Prevalência e fatores associados à enxaqueca na população adulta de Pelotas, RS

Abstract

Prevalence and factors associated to migraine in adult population, Southern Brazil RESUMO OBJETIVO: A enxaqueca é uma doença de alta prevalência, com importantes repercussões nas atividades diárias dos indivíduos. O objetivo do estudo foi conhecer a distribuição da enxaqueca na população adulta e alguns de seus determinantes. MÉTODOS:Utilizou-se delineamento transversal de base populacional, com amostragem em múltiplos estágios e probabilística. Foram entrevistados 2.715 indivíduos, de 20 a 64 anos, da zona urbana da cidade de Pelotas, Rio Grande do Sul. Aplicou-se um questionário utilizando as recomendações da International Headache Society para a definição do desfecho. As análises bruta e ajustada foram realizadas pela Regressão de Poisson. RESULTADOS:A prevalência de cefaléia e enxaqueca foram respectivamente 71,3% (IC 95%: 69,6-73,0) e 10,7% (IC 95%: 9,4-12,1). As mulheres apresentaram quatro vezes mais enxaqueca do que os homens (16,2% vs 3,9%) e indivíduos com cor de pele branca apresentaram risco 1,4 vezes maior do que os de cor não branca. Mulheres em uso de anticoncepcional hormonal apresentaram 1,3 vezes mais enxaqueca do que as que não o usavam. Nível socioeconômico e menstruação regular nos últimos três meses não mostraram associação com enxaqueca. CONCLUSÕES:A enxaqueca é uma doença que afeta principalmente as mulheres, estando associada a cor da pele branca e uso de anticoncepcional hormonal. ABSTRACT OBJECTIVE: Migraine is a disease of high prevalence with important impact on people's daily activities. The study aimed at assessing the distribution of migraine in adult population and some of its determinants. DESCRITORES METHODS:A cross-sectional population-based study was conducted with a multistage and probabilistic sampling. A total of 2,715 individuals aged 20 to 64 years old living in the urban area of the city of Pelotas, Southern Brazil, were interviewed. A questionnaire was applied according to the recommendations of the International Headache Society to define the main outcome. Crude and adjusted analysis were performed using Poisson regression. RESULTS:The prevalence of headache and migraine was 71.3% (95% CI: 69.6-

Prevalence and management of headache in a selected area of Southern Santa Catarina

“…Another factor confirmed by this study was the higher prevalence of headache among women, which has also been found in other studies 1,4,5 in which pain is often associated with emotional or hormonal triggering factors. Also related to the fact of being women, the use of oral contraceptive or the presence of regular menstruation were not associated with the incidence of headaches as described in the literature 4,23,24 .…”

“…The results showed a high prevalence of headaches in the population studied, which corroborates other studies developed in the country 4,5,22 , in which prevalence rates ranged from 48.1 percent to 80.8 percent.…”

“…Also related to the fact of being women, the use of oral contraceptive or the presence of regular menstruation were not associated with the incidence of headaches as described in the literature 4,23,24 .…”

“…Thus, it is emphasized that there was no association between the incidence of headache and white skin (Caucasian) as reported by the study of Pahim and collaborators 4 . Similarly, socioeconomic level was not significantly associated as demonstrated by Silberstein and collaborators 25 and Queiroz and collaborators 5 .…”

“…Very few people will experience no headache crisis during their lifetime. Headache prevalence is higher among women 1 , being related to gender 4,5 as well as to other factors, such as the use of hormonal birth control pills, white people 4 , low economic level, divorce or widowhood 5 , somatic symptoms 6 , menstrual cycle 7 , presence of comorbidities and higher risk for mental illness and other pain conditions 8 . For some, headaches become a limiting condition that interferes Headache: prevalence and management Corrêa et al…”