School of Medicine and Health Management, Guizhou Medical University, Guiyang, China.
Department of Social and Preventive Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
J Headache Pain. 2023 May 11;24(1):52. doi: 10.1186/s10194-023-01591-4.
Although studies have identified a high prevalence of migraine among employees in the banking sector, the symptoms of migraine, related disability and occupational risk factors are not well understood.
To determine migraine prevalence, symptoms and disability among bank employees in Guizhou province in China and to examine occupational risk factors associated with migraine positivity and symptoms.
In a cross-sectional survey, two-stage probability sampling was used to select bank employees in Guizhou province, China. From May to October 2022, uniformly trained interviewers conducted face-to-face interviews using the HARDSHIP questionnaire. Logistic regression was used to examine factors associated with migraine positivity and symptoms.
Of 1,985 contactable eligible subjects, 1,929 (male 45.4%, female 54.6%) completed the survey. The one-year prevalence of migraine was 27.2% (95% CI 25.2-29.2%). Of migraine-positive individuals, 11.2% had a monthly frequency ≥ 15 days, 11.8% had an attack duration > 72 h, and 14.9% had severe pain intensity. The median of days lost from work, housework and social activities due to migraine during a three-month period was 4, 3 and 2 days, respectively, with more than half (52.8%) patients reporting Grade III or IV disability. In multivariable analyses, positions in data analysis (OR = 1.8 [95% CI 1.2-2.8], p < 0.01) and information technology (OR = 3.8 [95% CI 1.7-8.3], p < 0.01) were occupational risk factors for migraine positivity. It was also found that professional positions were predictive of migraine attacks ≥ 15 days per month, administrative positions were predictive of duration > 72 h and severe pain intensity of migraine attacks, and working in remote branches was predictive of duration > 72 h.
Migraine is prevalent among employees in the banking sector in Guizhou province in China, with a large proportion of sufferers carrying a high burden of symptoms and disability. The practical implication of this study is that the risk factors identified here could be translated to the focus of workplace monitoring and interventions to manage and prevent migraine.
尽管已有研究表明，银行业员工偏头痛的患病率较高，但偏头痛的症状、相关残疾和职业风险因素仍未得到充分了解。
确定中国贵州省银行员工的偏头痛患病率、症状和残疾情况，并探讨与偏头痛阳性和症状相关的职业风险因素。
采用两阶段概率抽样，在 2022 年 5 月至 10 月期间，对中国贵州省的银行员工进行横断面调查。经过统一培训的调查员使用 HARDSHIP 问卷进行面对面访谈。采用逻辑回归分析偏头痛阳性和症状的相关因素。
在 1985 名可联系的合格对象中，1929 名（男性占 45.4%，女性占 54.6%）完成了调查。偏头痛的一年患病率为 27.2%（95%CI 25.2-29.2%）。在偏头痛阳性个体中，11.2%的患者每月偏头痛发作频率≥15 天，11.8%的患者偏头痛发作持续时间>72 小时，14.9%的患者偏头痛疼痛强度严重。在三个月期间，因偏头痛而缺勤、家务和社会活动的天数中位数分别为 4、3 和 2 天，超过一半（52.8%）的患者报告为 III 级或 IV 级残疾。多变量分析显示，数据分析岗位（OR=1.8[95%CI 1.2-2.8]，p<0.01）和信息技术岗位（OR=3.8[95%CI 1.7-8.3]，p<0.01）是偏头痛阳性的职业风险因素。研究还发现，专业岗位与每月偏头痛发作≥15 天相关，行政岗位与偏头痛发作持续时间>72 小时和严重疼痛强度相关，在偏远分支机构工作与偏头痛发作持续时间>72 小时相关。
偏头痛在中国贵州省银行业员工中较为普遍，很大一部分患者症状和残疾负担较重。本研究的实际意义在于，这里确定的风险因素可以转化为工作场所监测和干预的重点，以管理和预防偏头痛。
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