Document Detail


Associations of socioeconomic status with migraine and non-migraine headache.
MedLine Citation:
PMID:  22174348     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Migraine has been linked with several measures of socioeconomic status (SES). However, results are inconsistent and data on the association between SES and non-migraine headache, migraine subtypes and migraine frequency are sparse.
METHODS: We conducted a cross-sectional study among 36,858 participants in the Women's Health Study. As proxy for SES, we calculated an SES index using annual household income and education. Migraine, migraine aura, and non-migraine headache were self-reported with good validation rates. Multinomial logistic regression models were used to evaluate the association between the SES index and the various headache forms.
RESULTS: Of the women participating in the study, 12,140 (32.9%) reported any history of headache, 6801 (18.4%) reported any history of migraine and 5339 (14.5%) reported non-migraine headache. Women with low SES had an increased risk for all headache forms. The multivariable-adjusted odds ratios (ORs; 95% CI) were 1.22 (1.10-1.36) for non-migraine headache, 1.40 (1.28-1.54) for any migraine, 1.44 (1.23-1.69) for migraine with aura, and 1.38 (1.21-1.58) for migraine without aura. Among active migraineurs, low SES was associated with an increased OR for ≥ weekly attack frequency (1.77, 1.26-2.49).
CONCLUSIONS: In this large cohort of female health professionals, low SES was associated with an increased prevalence for all headache forms and an increased migraine attack frequency.
Authors:
Anke C Winter; Klaus Berger; Julie E Buring; Tobias Kurth
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2011-12-15
Journal Detail:
Title:  Cephalalgia : an international journal of headache     Volume:  32     ISSN:  1468-2982     ISO Abbreviation:  Cephalalgia     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-01-25     Completed Date:  2012-05-22     Revised Date:  2013-06-27    
Medline Journal Info:
Nlm Unique ID:  8200710     Medline TA:  Cephalalgia     Country:  England    
Other Details:
Languages:  eng     Pagination:  159-70     Citation Subset:  IM    
Affiliation:
Brigham and Women's Hospital, Harvard Medical School, USA.
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MeSH Terms
Descriptor/Qualifier:
Cohort Studies
Cross-Sectional Studies
Educational Status
Female
France / epidemiology
Headache / economics,  epidemiology*
Humans
Income / statistics & numerical data*
Logistic Models
Middle Aged
Migraine with Aura / economics,  epidemiology*
Migraine without Aura / economics,  epidemiology*
Prevalence
Questionnaires
Risk Factors
Socioeconomic Factors
Grant Support
ID/Acronym/Agency:
CA-47988/CA/NCI NIH HHS; HL-043851/HL/NHLBI NIH HHS; HL-080467/HL/NHLBI NIH HHS; R01 CA047988/CA/NCI NIH HHS; R01 CA047988-21/CA/NCI NIH HHS; R01 HL043851/HL/NHLBI NIH HHS; R01 HL043851-10/HL/NHLBI NIH HHS; R01 HL080467/HL/NHLBI NIH HHS; R01 HL080467-05/HL/NHLBI NIH HHS; RC1 HL099355/HL/NHLBI NIH HHS; RC1 HL099355-02/HL/NHLBI NIH HHS
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