Migraine in the United States - Epidemiology and patterns of health care use
Migraine in the United States - Epidemiology and patterns of health care use
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DOI：
10.1212/wnl.58.6.885
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发表时间：
2002-03-26
期刊：
影响因子：
9.9
通讯作者：
Stewart, WF
中科院分区：
文献类型：
--
作者：
Lipton, RB;Scher, AI;Stewart, WF
目的：确定美国偏头痛的患病率和分布以及当前的医疗保健使用模式。方法：随机数字拨号，计算机辅助电话采访（CATI）的调查进行了费城县，PA，在1998年。CATI以高灵敏度（85%）和特异性（96%）识别国际头痛协会诊断标准定义的偏头痛（1.1和1.2类）患者。在4，376名受试者中完成了访谈，以确定568名偏头痛患者。每年发作6次或以上的患者（n = 410）被邀请参加关于偏头痛的医疗保健利用和家庭影响的随访访谈; 246人（60.0%）参加。结果：偏头痛的1年患病率女性为17.2%，男性为6.0%。30至49岁之间的患病率最高。48%的偏头痛患者在过去一年内因头痛看过医生（目前的咨询者），31%的人一生中从未这样做过，21%的人至少1年没有看过头痛医生（失效的咨询者）。在目前或过去的咨询者中，73%的人报告了医生诊断的偏头痛;治疗方法各不相同。在所有偏头痛患者中，49%仅接受非处方药治疗，23%仅接受处方药治疗，23%两者都有，5%根本没有药物治疗。总结：相对于以前的横断面调查，偏头痛的流行病学概况在过去十年中在美国保持稳定。自我报告的目前医疗咨询率增加了一倍多。使用处方药的偏头痛患者的百分比和接受偏头痛医生诊断的可能性适度增加。
Objective: To determine the prevalence and distribution of migraine in the United States as well as current patterns of health care use. Methods: A random-digit-dial, computer-assisted telephone interview (CATI) survey was conducted in Philadelphia County, PA, in 1998. The CATI identifies individuals with migraine (categories 1.1 and 1.2) as defined by the diagnostic criteria of the International Headache Society with high sensitivity (85%) and specificity (96%). Interviews were completed in 4,376 subjects to identify 568 with migraine. Those with 6 or more attacks per year (n = 410) were invited to participate in a follow-up interview about health care utilization and family impact of migraine; 246 (60.0%) participated. Results: The 1-year prevalence of migraine was 17.2% in females and 6.0% in males. Prevalence was highest between the ages of 30 and 49. Whereas 48% of migraine sufferers had seen a doctor for headache within the last year (current consulters), 31% had never done so in their lifetimes and 21% had not seen a doctor for headache for at least 1 year (lapsed consulters). Of current or lapsed consulters, 73% reported a physician-made diagnosis of migraine; treatments varied. Of all migraine sufferers, 49% were treated with over-the-counter medications only, 23% with prescription medication only, 23% with both, and 5% with no medications at all. Conclusion: Relative to prior cross-sectional surveys, epidemiologic profiles for migraine have remained stable in the United States over the last decade. Self-reported rates of current medical consultation have more than doubled. Moderate increases were seen in the percentage of migraine sufferers who use prescription medications and in the likelihood of receiving a physician diagnosis of migraine.