就业人群中的偏头痛：人口统计学特征、健康风险、药物使用和生产力损失。
Migraine Headache in an Employed Population: Demographics, Health Risks, Pharmaceutical Utilization, and Productivity Loss.
机构信息
From the Environmental and Occupational Sciences, University of Illinois School of Public Health, Chicago (Dr Burton); Global Health Management Research Core, Ann Arbor, Michigan (Dr Schultz); Clinical Medicine and Pediatrics, Vanderbilt University Medical Center Office of Population Health; and Vanderbilt Health at Metro Nashville Public Schools, Nashville, Tennessee (Dr Shepherd); and Employee Benefits, Metro Nashville Public Schools, Tenn Nashville, Tennessee (Mr Hines).
出版信息
J Occup Environ Med. 2022 Aug 1;64(8):679-685. doi: 10.1097/JOM.0000000000002564. Epub 2022 Jun 9.
OBJECTIVE
Demographics, health risks, pharmaceutical utilization, and other characteristics of adults with and without migraine who were employed by a school district in the southern United States were compared.
METHODS
A total of 4528 employees completed a health risk appraisal. A diagnosis of migraine was reported by 11%. Employees with and without migraine were compared on several measures.
RESULTS
Demographic and health risk differences were observed among the comparison groups. One-fifth of migraineurs had a prescription for an opioid, which was associated with very high average annual health care costs ($17,791) compared with migraineurs without opioid ($3907).
CONCLUSIONS
Migraine is common in the workforce. Employers may want to educate employees with migraine about evidence-based treatments. Benefit plan design should be consistent with current accepted treatment guidelines for opioid use.
目的
比较美国南部某学区雇佣的有和没有偏头痛的成年人的人口统计学、健康风险、药物使用和其他特征。
方法
共有 4528 名员工完成了健康风险评估。报告偏头痛诊断的人数占 11%。对有和没有偏头痛的员工进行了几项措施的比较。
结果
在比较组中观察到了人口统计学和健康风险差异。五分之一的偏头痛患者开了阿片类药物的处方，这与没有阿片类药物的偏头痛患者（3907 美元）相比，平均每年的医疗保健费用非常高（17791 美元）。
结论
偏头痛在劳动力中很常见。雇主可能希望向偏头痛患者提供循证治疗方面的教育。福利计划的设计应与当前阿片类药物使用的公认治疗指南一致。
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