Variation in migraine prevalence by race

Stewart, Walter F.; Lipton, Richard B.; Liberman, Joshua N.

doi:10.1212/wnl.47.1.52

Cited by 332 publications

(328 citation statements)

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“…Households in this catchment area were selected at random using methods described in detail elsewhere. 18 At the time of initial telephone contact, a census of the household was obtained to identify all age-eligible subjects (ie, between 18 and 65 years of age).…”

Section: Sample and Survey-a Telephone Interview Survey Was Conductementioning

confidence: 99%

Prevalence of Frequent Headache in a Population Sample

et al. 1998

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Results.-The overall prevalence of frequent headache was 4.1% (5.0% female, 2.8% male; 1.8:1 female to male ratio). Frequent headache was 33% more common in Caucasians (4.4%) than in African Americans (3.3%). In both males and females, prevalence was highest in the lowest educational category. Among frequent headache sufferers, more than half (52% female, 56% male) met criteria for chronic tension-type headache, almost one third (33% female, 25% male) met criteria for frequent headache with migrainous features, and the remainder (15% female, 19% male) were unclassified. Overall, 30% of female and 25% of male frequent headache sufferers met International Headache Society (IHS) criteria for migraine (with or without aura). Conclusions.-Frequentheadache is common in the general population and is more prevalent in Caucasians and in those with less than a high school education. Chronic tension-type headache is more common than frequent headache with migrainous features, though the latter is more disabling. Although more common in females than males, the female preponderance of frequent headache is less marked than in migraine. The sex ratio varies by frequent headache subtype.

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Section: Sample and Survey-a Telephone Interview Survey Was Conductementioning

confidence: 99%

Prevalence of Frequent Headache in a Population Sample

et al. 1998

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“…For a more consistent case definition, only post-IHS studies are reported. Prevalence rates for Western countries are fairly consistent, varying from 4.0% to 9.5% in men, and from 11.2% to 25.0% in women [2][3][4][5][6][7][8][9][10][11][12]. Non-Western countries report lower figures [13][14][15][16][17][18][19].…”

Section: Introductionmentioning

confidence: 88%

“…Only four [2,[17][18][19] of the post-IHS studies reported in the literature complied strictly with the IHS diagnostic criteria, while the others [6][7][8]11] introduced substantial changes to those criteria with the aim -clearly stated by the authors themselves -of increasing their validity. It is interesting to note, in this regard, what Sakai and Igarashi [16] stated in their report: "Diagnosis of aura based on the IHS criteria was difficult in our questionnaire study because a significant number of answers to the question about aura symptoms were not sufficiently clear to determine whether they were truly indicative of 'focal cerebral dysfunction' as defined by the IHS criteria".…”

Section: Introductionmentioning

confidence: 98%

“…Still unclear is the role, if any, played in migraine prevalence by the sociocultural background and the economic status of the subjects studied. Stewart et al [6] suggested that race-related differences in genetic vulnerability to migraine may also be important. Indeed, migraine prevalence seems to be higher among Caucasians, followed by African Americans and Asian Americans in Baltimore County, Maryland.…”

Section: Introductionmentioning

confidence: 99%

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Epidemiology of migraine

Manzoni¹,

Torelli²

2003

J Headache Pain

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In the last decade, there have been many studies on epidemiology of migraine. These studies have dealt not only with those aspects that are strictly related to the spread of the disease, such as prevalence and incidence rates, but also with other interesting aspects, such as familial occurrence, comorbidity and disability.In this paper, we deal with migraine incidence and above all with migraine prevalence, but we try to go beyond sheer data and percentage figures in order to provide an in-depth analysis that may help to assess their reliability. Indeed, the availability of reliable data about prevalence is important, not only per se, but also as a starting point to be taken as reference for studies on the risk running in families and on the risk of developing other diseases, as well as studies on the social and economic impact of migraine.Migraine prevalence studies pose a number of methodological problems: some are typical of all prevalence studies in general, while others are specific to migraine; some of these problems have finally been overcome, while others are still difficult to solve. The main obstacle is case definition. Gian Camillo Manzoni Paola TorelliAbstract One-year migraine prevalence rates in the general population for Western countries vary from 4% to 9% in men and from 11% to 25% in women. Non-Western countries report lower figures. Incidence rates for people under 30 years of age vary from 1.5 to 6 per 1000 personyears in men and from 3 to 24 per 1000 person-years in women. Data on the prevalence of migraine in general, on the gender ratio and on the variations in prevalence in the different age ranges are fairly comparable and can be regarded as very close to reality. On the contrary, data on the incidence of migraine, on the prevalence of different migraine subtypes, such as migraine with aura and the so-called migrainous disorder, and on the frequency of migraine attacks show a striking discordance that somewhat undermines their reliability. The main critical points in prevalence and incidence studies are migraine definition and the methodological approaches used for case screening. Even if International Headache Society (IHS) classification is certainly an improvement over previous tools used in epidemiological studies, the diagnostic criteria for migraine without aura are quite scanty and not easily remembered by subjects belonging to the general population, and those for migraine with aura appear not only difficult to translate for use in a questionnaire or an interview, but also too loose. In particular, the lack of any low-end limit for aura duration may cause an overestimation of migraine with aura prevalence.

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“…Por vezes, a ocorrência pode ficar mais restrita a um determinado grupo populacional, como o câncer de pele em brancos que habitam as regiões equatoriais expostas à radiação solar intensa. Embora a ocorrência de hipertermia maligna após uso de succinilcolina ou halotano seja igualmente distribuída nas três raças, a maior incidência de apnéia prolongada pós-succinilcolina em função do menor poder de hidrólise da colinesterase atípica é mais comum em judeus, iranianos, iraquianos, brancos caucasianos e pardos 5, [11][12][13] . A análise idiossincrásica pode ainda ser exclusiva de uma raça, como a disautonomia familiar (sín-drome de Riley-Day) que dificulta uso na anestesia pediátri-ca de halotano e agentes adrenérgicos, tendo sido descrita apenas em crianças judias cujos pais emigraram da Rússia para os EEUU no final da 1ª Grande Guerra (1917); 1,2,12 pode se restringir a duas raças, como o maior efeito hipertensor da dopamina no hipotenso negro em relação ao branco, ou então, às três etnias, como o efeito dilatador coronariano da nitroglicerina: negro > branco > amarelo 1,2, [13][14][15] .…”

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