COVID-19大流行期间秘鲁一所大学医学生的偏头痛、相关因素及功能残疾:一项分析性横断面研究

Migraine, associated factors, and functional disability in medical students at a peruvian university during the COVID-19 pandemic: An analytical cross-sectional study.

作者信息

Zevallos-Vásquez Annabell, Pajuelo-Salazar Kiana Azucena, Alarco J Jhonnel

机构信息

School of Medicine, Faculty of Health Sciences, Universidad Científica Del Sur, Lima, Peru.

出版信息

Heliyon. 2023 Jul 8;9(7):e18108. doi: 10.1016/j.heliyon.2023.e18108. eCollection 2023 Jul.

Abstract

BACKGROUND

It is unknown whether the confinement caused by the coronavirus disease 2019 (COVID-19) pandemic may influence migraine triggers. This study aimed to determine the frequency of migraine and their associated factors in medical students at a Peruvian university. The characteristics of migraine episodes and degree of functional disability caused by migraine were also evaluated.

METHODS

An analytical cross-sectional study was conducted on medical students of a Peruvian university. The suspected migraine was determined with the Migraine Screen Questionnaire. Sociodemographic, confounding, and COVID-19 pandemic-related variables were included as possible associated factors. Poisson regression models were used, and crude and adjusted prevalence ratios with 95% confidence intervals were estimated.

RESULTS

The participants comprised 327 students, and 30.3% (n = 99) had suspected migraine. Sex, clustered semesters, having family members with migraine and COVID-19 risk factors, and hours in front of the computer were associated with a higher probability of migraine. However, having more hours of sleep per day was associated with a lower probability. Moreover, most students with migraine had a severe functional disability (41.4%).

CONCLUSIONS

The high frequency of migraine in medical students could be due to COVID-19-related quarantine. Certain pandemic-related factors increase the probability of having migraine. A high level of disability should promote timely diagnosis and follow-up in affected students.

摘要

背景

2019冠状病毒病(COVID-19)大流行导致的限制措施是否会影响偏头痛触发因素尚不清楚。本研究旨在确定秘鲁一所大学医学生偏头痛的发生率及其相关因素。还评估了偏头痛发作的特征以及偏头痛导致的功能残疾程度。

方法

对秘鲁一所大学的医学生进行了一项分析性横断面研究。使用偏头痛筛查问卷确定疑似偏头痛。社会人口统计学、混杂因素和与COVID-19大流行相关的变量被作为可能的相关因素纳入。使用泊松回归模型,估计了粗患病率和调整患病率及其95%置信区间。

结果

参与者包括327名学生,30.3%(n = 99)有疑似偏头痛。性别、集中授课学期、有偏头痛家族成员和COVID-19风险因素以及在电脑前的时长与偏头痛的较高发生率相关。然而,每天睡眠时间较长与较低发生率相关。此外,大多数偏头痛学生有严重的功能残疾(41.4%)。

结论

医学生中偏头痛的高发生率可能归因于与COVID-19相关的隔离措施。某些与大流行相关的因素会增加患偏头痛的可能性。高残疾水平应促使对受影响学生进行及时诊断和随访。

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