بررسی تأثیر تعیین‌کننده‌های اجتماعی سلامت بر بقا و سیر بیماری مبتلایان به تومور بدخیم مغز در بیمارستان‌های منتخب تحت پوشش دانشگاه علوم پزشکی تهران

Background and Objectives: Social determinants of health affect a wide range of health consequences. The aim of this study was to analyze the effects of social determinants of health factors on survival in patients with malignant brain tumors. Methods: This cross-sectional retrospective study was done in Imam Khomeini and Shariati Hospitals in 2014. Based on inclusion criteria, the data of 148 patients were collected. The collected data included demographic information (including age, sex, education level, employment status, marital status, health insurance status, number of household members), information about the tumor and disease (stage / grade), The first and the last time of follow-up, type of selected treatment, and the duration of survival after treatment. We used SPSS 15 to analyze data. Results: Our results showed a significant relationship between survival and variables such as the size of the household, education, employment status, and age. Patients with grade 3 tumors had a lower relative risk of dying while employed patients, patients in the age range 18-30 years, and male patients had a higher relative risk of dying (lower survival). Conclusion: Lack of reliable databases and appropriate integration and communication between different organizations recording to patient data, and also probable sensitivity in obtaining personal information has led to the lack of systematic information about the impact of social determinants of health. it is recommended that a system of recording integrated information for different disease should be established in the country for designing informed policies based on the evidence.