The Open Epidemiology
Urban/Rural Differences in Hospital Admissions with Multiple
Sclerosis in Selected Counties in Ohio 1999-2004
Sadik A. Khuder, Melissa Foos, Nabeel A. Herial, Anand B. Mutgi,
Basil S. Khuder and Rose Jung Pp 51-54
Context: Regional differences in the prevalence of Multiple
Sclerosis (MS) have been reported with higher rates in rural areas.
Purpose: Using hospital admission data from eight counties
in Ohio (1999 to 2004), we described the pattern of admissions for
MS patients and examined the rural/urban differences.
Methods: Adjusted admission rate ratios (ARR) for rural
regions were calculated using Poisson regression models.
Findings: The estimated admission rate was 70 per 100,000
in 1999 and increased to 90 per 100,000 in 2004 (p<0.0001). A
significant association between degree of urbanization and MS admission
rates was found with higher rate in rural area (ARR=1.23, 95% CI
1.17-1.35) and in female (ARR=2.45, 95% CI 2.37-2.54).
Conclusions: Admission rate for MS is increasing and rural
residence is associated with higher hospitalization rate.