Elham Goodarzi, Erfan Ayubi, Kamyar Mansori, Rohollah Valizadeh, Sajjad Rahimi Pordanjani, Sakineh Mazharmanesh, Salman Khazaei, Seiran Nili, Shahram Mamdohi, Zaher Khazaei,

zaher khazaei social determinants of health research center, kurdistan university of medical sciences, sanandaj, iran salman khazaei 6. department of epidemiology & biostatistics, school of public health, hamadan university of medical sciences, hamadan, iran rohollah valizadeh msc student of epidemiology, urmia university of medical sciences,urmia, iran. sakineh mazharmanesh department of health services, hamadan university of medical sciences, hamadan, iran shahram mamdohi director of the department diseases city of boroujerd, and legal of medical school sajjad rahimi pordanjani instructor , msc in epidemiology, department of public health, school of health, semnan university of medical sciences, semnan ,iran