Kryst S, Scherl E
Department of Behavioral Science, University of Kentucky College of Medicine, Lexington.
Headache. 1994 Jun;34(6):344-50. doi: 10.1111/j.1526-4610.1994.hed3406344.x.
To explore the social and personal impact of headache, we contributed questions on serious headache to a population-based telephone survey on health in Kentucky. A total of 647 persons aged 20 and older was assessed for serious headache. Migraine without aura was distinguished from non-migraine headache using a modification of the 1988 IHS criteria. The 12-month period prevalence for all serious headaches was 13.4%; for migraine, it was 8.5%. Demographically, there was a higher proportion of headache sufferers in the low income bracket (< $10,000/year) and a higher proportion of women reporting migraines. Of those with serious headaches, 73.6% stated that headaches adversely affected their lifestyle in at least one way. Migraineurs reported significantly more interference in family relations, work attendance, and work efficiency than non-migraineurs. Women said their family relationships and work productivity were impacted significantly more often than men. Of those reporting disability, 46.8% said they take only non-prescription medications. We conclude there is a significant number of serious headache sufferers in Kentucky who experience social as well as vocational impairment as a result of their illness. Further research is recommended to evaluate the extent of interpersonal and personal disability and to identify barriers to adequate health care for headache sufferers.
为探究头痛对社会和个人的影响，我们向肯塔基州一项基于人群的健康电话调查中加入了有关严重头痛的问题。共有647名20岁及以上的人接受了严重头痛评估。使用对1988年国际头痛协会（IHS）标准的修订版，将无先兆偏头痛与非偏头痛区分开来。所有严重头痛的12个月患病率为13.4%；偏头痛为8.5%。从人口统计学角度来看，低收入阶层（年收入<10,000美元）中头痛患者的比例更高，报告偏头痛的女性比例更高。在患有严重头痛的人群中，73.6%表示头痛至少在一个方面对他们的生活方式产生了不利影响。偏头痛患者报告在家庭关系、工作出勤和工作效率方面受到的干扰明显多于非偏头痛患者。女性表示她们的家庭关系和工作生产力受到影响的频率明显高于男性。在报告有残疾的人群中，46.8%表示他们只服用非处方药。我们得出结论，肯塔基州有相当数量的严重头痛患者因疾病而经历社会和职业障碍。建议进一步研究以评估人际和个人残疾的程度，并确定头痛患者获得充分医疗保健的障碍。
