Stress as a major determinant of migraine in women aged 25-65 years  

Oleh:

Riyadina, Woro ; Andayasari, Lelly

Jenis: Article from Journal - ilmiah nasional - terakreditasi DIKTI - non-atma jaya
Dalam koleksi: Universa Medicina vol. 33 no. 02 (May 2014), page 141-150.
Topik: Migraine; stress; risk factors; adult women
Fulltext: 33_02_10_Riyadina_Andayasari.pdf (64.14KB)

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Perpustakaan FK Nomor Panggil: U01.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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BACKGROUND Migraine is a primary headache causing substantial disability in patients. The prevalence of migraine in women is still high. Menarche, menstruation, pregnancy, menopause, and the use of hormonal contraceptives and hormone replacement treatment may influence migraine occurrence. The aim of this study was to determine the major determinants of migraine in adult women aged 25-65 years. METHODS A cross-sectional study of 2,747 women from the baseline study “Cohort Study of Risk Factors for Non-Communicable Diseases”. The dependent variable was migraine based on the diagnosis of health providers or symptoms. Independent variables were demographic (age, marital status, education) and behavioral (smoking, diet, and stress) characteristics, metabolic disorders (obesity, hypertension, dyslipidemia), and hormonal factors (contraception and hormone therapy). Data were collected through interviews (characteristics, health and hormonal status, diet), measurement (anthropometrics, blood pressure), and health examination (blood specimens, neurology). Data were analyzed by chi-square test and multiple logistic regression. RESULTS Migraine in adult women was found in 710 cases (25.8%) with symptoms of worsening with activity (15%), nausea and vomiting (13%), and photophobia/phonophobia (4.1%). The main determinant of migraine in adult women was stress with a 2.47-fold risk [95% CI = 2.07 to 2.95] as compared with no stress, after controlling for smoking, menstruation and hormonal drug consumption. CONCLUSION Stress is a major determinant of migraine in adult women, therefore health programs should be instituted through health promotion, prevention and education to control stress.

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