Juliana H VanderPluym1, Larry Charleston2, Michael E Stitzer3, Charles C Flippen4, Cynthia E Armand5, Jessica Kiarashi6. 1. Mayo Clinic Arizona, 13400 E Shea Boulevard, Scottsdale, AZ, 85259, USA. vanderpluym.juliana@mayo.edu. 2. Michigan State University College of Human Medicine, East Lansing, MI, USA. 3. Winslow Indian Health Care Center, Winslow, AZ, USA. 4. David Geffen School of Medicine at UCLA, Los Angeles, CA, USA. 5. Albert Einstein College of Medicine, Montefiore Headache Center, Bronx, NY, USA. 6. UT Southwestern Medical Center, Dallas, TX, USA.
Abstract
PURPOSE OF REVIEW: This review will briefly summarize recent literature published on headache disparities in underserved and vulnerable populations. It will also report the personal observations of headache medicine providers working with underserved and vulnerable populations in the USA, specifically in an urban practice dedicated to patients in a safety net program and a rural practice dedicated to Native American patients. RECENT FINDINGS: Headache disorders are recognized as one of the most prevalent neurological conditions. People with headache and migraine encounter several barriers to obtaining appropriate care, which are magnified in vulnerable and underserved populations. Research has shown disparities in headache and migraine diagnosis, prevalence rates, treatment, and outcomes based on race, socioeconomic status, and geography. Continued research regarding disparities in headache medicine is required. Strategies to address the identified challenges, including structural competence and the underrepresented in medicine pipeline, are reviewed.
PURPOSE OF REVIEW: This review will briefly summarize recent literature published on headache disparities in underserved and vulnerable populations. It will also report the personal observations of headache medicine providers working with underserved and vulnerable populations in the USA, specifically in an urban practice dedicated to patients in a safety net program and a rural practice dedicated to Native American patients. RECENT FINDINGS: Headache disorders are recognized as one of the most prevalent neurological conditions. People with headache and migraine encounter several barriers to obtaining appropriate care, which are magnified in vulnerable and underserved populations. Research has shown disparities in headache and migraine diagnosis, prevalence rates, treatment, and outcomes based on race, socioeconomic status, and geography. Continued research regarding disparities in headache medicine is required. Strategies to address the identified challenges, including structural competence and the underrepresented in medicine pipeline, are reviewed.
Authors: Larry Charleston; Jeffrey Royce; Teshamae S Monteith; Susan W Broner; Hope L O'Brien; Salvador L Manrriquez; Matthew S Robbins Journal: Headache Date: 2018-03-08 Impact factor: 5.887
Authors: Larry Charleston; Jeffrey Royce; Teshamae S Monteith; Susan W Broner; Hope L O'Brien; Salvador L Manrriquez; Matthew S Robbins Journal: Headache Date: 2018-05 Impact factor: 5.887
Authors: Jessica Kiarashi; Juliana VanderPluym; Christina L Szperka; Scott Turner; Mia T Minen; Susan Broner; Alexandra C Ross; Amanda E Wagstaff; Marissa Anto; Maya Marzouk; Teshamae S Monteith; Noah Rosen; Salvador L Manrriquez; Elizabeth Seng; Alan Finkel; Larry Charleston Journal: Neurology Date: 2021-06-09 Impact factor: 11.800
Authors: David W Dodick; Elizabeth W Loder; Aubrey Manack Adams; Dawn C Buse; Kristina M Fanning; Michael L Reed; Richard B Lipton Journal: Headache Date: 2016-05-03 Impact factor: 5.887