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Impact of remoteness on patient outcomes for people with multiple sclerosis in Australia


Chen, J and Ahmad, H and Taylor, B and Palmer, AJ and van der Mei, I, Impact of remoteness on patient outcomes for people with multiple sclerosis in Australia, Multiple Sclerosis and Related Disorders, 55 Article 103208. ISSN 2211-0348 (2021) [Refereed Article]

Copyright Statement

2021 Elsevier B.V. All rights reserved

DOI: doi:10.1016/j.msard.2021.103208


Background: Little is known about whether living in remote areas is associated with worse health outcomes in Australians with MS.

Objectives: To evaluate whether living in remote areas was associated with worse health outcomes, employment outcomes and different disease modifying therapy (DMTs) utilisation among Australians with MS.

Methods: We included 1,611 participants from the Australian MS Longitudinal Study. Level of remoteness (major cities, inner regional, outer regional, remote, and very remote Australia) was determined using postcode. Data were analysed using linear, log-binomial, log-multinomial and negative binomial regression.

Results: Living in more remote areas was not associated with substantial worse health/employment outcomes. There was a consistent pattern of those living in inner regional areas having worse outcomes, but the effect sizes were relatively small with no clear dose-response relationships with increasing remoteness. Those living in more remote areas were less likely to use high efficacy DMTs. Adjusting for age, disease duration, and education level only marginally reduced the associations.

Conclusions: There is no large inequity in health outcomes in the Australian MS population due to remoteness. However, modest and consistent differences in health outcomes and DMTs treatment are likely to have a substantial cumulative impact at an individual level.

Item Details

Item Type:Refereed Article
Keywords:disease modifying therapy; multiple sclerosis; quality of life; remoteness; symptoms
Research Division:Biomedical and Clinical Sciences
Research Group:Neurosciences
Research Field:Neurology and neuromuscular diseases
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Determinants of health
UTAS Author:Ahmad, H (Dr Hasnat Ahmad)
UTAS Author:Taylor, B (Professor Bruce Taylor)
UTAS Author:Palmer, AJ (Professor Andrew Palmer)
UTAS Author:van der Mei, I (Professor Ingrid van der Mei)
ID Code:152410
Year Published:2021
Web of Science® Times Cited:1
Deposited By:Menzies Institute for Medical Research
Deposited On:2022-08-18
Last Modified:2022-09-08

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