Al-Hashel Jasem Yousef, Ahmed Samar Farouk, Alroughani Raed
Neurology Department, Ibn Sina Hospital, P.O. Box 25427, 13115, Safat, Kuwait.
Faculty of Medicine, Kuwait University, P.O. Box 24923, 13110, Safat, Kuwait.
J Headache Pain. 2017 Oct 13;18(1):105. doi: 10.1186/s10194-017-0814-2.
Migraine prevalence and disability imprints on Kuwaiti population are underreported. We aimed to measure the prevalence of migraine and to assess its burden in Kuwait.
A cross-sectional community-based study was conducted which included biologically unrelated Kuwaiti adult population aged 18-65 years. They were randomly recruited from all six governments of Kuwait using stratified multistage cluster sampling. Trained interviewers visited the samples in door-to-door approach. The Headache-Attributed Restriction, Disability, and Social Handicap and Impaired Participation (HARDSHIP) questionnaire was used to collect the data. Demographic enquires were followed by diagnostic and disability questions.
A total of 15,523 subjects were identified; of whom 3588 (23%) were diagnosed as episodic migraine and 845 (5.4%) as chronic headache. Prevalence of episodic migraine was 31.71% in female versus 14.88% in males (P < 0.01) with a mean age of 34.56 ± 10.17 years. Most of migraine cohort (64.4%) sought medical advice with respect to their migraine headaches and the majority (62.4%) were seen by general practitioners (GPs) while 17.2% were assessed by neurologists and 3.7% was seen by other specialties. Tension type headache and sinus-related headaches were diagnosed in 8.9% and 2.1% of migraine subjects respectively. The majority (94.6%) of migraine subjects used symptomatic drugs for headache attacks, whereas 39.9% were taking preventive medication. In the preceding 3 months to the survey, subjects with episodic migraine had lost a mean of 1.97 days from their paid work or school attendance compared to 6.62 days in chronic headache sufferers (P < 0.001). Additionally, subjects with episodic migraine lost a mean of 1.40 days from household work compared to 5.35 days in subjects with chronic headache (P < 0.001). Participants with episodic migraine and chronic headache missed a mean of 2.81 and 3.85 days on social occasions, in the preceding 3 months (P < 0.001).
Migraine in Kuwait is highly prevalent and it has a significant impact on activity of daily living, schooling/ employment and social occasions of patients. Accurate diagnosis, effective abortive and preventive treatments of migraine are paramount to improve quality of life and as well as cost saving.
科威特人群中偏头痛的患病率及致残情况报道不足。我们旨在测量科威特偏头痛的患病率并评估其负担。
开展了一项基于社区的横断面研究，纳入了年龄在18至65岁之间、无血缘关系的科威特成年人群。采用分层多阶段整群抽样从科威特的所有六个行政区随机招募。经过培训的访员采用挨家挨户的方式访问样本。使用头痛归因的限制、残疾、社会障碍和参与受损（HARDSHIP）问卷收集数据。在进行人口统计学询问后，接着提出诊断和残疾相关问题。
共确定了15523名受试者；其中3588人（23%）被诊断为发作性偏头痛，845人（5.4%）被诊断为慢性头痛。发作性偏头痛的患病率在女性中为31.71%，在男性中为14.88%（P<0.01），平均年龄为34.56±10.17岁。大多数偏头痛患者（64.4%）就其偏头痛寻求过医疗建议，大多数（62.4%）看过全科医生（GP），而17.2%由神经科医生评估，3.7%由其他专科医生诊治。分别有8.9%和2.1%的偏头痛患者被诊断为紧张型头痛和鼻窦相关头痛。大多数（94.6%）偏头痛患者使用对症药物治疗头痛发作，而39.9%正在服用预防性药物。在调查前的3个月里，发作性偏头痛患者平均有1.97天无法从事带薪工作或上学，而慢性头痛患者为6.62天（P<0.001）。此外，发作性偏头痛患者平均有1.40天无法做家务，而慢性头痛患者为5.35天（P<0.001）。在调查前的3个月里，发作性偏头痛和慢性头痛患者在社交活动中平均分别错过2.81天和3.85天（P<0.001）。
偏头痛在科威特非常普遍，对患者的日常生活、上学/就业和社交活动有重大影响。准确诊断、有效的发作期和预防性治疗对于提高生活质量以及节省成本至关重要。
