Prevalence of Primary Headaches in an Urban Slum in <scp>E</scp>nugu <scp>S</scp>outh <scp>E</scp>ast <scp>N</scp>igeria: A Door‐to‐Door Survey

Ezeala-Adikaibe, Birinus; Onyekonwu, Chinwe; Okudo, Grace; Onodugo, Obinna; Ekenze, Sebastian O.; Orjioke, Casmir; Chime, Peter Ekpunobi; Ezeanosike, Obumneme; Mbadiwe, Nkiru; Chikani, Mark C; Okwara, Celestine; Ulasi, Ifeoma; Ijoma, Uchenna

doi:10.1111/head.12465

Cited by 9 publications

(8 citation statements)

References 25 publications

(89 reference statements)

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“…Headache is a common neurologic disorder worldwide [1]- [14]. The lifetime prevalence of primary headaches among medical and nursing students in this study was higher than the regional and continental average [15] and previous studies from Nigeria [1] [3] [6]- [13]. Similar to a previous study from the region there was no significant difference between males and females [13].…”

Section: Discussionsupporting

confidence: 73%

“…The male: female of 1:1.4 is similar to the continental average as well as local reports[13] [14][17]. Migraine without aura had the higher proportion than migraine with aura in the study.Similar results have been ob-O.…”

supporting

confidence: 87%

“…The epidemiology of TTH has been shown to differ from region to region [15]. In South East Nigeria, the prevalence of TTH ranged from 13.8% -36.8% [1] [13]. See Table 1.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence and Pattern of Migraine, Tension Type Headache and Chronic Daily Headache among Medical and Nursing Students in Enugu, South East Nigeria

Ekenze¹,

Ezeala-Adikaibe²,

Orjioke³

et al. 2018

Health

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Aim: To assess the lifetime prevalence of tension-type headache, migraine and chronic daily headache, including the primary headaches in a student population. Methods: This is a cross-sectional descriptive study. Data were collected from consecutive consenting students by means of a semi-structured questionnaire. The questionnaire was designed to assess demographic data, headache profiles and medical consultation. Results: Four hundred and forty-nine (89.8%) out of 500 students who were interviewed were analyzed. The lifetime prevalence of primary headache was 89.8%; it 90.5% and 88.6% in females and males respectively. The overall prevalence of migraine was 8.9%, with a prevalence of 10.6% in females and 6.5% in males. Migraine without aura was most commonly seen at 73%. The prevalence of migraine without aura was 7.6% in females and 4.9% in males. Tension type headache (TTH) had an overall prevalence of 22.9%, with a prevalence of 28.4% in females and 15.1% in males. Migraine and tension type headache co-existed in 5.8% of the students. About 8.5% suffered from chronic daily headache: chronic migraine 2.9%, chronic tension headache 3.1%. The rate of medical consultation was 54.8% (males 49.7%, females 58.3%). Conclusions: Headache is a common health problem among medical and nursing students in Enugu South East Nigeria where 89.8% of respondents have had primary headaches. The prevalence of migraine, TTH and chronic daily headache was 8.9%, 22.9% and 8.5% respectively. Headaches therefore, represent one of the most challenging neurological disorders in Sub-Saharan Africa where most sufferers do not have access to specialist care.

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Section: Discussionsupporting

confidence: 73%

supporting

confidence: 87%

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Prevalence and Pattern of Migraine, Tension Type Headache and Chronic Daily Headache among Medical and Nursing Students in Enugu, South East Nigeria

Ekenze¹,

Ezeala-Adikaibe²,

Orjioke³

et al. 2018

Health

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“…6 However, a lower prevalence of migraine (<1%) was obtained in this survey, compared with global estimates of 3%-7% and local estimates of 5.3%-18.9%. [17][18][19][20][21][22] The older age of this study population may be a factor, as previously reported by Osuntokun et al, 7 where the highest age-specific prevalence was in the first decade of life. epilepsy A lower crude prevalence rate of 2.93 per 1000 was found, compared with global estimates (4-8 per 1000) and local studies (4.1-28 per 1000).…”

Section: Open Accessmentioning

confidence: 66%

Burden of adult neurological diseases in Odeda Area, Southwest Nigeria

2020

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BackgroundFew population-based studies have been conducted to determine the burden of neurological diseases in sub-Saharan Africa. A better understanding of the magnitude and impact of these disorders is pivotal to effective planning and provision of neurological services.MethodsA cross-sectional survey of 2392 adults in Odeda Local Government Area, Ogun State, Southwest Nigeria was conducted between May and June 2015. Trained non-medical interviewers administered a screening instrument designed to measure the prevalence of neurological diseases and disability, while positive responders were subsequently examined by neurologists. Diagnoses were made clinically according to well-established criteria.ResultsThe mean age of respondents was 37.2±16.1 years. A total of 842 cases of neurological diseases/disability were diagnosed in 815 individuals (26 individuals with more than one disorder). The all-cause neurological morbidity rate was 352 per 1000, while the crude prevalence rates of common neurological disorders were 304.3 per 1000 for primary headaches, 16.3 per 1000 for tropical ataxic neuropathy, 7.11 per 1000 for stroke, 5.85 per 1000 for essential tremor and 4.18 per 1000 for Parkinson’s disease. Neurological years lost due to disability was 2806.18 per 100 000.ConclusionThis study provides evidence of a high neurological disease burden within the communities surveyed, which may be representative of Southwest Nigeria. In comparison with findings from previous studies within the same region, this report suggests a persistence of toxiconutritional disorders and postinfectious neurological sequelae on one hand and increased prevalence of non-communicable neurological disorders such as stroke and Parkinson’s disease.

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“…lower than the 20% reported by others. 25,26 This may be due to between-study differences in population demographics and the possibility of selection bias in our study. Secondly, our study had a relatively small sample size, and further larger scale studies are required.…”

Section: Discussionmentioning

confidence: 93%

Association between TNFSF10 polymorphism and migraine susceptibility in a Chinese population

et al. 2015

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Objective: To investigate the correlation between migraine in a Chinese population and a 4 base pair (GAGT) insertion/deletion polymorphism (rs35975099) localized near the 3' end of the tumour necrosis factor superfamily 10 gene, TNFSF10. Methods: Ethnically Han Chinese patients with migraine and healthy control subjects were recruited. TNFSF10 genotype and allele frequencies were determined via polymerase chain reaction and polyacrylamide gel electrophoresis. Results: Rs35975099 was in Harvey-Weinberg equilibrium in patients with migraine (n ¼ 269) and control subjects (n ¼ 374). There were no significant relationships between allele or genotype frequency and migraine. Conclusion: There was no functional significance of the TNFSF10 gene polymorphism rs35975099 in migraine pathogenesis.

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Prevalence of Primary Headaches in an Urban Slum in Enugu South East Nigeria: A Door‐to‐Door Survey

Cited by 9 publications

References 25 publications

Prevalence and Pattern of Migraine, Tension Type Headache and Chronic Daily Headache among Medical and Nursing Students in Enugu, South East Nigeria

Prevalence and Pattern of Migraine, Tension Type Headache and Chronic Daily Headache among Medical and Nursing Students in Enugu, South East Nigeria

Burden of adult neurological diseases in Odeda Area, Southwest Nigeria

Association between TNFSF10 polymorphism and migraine susceptibility in a Chinese population

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