Headache yesterday in Karnataka state, India: prevalence, impact and cost
Headache yesterday in Karnataka state, India: prevalence, impact and cost
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DOI：
10.1186/s10194-016-0669-y
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发表时间：
2016-08-25
影响因子：
7.4
通讯作者：
Stovner, Lars J.
中科院分区：
文献类型：
--
作者：
Steiner, Timothy J.;Rao, Girish N.;Stovner, Lars J.
背景：全球防治头痛运动率先对前一天头痛（“昨天头痛”）的患病率和影响进行评估，作为估计头痛所致负担的新方法，避免了回忆错误。我们报告了它在印度南部卡纳塔克邦的应用。方法：在挨家挨户的调查中，从班加罗尔及其周边的城市和农村地区随机抽取无血缘关系的成年人（18-65岁），并由训练有素的研究人员使用经过验证的结构化问卷进行访谈。头痛的询问采用ICHD-II诊断标准，并包括在访谈前一天的头痛问题（头痛昨天[HY]）。结果：研究对象2329人，参与率92.6%，男性1141人（49.0%），女性1188人（51.0%），平均年龄38.0[+/- 12.7]岁，农村1103人（47.4%），城市1226人（52.6%）。138名参与者报告了HY（男性33名[2.9%]，女性105名[8.8%]）：1天头痛患病率为5.9%。平均头痛持续时间为7.0 +/- 8.5 h，即1.7%的人群（5.9% * 7.0/24）在昨天的任何时刻平均出现头痛。1-3级的平均强度为2.0[+/- 0.8]。83.3%的HY参与者报告了因HY而导致的生产力损失：37.7%的人只能完成计划的一半，13.0%的人什么都不做。人口水平的生产力损失（即每天由头痛引起的整个成年人口的生产力损失）为3.0%。结论：这种没有召回错误的调查方法证实了卡纳塔克邦由头痛引起的负担水平非常高：以前基于3个月召回的估计甚至可能过低。在另一项研究完成之前，这些是全印度最好的数据。它们表明需要在全国范围内采取行动来减轻这一负担，而正确的行动最终几乎肯定会节省成本。
Background: The Global Campaign against Headache has pioneered evaluation of the prevalence and impact of headache on the preceding day ("headache yesterday") as a new approach to the estimation of headache-attributed burden, avoiding recall error. We report its application in Karnataka State, southern India.Methods: In a door-to-door survey, biologically unrelated adults (aged 18-65 years) were randomly sampled from urban and rural areas in and around Bengaluru and interviewed by trained researchers using a validated, structured questionnaire. Enquiry into headache applied ICHD-II diagnostic criteria and included questions about headache on the day preceding the interview (headache yesterday [HY]).Results: There were 2329 participants (participation proportion 92.6 %; males 1141 [49.0 %], females 1188 [51.0 %]; mean age 38.0 [+/- 12.7] years; 1103 [47.4 %] from rural areas, 1226 [52.6 %] urban). HY was reported by 138 participants (males 33 [2.9 %], females 105 [8.8 %]): the 1-day prevalence of headache was 5.9 %. Mean duration of HY was 7.0 +/- 8.5 h, so that 1.7 % of the population (5.9 % * 7.0/24), on average, had headache at any moment in time yesterday. Mean intensity on a scale of 1-3 was 2.0 [+/- 0.8]. Lost productivity due to HY was reported by 83.3 % of participants with HY: 37.7 % able to do less than half of what they had planned and 13.0 % able to do nothing. Productivity loss at population level (being the productivity loss within the entire adult population, every single day, attributable to headache) was 3.0 %.Conclusions: This method of enquiry, free from recall error, confirmed a very high level of headache-attributed burden in Karnataka: previous estimates based on 3-month recall may even have been too low. Until another study is done in the country, these are the best data for all India. They demonstrate need for action nationwide to mitigate this burden, and correct action will ultimately almost certainly be cost-saving.