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Primary headache disorders in the Republic of Georgia
Oleh:
Katsarava, Z.
;
Dzagnidze, A.
;
Kukava, M.
Jenis:
Article from Journal - ilmiah internasional
Dalam koleksi:
Neurology (Official Journal of The American Academy of Neurology) vol. 73 no. 21 (Nov. 2009)
,
page 1796-1803.
Topik:
tension-type headache
;
trigeminal autonomic cephalgia
Ketersediaan
Perpustakaan FK
Nomor Panggil:
N11.K.2009.08
Non-tandon:
1 (dapat dipinjam: 0)
Tandon:
tidak ada
Lihat Detail Induk
Isi artikel
Objective: To estimate the 1-year prevalences of migraine and tension-type headache (TTH), and identify their principal risk factors, in the general population of the Republic of Georgia. Methods: In a community-based door-to-door survey, 4 medical residents interviewed all biologically unrelated adult members (=16 years) of 500 adjacent households in Tbilisi, the capital city, and 300 in rural Kakheti in eastern Georgia, using a previously validated questionnaire based on International Headache Society diagnostic criteria. Results: The target population included 1,145 respondents, 690 (60%) women, mean age 45.4 ± 12.0 years. The 1-year prevalences were as follows: migraine 6.5% (95% confidence interval 5.0–7.9), probable migraine 9.2% (7.5–10.8), all migraine 15.6% (13.5%–17.7%), TTH 10.0% (8.2–11.7), probable TTH 27.3% (24.8–29.9), all TTH 37.3% (34.5%–40.1%). Female gender and low socioeconomic status were risk factors for migraine but not for TTH. Headache on =15 days/month was reported by 87 respondents, a prevalence of 7.6% (6.1–9.1). Female gender, low socioeconomic status, and frequent use (=10 days/month) of acute headache drugs were risk factors. The likely prevalence of medication overuse headache was 0.9% (0.3–1.4), of chronic migraine 1.4% (0.7–2.1), and of chronic TTH 3.3% (2.3–4.4), but caution is needed in interpreting these estimates. Conclusions: While the prevalences of migraine and tension-type headache are comparable with those in Europe and the United States, a remarkably high percentage of the population of Georgia have headache on =15 days/month. This study demonstrates the importance of socioeconomic factors in a developing country and unmasks the unmet needs of people with headache disorders.
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