Academic Journal
The burden of headache disorders in Nepal: estimates from a population-based survey
| العنوان: | The burden of headache disorders in Nepal: estimates from a population-based survey |
|---|---|
| المؤلفون: | Manandhar, Kedar, Risal, Ajay, Linde, Mattias, Steiner, Timothy J. |
| المصدر: | 10 ; 17:3 ; The Journal of Headache and Pain |
| بيانات النشر: | BMC (part of Springer Nature) |
| سنة النشر: | 2016 |
| المجموعة: | NTNU Open Archive (Norges teknisk-naturvitenskapelige universitet / Norwegian University of Science and Technology) |
| الوصف: | Background Headache disorders, particularly migraine and tension-type headache (TTH), are among the most prevalent global public-health problems. Medication-overuse headache (MOH) is a common sequela of mismanagement of these. Migraine and MOH are highly disabling. Formulation of responsive health policy requires reliable, locally-derived, population-based data describing both individual and societal impact of headache disorders. South-East Asia is the only one of WHO’s six world regions in which no such national data have yet been gathered. Methods In a nationwide population-based cross-sectional study, a representative sample of Nepalese-speaking adults (18–65 years) were randomly selected by stratified multistage cluster sampling. Trained interviewers made unannounced door-to-door visits and enquired into headache and its attributable burden using a culturally-adapted and validated Nepalese translation of the Headache-Attributed Restriction, Disability, Social Handicap and Impaired Participation (HARDSHIP) questionnaire. Results Among 2100 participants, 1794 (85.4 %) reported headache during the preceding year (male: 689 [38.4 %], female 1105 [61.6 %]; mean age 36.1 ± 12.6 years). Mean headache frequency was 3.8 ± 6.2 days/month, mean headache intensity 2.1 ± 0.7 on a 0–3 scale, and mean attack duration 41.9 ± 108.5 h. All aspects of symptom burden (frequency, intensity and duration) were greater among females (p < 0.001). Participants with headache had poorer quality of life (QoL) than those without (p < 0.001); QoL was worst among those with probable MOH (pMOH). Mean proportions of total available time spent in the ictal state were 5.4 % among participants with migraine, 3.9 % among those with TTH and 44.7 % among those with pMOH, with headache-related disabilities of 2.4, 0.15 and 9.7 % respectively. At population level, these disorders were responsible for reduced functional capacities of 0.81, 0.06 and 0.20 %. Total lost productive time due to headache was 6.8 % for the 85 % of the population with ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 1129-2369 |
| Relation: | The Journal of Headache and Pain. 2016, 17:3 .; urn:issn:1129-2369; http://hdl.handle.net/11250/2581394; https://doi.org/10.1186/s10194-016-0594-0; cristin:1336944 |
| DOI: | 10.1186/s10194-016-0594-0 |
| الاتاحة: | http://hdl.handle.net/11250/2581394 https://doi.org/10.1186/s10194-016-0594-0 |
| Rights: | Navngivelse 4.0 Internasjonal ; http://creativecommons.org/licenses/by/4.0/deed.no |
| رقم الانضمام: | edsbas.27409DEE |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 11292369 |
|---|---|
| DOI: | 10.1186/s10194-016-0594-0 |