Biman K Ray1, Neelanjana Paul2, Avijit Hazra3, Sujata Das4, Malay K Ghosal5, Amar K Misra6, Tapas K Banerjee7, Arijit Chaudhuri8, Shyamal K Das9. 1. Department of Neurology, RG Kar Medical College and Hospital, Kolkata, West Bengal, India. 2. Department of Psychiatry, ICARE Institute of Medical Sciences and Research, Haldia, West Bengal, India. 3. Department of Pharmacology, Institute of Postgraduate Medical Education and Research, Kolkata, West Bengal, India. 4. Department of Neuropsychology, Fortis Hospitals, Kolkata, West Bengal, India. 5. Department of Psychiatry, Medical College, Kolkata, West Bengal, India. 6. Department of Neurology, North Bengal Medical College, Thiknikata, West Bengal, India. 7. Department of Neurology, National Neuroscience Centre, Kolkata, West Bengal, India. 8. Sampling Unit, Indian Statistical Institute, Kolkata, West Bengal, India. 9. Department of Neurology, Bangur Institute of Neuroscience and IPGME&R, Kolkata, West Bengal, India.
Abstract
BACKGROUND: Headache is common in communities; however, epidemiological research regarding its prevalence is infrequent in India. AIM: We planned to study the prevalence of migraine, its disease burden, and the associated risk factors. SETTING AND DESIGN: This is an urban community study conducted in Kolkata with a cross-sectional and nested case-control design. MATERIALS AND METHODS: The criteria to study headache among a representative sample (aged 20-50 years) was based on the International Classification of Headache Disorders-II. Sex- and age-matched controls without headache were evaluated for putative risk factors. The disease burden was measured as disability adjusted life years (DALY). RESULTS: Screening of 2421 individuals revealed that the 1-year prevalence of migraine was 14.12%. Education, environmental exposure, travel, and oral contraceptives determine approximately 75% of the underlying risks. DALY showed maximum burden among women in the age range of between 30 and 34 years. CONCLUSION: The community-based prevalence of migraine in India is similar to that observed in other countries except Africa. The burden was maximum among women. The risk factors responsible for migraine should be addressed and institution of public health measures are warranted.
BACKGROUND:Headache is common in communities; however, epidemiological research regarding its prevalence is infrequent in India. AIM: We planned to study the prevalence of migraine, its disease burden, and the associated risk factors. SETTING AND DESIGN: This is an urban community study conducted in Kolkata with a cross-sectional and nested case-control design. MATERIALS AND METHODS: The criteria to study headache among a representative sample (aged 20-50 years) was based on the International Classification of Headache Disorders-II. Sex- and age-matched controls without headache were evaluated for putative risk factors. The disease burden was measured as disability adjusted life years (DALY). RESULTS: Screening of 2421 individuals revealed that the 1-year prevalence of migraine was 14.12%. Education, environmental exposure, travel, and oral contraceptives determine approximately 75% of the underlying risks. DALY showed maximum burden among women in the age range of between 30 and 34 years. CONCLUSION: The community-based prevalence of migraine in India is similar to that observed in other countries except Africa. The burden was maximum among women. The risk factors responsible for migraine should be addressed and institution of public health measures are warranted.
Authors: Abdul Waheed Khan; Arif-Ullah Khan; Syed Muhammad Mukarram Shah; Aziz Ullah; Muhammad Faheem; Muhammad Saleem Journal: Evid Based Complement Alternat Med Date: 2019-03-03 Impact factor: 2.629