Sociodemographic differences in medication use, health-care contacts and sickness absence among individuals with medication-overuse headache.
Sociodemographic differences in medication use, health-care contacts and sickness absence among individuals with medication-overuse headache.
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DOI：
10.1007/s10194-012-0432-y
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发表时间：
2012-06
影响因子：
7.4
通讯作者：
Hedenrud, Tove
中科院分区：
文献类型：
--
作者：
Jonsson, Pernilla;Linde, Mattias;Hensing, Gunnel;Hedenrud, Tove
关键词：
本研究的目的是分析社会人口统计学差异的药物使用，医疗保健接触和病假之间的个人与药物过度使用头痛（MOH）。进行了一项横断面人口调查，其中通过电话采访了44，300名瑞典人（≥15岁）。共有799人患有MOH。其中，47%（n = 370）仅使用非处方药。在过去的一年中，46%（n = 343）的患者曾因头痛就诊，14%（n = 102）的患者曾就诊于神经科医生。在年龄<30岁的个体中，头痛的天数/月大于药物使用的天数，而年龄≥30岁的个体则相反。只有小学文化程度的患者使用预防性药物的比例和咨询神经科医生的比例均小于受过高等教育的患者（p = 0.021和p = 0.046）。受教育程度较低的人每月头痛和使用药物的天数也高于受教育程度较高的人（p = 0.011和p = 0.018）。卫生部患者与保健和预防措施的接触有限，因此也需要包括其他行为者。应特别努力帮助教育水平低的人，并需要更多地研究药物使用与年龄的关系。
The objective of this study was to analyse sociodemographic differences in medication use, health-care contacts and sickness absence among individuals with medication-overuse headache (MOH). A cross-sectional, population survey was conducted, in which 44,300 Swedes (≥15 years old) were interviewed over telephone. In total, 799 individuals had MOH. Of these, 47 % (n = 370) only used over-the-counter medications. During the last year, 46 % (n = 343) had made a headache-related visit to their physician and 14 % (n = 102) had visited a neurologist. Among individuals aged <30 years, the number of days/month with headache was greater than the number of days with medication use, whereas the opposite was true for those ≥30 years. Both the proportion using prophylactic medication and the proportion having consulted a neurologist were smaller among those who only had elementary school education than among those with higher education (p = 0.021 and p = 0.046). Those with a lower level of education also had a higher number of days/month with headache and with medication use than those with a higher educational level (p = 0.011 and p = 0.018). The MOH-sufferers have limited contacts with health-care and preventive measures thus need to include other actors as well. Particular efforts should be directed towards those with low educational levels, and more research on medication use in relation to age is required.
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影响因子：
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作者：
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