title: Correlation between Socioeconomic Status and Clinical Course in Patients with Cutaneous Leishmaniasis.
abstract: OBJECTIVE
  Leishmaniasis has long been known as a poverty-associated disease, which is particularly prevalent in developing and less developed countries. The role of socioeconomic status in the clinical course of the disease is less clearly defined. In this study, we investigated the potential relationship between the clinical course of cutaneous leishmaniasis in terms of its evolution into chronic forms and the socioeconomic status of the patients.
  
  
  METHODS
  A total of 140 patients attending the dermatology clinic in Imam Reza Hospital, Mashhad, Iran, were enrolled. The patients were grouped into high, medium, and low socioeconomic classes according to a comprehensive questionnaire. They received routine treatment protocols for leishmaniasis and were followed up for 1 year.
  
  
  RESULTS
  We found a statistically significant relationship between the clinical course of the disease and socioeconomic status.
  
  
  CONCLUSIONS
  Poverty might prolong the course of cutaneous leishmaniasis for many different reasons.
authors.affiliation: Cutaneous Leishmaniasis Research Center, Imam Reza Hospital, School of MedicineHealth Center, Faculty of MedicineHealth Sciences Research Center, Department of Biostatistics and Epidemiology, School of HealthDepartment of Social Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Vahid
authors.initials: V
authors.lastname: Mashayekhi-Ghoyonlo
authors.affiliation: Cutaneous Leishmaniasis Research Center, Imam Reza Hospital, School of MedicineHealth Center, Faculty of MedicineHealth Sciences Research Center, Department of Biostatistics and Epidemiology, School of HealthDepartment of Social Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran kiafarb@mums.ac.ir kiafarbita@yahoo.com.
authors.forename: Bita
authors.initials: B
authors.lastname: Kiafar
authors.affiliation: Cutaneous Leishmaniasis Research Center, Imam Reza Hospital, School of MedicineHealth Center, Faculty of MedicineHealth Sciences Research Center, Department of Biostatistics and Epidemiology, School of HealthDepartment of Social Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Mahboubeh
authors.initials: M
authors.lastname: Rohani
authors.affiliation: Cutaneous Leishmaniasis Research Center, Imam Reza Hospital, School of MedicineHealth Center, Faculty of MedicineHealth Sciences Research Center, Department of Biostatistics and Epidemiology, School of HealthDepartment of Social Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Habibollah
authors.initials: H
authors.lastname: Esmaeili
authors.affiliation: Cutaneous Leishmaniasis Research Center, Imam Reza Hospital, School of MedicineHealth Center, Faculty of MedicineHealth Sciences Research Center, Department of Biostatistics and Epidemiology, School of HealthDepartment of Social Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Majid Reza
authors.initials: MR
authors.lastname: Erfanian-Taghvaee
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007492:Iran / Q000453:epidemiology; D016773:Leishmaniasis, Cutaneous / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D055815:Young Adult