Ray Biman K, Paul Neelanjana, Hazra Avijit, Das Sujata, Ghosal Malay K, Misra Amar K, Banerjee Tapas K, Chaudhuri Arijit, Das Shyamal K
Department of Neurology, RG Kar Medical College and Hospital, Kolkata, West Bengal, India.
Department of Psychiatry, ICARE Institute of Medical Sciences and Research, Haldia, West Bengal, India.
Neurol India. 2017 Nov-Dec;65(6):1280-1288. doi: 10.4103/0028-3886.217979.
Headache is common in communities; however, epidemiological research regarding its prevalence is infrequent in India.
We planned to study the prevalence of migraine, its disease burden, and the associated risk factors.
This is an urban community study conducted in Kolkata with a cross-sectional and nested case-control design.
The criteria to study headache among a representative sample (aged 20-50 years) was based on the International Classification of Headache Disorders-II. Sex- and age-matched controls without headache were evaluated for putative risk factors. The disease burden was measured as disability adjusted life years (DALY).
Screening of 2421 individuals revealed that the 1-year prevalence of migraine was 14.12%. Education, environmental exposure, travel, and oral contraceptives determine approximately 75% of the underlying risks. DALY showed maximum burden among women in the age range of between 30 and 34 years.
The community-based prevalence of migraine in India is similar to that observed in other countries except Africa. The burden was maximum among women. The risk factors responsible for migraine should be addressed and institution of public health measures are warranted.
头痛在社区中很常见；然而，印度关于其患病率的流行病学研究并不多见。
我们计划研究偏头痛的患病率、疾病负担及相关危险因素。
这是一项在加尔各答进行的城市社区研究，采用横断面和巢式病例对照设计。
在一个具有代表性的样本（年龄在20至50岁之间）中研究头痛的标准基于《国际头痛疾病分类第二版》。对无头痛的性别和年龄匹配的对照者评估可能的危险因素。疾病负担以伤残调整生命年（DALY）衡量。
对2421人进行筛查发现，偏头痛的1年患病率为14.12%。教育、环境暴露、旅行和口服避孕药约占潜在风险的75%。DALY在30至34岁年龄组的女性中负担最重。
印度基于社区的偏头痛患病率与除非洲以外的其他国家观察到的情况相似。负担在女性中最重。应解决导致偏头痛的危险因素，并应采取公共卫生措施。
