Lipton R B, Scher A I, Kolodner K, Liberman J, Steiner T J, Stewart W F
Department of Neurology, Albert Einstein College of Medicine, and Headache Unit, Montefiore Medical College, Bronx, NY, USA.
Neurology. 2002 Mar 26;58(6):885-94. doi: 10.1212/wnl.58.6.885.
To determine the prevalence and distribution of migraine in the United States as well as current patterns of health care use.
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.
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.
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.
确定美国偏头痛的患病率和分布情况以及当前的医疗保健使用模式。
1998年在宾夕法尼亚州费城县进行了一项随机数字拨号、计算机辅助电话访谈（CATI）调查。CATI按照国际头痛协会的诊断标准，以高敏感性（85%）和特异性（96%）识别偏头痛患者（1.1和1.2类）。对4376名受试者进行了访谈，以识别出568名偏头痛患者。邀请每年发作6次或更多次的患者（n = 410）参加关于偏头痛的医疗保健利用情况和家庭影响的随访访谈；246名（60.0%）患者参与了访谈。
偏头痛的1年患病率女性为17.2%，男性为6.0%。患病率在30至49岁之间最高。在过去一年中，48%的偏头痛患者因头痛看过医生（当前就诊者），31%的患者一生中从未看过，21%的患者至少1年没有因头痛看过医生（既往就诊者）。在当前或既往就诊者中，73%报告医生诊断为偏头痛；治疗方法各不相同。在所有偏头痛患者中，49%仅使用非处方药治疗，23%仅使用处方药治疗，23%两者都用，5%根本不使用药物治疗。
相对于先前的横断面调查，过去十年美国偏头痛的流行病学概况保持稳定。自我报告的当前医疗咨询率增加了一倍多。使用处方药的偏头痛患者百分比以及被医生诊断为偏头痛的可能性略有增加。
