://orcid.org/0000-0002-8286-0973)
- Mehdi Moradinazar (ORCID: https://orcid.org/0000-0001-7033-6755)
- Azim Nejatizadeh (ORCID: https://orcid.org/0000-0001-6347-0163)
- Farhad Pourfarzi (ORCID: https://orcid.org/0000-0001-6442-6340)
- Mahsa Pakroo
- Farhad Moradpour (ORCID: https://orcid.org/0000-0002-4449-1978)
- Hossein Poustchi (ORCID: https://orcid.org/0000-0003-4566-3628)
- Nader Saki (ORCID: https://orcid.org/0000-0003-4564-6406)
- Hossein Molavi Vardanjani (ORCID: https://orcid.org/0000-0001-7024-8894)
- Ali Reza Safarpour (ORCID: https://orcid.org/0000-0002-9880-0043)
- Zahra Rahimian (ORCID: https://orcid.org/0000-0002-8731-8403)
- Seyed Reza Abdipour Mehrian (ORCID: https://orcid.org/0000-0002-4447-4131)
- Bahareh Fakhraei (ORCID: https://orcid.org/0000-0002-0318-4349)
- Erfan Taherifard (ORCID: https://orcid.org/0000-0002-9101-0321)
- Ehsan Taherifard (ORCID: https://orcid.org/0000-0002-8438-4990)
- Afshin Gharekhani (ORCID: https://orcid.org/0000-0003-1791-9120)
- Mahmood Moosazadeh (ORCID: https://orcid.org/0000-0002-5452-514X)
- Zahra Mohammadi (ORCID: https://orcid.org/0000-0002-0520-4876)
- Mohammadreza Akbari
- Reza Malekzadeh (ORCID: https://orcid.org/0000-0002-9820-6335)
- Amir Houshang Mehrparvar
- Farahnaz Joukar
- Ali Esmaeili-Nadimi
- Elahe Piraie
- SaharNaz Ghahramani
Institutions
- Ahvaz Jundishapur University of Medical Sciences (IR)
- Tabriz University of Medical Sciences (IR)
- Mashhad University of Medical Sciences (IR)
- Shahrekord University of Medical Sciences (IR)
- Shiraz University of Medical Sciences (IR)
- Guilan University of Medical Sciences (IR)
- Shahid Sadoughi University of Medical Sciences and Health Services (IR)
- Kurdistan University of Medical Sciences (IR)
- Ardabil University of Medical Sciences (IR)
- Kermanshah University of Medical Sciences (IR)
- Yasuj University of Medical Sciences (IR)
- Hormozgan University of Medical Sciences (IR)
- Zahedan University of Medical Sciences (IR)
- Fasa University of Medical Sciences (IR)
- Sabzevar University of Medical Sciences (IR)
- National Institute for Medical Research Development
- Tehran University of Medical Sciences (IR)
- Rafsanjan University of Medical Sciences (IR)
- Mazandaran University of Medical Sciences (IR)
Publication Details
- Journal
- BMC Public Health
- Published
- 2025-05-19
- DOI
- https://doi.org/10.1186/s12889-025-23062-y
- Primary Topic
- Healthcare cost, quality, practices
- Type
- article
- Field-Weighted Citation Impact
- 0.00