Stang P E, Osterhaus J T
Pharmacoeconomic Research, Glaxo Research Institute, Research Triangle Park, NC 27709.
Headache. 1993 Jan;33(1):29-35. doi: 10.1111/j.1526-4610.1993.hed3301029.x.
Data from the 1989 National Health Interview Survey concerning migraine occurrence and impairment were analyzed to assess the impact of migraine on the US population. About four of every one hundred persons in the United States were found to have migraine, accounting for nearly 10 million individuals. Migraine was most prevalent in those aged 25 to 44 years and was about 2.5 times more frequent in females than males. Migraine was most common in whites (85%) and those with low household income. In women, migraine prevalence increased with the level of education. About 10% of migrainous children missed at least one day of school over a two-week period due to migraine; nearly 1% missed four days. Migraineurs were bedridden for about three million days per month and had an estimated 74.2 million days per year of restricted activity due to migraine. The potential cost of lost productivity was estimated at $1.4 billion per year for the estimated 6,196,378 migraineurs who worked outside the home. It is difficult to derive similar estimates for costs of lost productivity in housewives; however, housewives experienced an estimated 38 million days per year of restricted activity. Eighty-five percent of females and 77% of males reported a physician visit at some point for their migraine. Migraine is a relatively common disease whose social and financial impact has been poorly understood.
对1989年全国健康访谈调查中有关偏头痛发生情况和损害的数据进行了分析，以评估偏头痛对美国人群的影响。在美国，每100人中约有4人患有偏头痛，总计近1000万人。偏头痛在25至44岁人群中最为普遍，女性患病率约为男性的2.5倍。偏头痛在白人（85%）和家庭收入低的人群中最为常见。在女性中，偏头痛患病率随教育程度升高而增加。约10%的偏头痛儿童在两周内至少因偏头痛缺课一天；近1%缺课四天。偏头痛患者每月约有300万天卧床不起，每年因偏头痛估计有7420万天活动受限。对于估计6196378名外出工作的偏头痛患者，每年因生产力损失造成的潜在成本估计为14亿美元。很难得出家庭主妇生产力损失成本的类似估计；然而，家庭主妇每年估计有3800万天活动受限。85%的女性和77%的男性报告曾因偏头痛去看医生。偏头痛是一种相对常见的疾病，其社会和经济影响一直未得到充分了解。
