PREVALENCE OF MIGRAINE HEADACHE IN CANADA - A POPULATION-BASED SURVEY

被引:150
作者
OBRIEN, B
GOEREE, R
STREINER, D
机构
[1] MCMASTER UNIV, DEPT CLIN EPIDEMIOL & BIOSTAT, HAMILTON, ON, CANADA
[2] MCMASTER UNIV, DEPT PSYCHIAT, HAMILTON, ON, CANADA
关键词
D O I
10.1093/ije/23.5.1020
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background, The aim of the present study was to estimate the prevalence of migraine headache among Canadian adults (aged greater than or equal to 18 years) and analyse variation by age, gender, household income and province of residence. Methods. A population-based survey was undertaken using telephone interviews with 2922 adults who were randomly selected from households across Canada by stratified regional sampling. The questionnaire asked about frequency and characteristics of headaches experienced and other symptoms. The diagnostic criteria of the International Headache Society were used to classify people as migraineurs (with or without aura), headachers or non-headachers. Results. Of 8921 random calls to households, 4235 were eligible and 2922 interviews were successfully completed (response rate 66%). The prevalence of migraineurs, headachers and non-headachers among males was 7.8%, 76.1%, 16.1% and among females was 24.9%, 65.6%, 9.4%. For females prevalence appears to increase with age, peaking at 40-44 years and declining thereafter. Sex-specific prevalence for males and females, controlling for age, was significantly lower in the province of Quebec compared to other provinces. We found no association between migraine prevalence and household income. Of 500 people classified by IHS criteria as migraineurs only 232 (46%) reported any migraine diagnosis by a physician. Conclusion. We estimate that 2.6 million adult females and 0.8 million adult males in Canada are migraineurs, but only half are likely to have been diagnosed by a physician. Contrary to a recent US survey, people from lower income households in Canada are not at greater risk of migraine. The lower prevalence of migraine in Quebec was unexpected and remains unexplained, but it may be influenced by language/translation problems.
引用
收藏
页码:1020 / 1026
页数:7
相关论文
共 25 条
[1]   SOME CLINICAL, SOCIAL AND PSYCHOLOGICAL CHARACTERISTICS OF MIGRAINE SUBJECTS IN GENERAL POPULATION [J].
CRISP, AH ;
KALUCY, RS ;
MCGUINNESS, B ;
RALPH, PC ;
HARRIS, G .
POSTGRADUATE MEDICAL JOURNAL, 1977, 53 (625) :691-697
[2]   EPIDEMIOLOGY OF HEADACHE IN THE REPUBLIC-OF-SAN-MARINO [J].
DALESSANDRO, R ;
BENASSI, G ;
LENZI, PL ;
GAMBERINI, G ;
SACQUEGNA, T ;
DECAROLIS, P ;
LUGARESI, E .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1988, 51 (01) :21-27
[3]   PREVALENCE AND HEREDITY OF MIGRAINE AND MIGRAINOID HEADACHES AMONG 461 DANISH DOCTORS [J].
DALSGAAR.T ;
ULRICH, J .
HEADACHE, 1973, 12 (04) :168-172
[4]   PREVALENCE OF VERY SEVERE HEADACHE IN A LARGE UNITED-STATES METROPOLITAN AREA [J].
DUCKRO, PN ;
TAIT, RC ;
MARGOLIS, RB .
CEPHALALGIA, 1989, 9 (03) :199-205
[5]   A NATIONWIDE SURVEY OF MIGRAINE IN FRANCE - PREVALENCE AND CLINICAL-FEATURES IN ADULTS [J].
HENRY, P ;
MICHEL, P ;
BROCHET, B ;
DARTIGUES, JF ;
TISON, S ;
SALAMON, R .
CEPHALALGIA, 1992, 12 (04) :229-237
[6]  
HOLLNAGEL H, 1980, Ugeskrift for Laeger, V142, P3071
[7]  
Kalton G., 1983, INTRO SURVEY SAMPLIN, DOI DOI 10.4135/9781412984683
[8]   GROUP AND MENSTRUAL PHASE EFFECT IN REPORTED HEADACHES AMONG COLLEGE-STUDENTS [J].
KAPPIUS, REK ;
GOOLKASIAN, P .
HEADACHE, 1987, 27 (09) :491-494
[9]  
Kish L., 1965, SURVEY SAMPLING
[10]  
LINET MS, 1987, MIGRAINE CLIN RES AS