Prevalence of and Factors Associated with Migraine in Medical Students at BandarAbbas, Southern Iran, in 2012

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Abstract

Background:

Migraine is one of the most common etiologies for headache. This very common neurological disorder has a significant impact on patients’ quality of life. The aim of the current study is to evaluate the prevalence of migraine among medical students in the Hormozgan University of Medical Sciences (HUMS).

Methods:

A total of 350 medical students were enrolled in our descriptive study. Data were collected using the standard questionnaire of the International Headache Association. The data were analyzed by SPSS 20.0 software using descriptive statistics, Chi-Square, and Independent Samples T-Test. A P-value of ≥0.05 was considered statistically significant, since most public health professionals use this value as a standard.

Results:

Among the medical students in our study, 24.6% had experienced frequent, severe headaches. The underlying causes of the headaches were diagnosed in 19.8% of the students. The prevalence of migraine in our study was 16.3% (mean age=21.28±2.71years). The prevalence varied by gender, and it was greater among male students.

Conclusion:

Our findings indicated that there was a high prevalence of migraine among the medical students in our study, and these findings were consistent with those of previous studies in Iran and other countries.

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Most cited references 37

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Prevalence and burden of migraine in the United States: data from the American Migraine Study II.

R Lipton, W F Stewart, Herbert Diamond … (2015)

To describe the prevalence, sociodemographic profile, and the burden of migraine in the United States in 1999 and to compare results with the original American Migraine Study, a 1989 population-based study employing identical methods. A validated, self-administered questionnaire was mailed to a sample of 20 000 households in the United States. Each household member with severe headache was asked to respond to questions about symptoms, frequency, and severity of headaches and about headache-related disability. Diagnostic criteria for migraine were based on those of the International Headache Society. This report is restricted to individuals 12 years and older. Of the 43 527 age-eligible individuals, 29 727 responded to the questionnaire for a 68.3% response rate. The prevalence of migraine was 18.2% among females and 6.5% among males. Approximately 23% of households contained at least one member suffering from migraine. Migraine prevalence was higher in whites than in blacks and was inversely related to household income. Prevalence increased from aged 12 years to about aged 40 years and declined thereafter in both sexes. Fifty-three percent of respondents reported that their severe headaches caused substantial impairment in activities or required bed rest. Approximately 31% missed at least 1 day of work or school in the previous 3 months because of migraine; 51% reported that work or school productivity was reduced by at least 50%. Two methodologically identical national surveys in the United States conducted 10 years apart show that the prevalence and distribution of migraine have remained stable over the last decade. Migraine-associated disability remains substantial and pervasive. The number of migraineurs has increased from 23.6 million in 1989 to 27.9 million in 1999 commensurate with the growth of the population. Migraine is an important target for public health interventions because it is highly prevalent and disabling.

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Age-dependent prevalence and clinical features of migraine.

Richard Lipton, Joshua N. Liberman, Marcelo E. Bigal (2006)

Available data suggest two seemingly opposite trends with regard to the natural history of migraine. Migraine prevalence decreases with age. In some individuals, migraine progresses to chronic daily headache. To contrast the clinical features of migraine across the life span. A validated computer-assisted telephone interview (CATI) was used to identify a population sample in three urban centers in the United States. Eligible participants were older than 18 years. The CATI covered the International Classification of Headache Disorders criteria for migraine and probable migraine (PM). Prevalence and clinical features of migraine and PM were examined by age. This sample consists of 145,335 participants. The overall prevalence of migraine was 15%, whereas the overall prevalence of PM was 14.6%. Migraine prevalence was highest between ages 30 and 39 years. In older ages, PM was more prevalent than migraine. Among those with migraine, the prevalence of unilateral and throbbing pain peaked at intermediate ages and declined after that. The prevalence of photophobia and phonophobia related to the attacks declined with ages, whereas the prevalence of aura increased. The proportion of those with 10 to 14 headache days per month also increased, from 12.5% in those ages 18 to 29 to 41.0% (odds ratio = 4.8, 95% CI = 3.9 to 7.1) in those older than 70. The profile of migraine changes over the life span and suggests three nonexclusive profiles. In many, migraine remits. In some patients with migraine, attacks get less typical, resembling probable migraine instead of full migraine. In some, migraine progresses.

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The prevalence and disability burden of adult migraine in England and their relationships to age, gender and ethnicity.

R. Lipton, A. Scher, J Liberman … (2003)

This study estimates the 1-year prevalence of migraine in adults in England in relation to the major demographic variables of age, gender and ethnicity, and describes some of its features, including aspects of consequential disability. A telephone survey was conducted of a random sample (n = 4007) of the population aged 16-65 years of mainland England using a previously validated diagnostic interview. The response rate was 76.5%. Overall, 7.6% of males and 18.3% of females reported migraine with or without aura within the last year meeting diagnostic criteria closely approximate to those of the International Headache Society. Prevalence of migraine varied with age, rising through early adult life and declining in the late 40s and early 50s. Prevalence was higher in Caucasians than in other races. Attack rates were > or = 1/month in most migraineurs, and most experienced interference with daily activities in > or = 50% of their attacks. On average, an estimated 5.7 working days were lost per year for every working or student migraineur, although the most disabled 10% accounted for 85% of the total. Results were in keeping with those from surveys in other countries. If these findings in mainland England are projected to the entire UK population, we estimate that 5.85 million people aged 16-65 years experience 190 000 migraine attacks every day and lose 25 million days from work or school each year because of them. Migraine is an important public health problem in the UK, associated with very substantial costs.

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Author and article information

Journal

Journal ID (nlm-ta): Electron Physician

Journal ID (iso-abbrev): Electron Physician

Journal ID (publisher-id): Electronic physician

Title: Electronic Physician

Publisher: Electronic physician

ISSN (Electronic): 2008-5842

Publication date Collection: Jul-Sep 2013

Publication date (Electronic): 01 August 2013

Volume: 5

Issue: 3

Pages: 679-684

Affiliations

[1. ]Student of Medicine of Hormozgan University of Medical Science (HUMS), Bandarabbass, Iran.

[2. ]Research Center for Behavioral and Neurosciences of Hormozgan University of Medical Science (HUMS), Bandarabbass, Iran.

[3. ]Assistant Professor of Neurology Department, Neurologist. Hormozgan University of Medical Science (HUMS), Bandarabbass, Iran.

[4. ]General Physician, Infectious and Tropical Diseases Research Center, Hormozgan University of Medical Sciences (HUMS), Iran.

[5. ]Payam Noor University (PNU), Tehran, Iran.

[6. ]Resident of Clinical Neurology, Institute of Neurology, National Hospital of Neurology and Neurosurgery (UK) & UCL, Belgium.

Author notes

Corresponding Author: Hamidreza Mahboobi, General Physician, Infectious and Tropical Diseases Research Centre, Hormozgan University of Medical Sciences (HUMS), Hormozgan, Iran. Tel: +989172121995, Email: hamidrezamahboobi@ 123456yahoo.com

Article

Publisher ID: epj-05-679

DOI: 10.14661/2013.679-684

PMC ID: 4477749

SO-VID: 0bc0e15a-b307-49ee-bcf7-162bab655676

License:

This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

Prevalence of and Factors Associated with Migraine in Medical Students at BandarAbbas, Southern Iran, in 2012

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Abstract

Background:

Methods:

Results:

Conclusion:

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25th European Students' Conference

Most cited references 37

Prevalence and burden of migraine in the United States: data from the American Migraine Study II.

Age-dependent prevalence and clinical features of migraine.

The prevalence and disability burden of adult migraine in England and their relationships to age, gender and ethnicity.

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