Streel S, Donneau A-F, Hoge A, Albert A, Schoenen J, Guillaume M
Department of public health, Liege University, bâtiment B23 RDC, avenue de l'Hôpital 3, 4000 Liege, Belgium.
Department of public health, Liege University, bâtiment B23 RDC, avenue de l'Hôpital 3, 4000 Liege, Belgium.
Rev Neurol (Paris). 2015 Oct;171(10):707-14. doi: 10.1016/j.neurol.2015.04.009. Epub 2015 Aug 1.
Country-specific prevalence data on migraine and comorbidities are vital to assess the public health burden of migraine and the corresponding resources required for proper management. Considering the absence of reliable statistics, this study aimed to estimate the one-year prevalence of migraine in Wallonia (Belgium) in relation to socio-demographic factors and several health indicators.
Among the 1071 people aged 20-69 years who participated in the NESCaV survey, 751 (70.1%) were screened for one-year migraine attacks using the "ef-ID Migraine", a validated, extended French version of the self-administered ID Migraine™ questionnaire. Socio-demographic and health data were collected with a self-administered questionnaire and a physical examination.
The overall one-year prevalence of migraine was 25.8%; 40.8% of migraineurs reported visual symptoms compatible with an aura. The prevalence was higher in women than in men (33.9% vs. 17.9%, P<0.0001) and declined markedly after the age of 50 (P=0.005). Importantly, migraine was associated with the subjective feeling of poorer health (P=0.0004). No other socio-demographic factor or health indicator studied was significantly correlated with migraine.
High prevalence of migraine and strong association with feeling of poor health should incite health authorities to institute more active public health and management policies with regards to the migraine problem.
特定国家的偏头痛及其合并症的患病率数据对于评估偏头痛的公共卫生负担以及适当管理所需的相应资源至关重要。鉴于缺乏可靠的统计数据,本研究旨在估计瓦隆大区(比利时)偏头痛的一年患病率,并分析其与社会人口统计学因素及若干健康指标的关系。
在参与NESCaV调查的1071名20 - 69岁人群中,751人(70.1%)使用经过验证的、扩展的法语版自我管理ID偏头痛™问卷“ef-ID偏头痛”进行了一年偏头痛发作情况的筛查。通过自我管理问卷和体格检查收集社会人口统计学和健康数据。
偏头痛的总体一年患病率为25.8%;40.8%的偏头痛患者报告有与先兆相符的视觉症状。女性患病率高于男性(33.9%对17.9%,P<0.0001),且在50岁以后显著下降(P = 0.005)。重要的是,偏头痛与健康状况较差的主观感受相关(P = 0.0004)。所研究的其他社会人口统计学因素或健康指标均与偏头痛无显著相关性。
偏头痛的高患病率以及与健康状况不佳感受的强烈关联应促使卫生当局针对偏头痛问题制定更积极的公共卫生和管理政策。