Migraine in adolescents - Association with socioeconomic status and family history
Migraine in adolescents - Association with socioeconomic status and family history
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DOI：
10.1212/01.wnl.0000265212.90735.64
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发表时间：
2007-07-03
期刊：
影响因子：
9.9
通讯作者：
Stewart, W. F.
中科院分区：
文献类型：
--
作者：
Bigal, M. E.;Lipton, R. B.;Stewart, W. F.
目的：社会经济地位对青少年偏头痛患病率的影响尚不清楚。因此，我们调查了偏头痛的患病率在一个大样本的青少年sociodemographic features.Methods：一个有效的头痛问卷邮寄给120，000户代表美国人口。家庭中的所有人都接受了采访（先证者及其父母）。我们使用对数线性模型计算了青少年偏头痛的性别特异性患病率估计值，这些患病率估计值由年龄、种族、城市与农村居住地、家庭收入、国家地区和偏头痛的父母状况得出。其中18，714人（回复率为58.4%）回复了调查。偏头痛的1年患病率为6.3%（男孩为5.0%，女孩为7.7%）。12岁以上的女孩患病率高于男孩，白人患病率高于非洲裔美国人。在年收入低于22，500美元的家庭中，父母无偏头痛病史的青少年的偏头痛校正患病率为4.4%;在年收入为90，000美元或以上的家庭中，偏头痛校正患病率为2.9%（OR = 0.49，95%CI 0.38至0.63）。在父母有偏头痛病史的青少年中，低收入组与高收入组的患病率分别为8.6%与8.4%（OR = 0.97，0.81至1.15）。结论：在有偏头痛家族史的青少年中，家庭收入没有显着影响，可能是因为较高的生物易感性。在那些没有强烈倾向的人中，家庭收入与患病率相关。这表明社会因果关系，而不是社会选择，强调需要探索与低收入和偏头痛相关的环境风险因素，并在该组中寻找特定的合并症和压力源。
Objective: The influence of socioeconomic status on the prevalence of migraine is unknown in adolescents. Accordingly, we investigated the prevalence of migraine in a large sample of adolescents by sociodemographic features.Methods: A validated headache questionnaire was mailed to 120,000 households representative of the US population. All individuals in the household were interviewed (probands and their parents). We calculated sex-specific prevalence estimates of migraine in adolescents derived by age, race, urban vs rural residence, household income, region of the country, and parental status of migraine, using log- linear models.Results: A total of 32,015 adolescents were identified. Surveys were returned by 18,714 of them ( 58.4% response rate). The 1- year prevalence of migraine was 6.3% ( 5.0% in boys and 7.7% in girls). The prevalence was higher in girls than in boys older than 12 and in whites than African Americans. In families with an annual income lower than $ 22,500, the adjusted prevalence of migraine in adolescents without a parental history of migraine was 4.4%; in families earning $ 90,000 or more, it was 2.9% (OR = 0.49, 95% Cl 0.38 to 0.63). In adolescents with a parental history of migraine, the prevalence in the lower vs the higher income group was 8.6% vs 8.4% (OR = 0.97, 0.81 to 1.15).Conclusions: In adolescents with family history of migraine, household income does not have a significant effect, probably because of the higher biologic predisposition. In those without a strong predisposition, household income is associated with prevalence. This suggests social causation rather than social selection, highlighting the need for exploration of environmental risk factors related to low income and migraine and the search for specific comorbidities and stressors in this group.