Household income is associated with attack frequency, but not with the prevalence of headache: an analysis of self-reported headache in the general population in Germany.

Autor: Müller B; Institute of Medical Psychology and Medical Sociology, Rostock University Medical Center, Gehlsheimer Str. 20, Rostock, 18147, Germany. britta.mueller@med.uni-rostock.de., Gaul C; Headache Center Frankfurt, Frankfurt, Germany., Reis O; Department of Child and Adolescent Psychiatry and Neurology, University Medical Center Rostock, Rostock, Germany.; German Center for Child and Adolescent Health (DZKJ), partner site Greifswald/ Rostock, Rostock, Germany., Jürgens TP; Department of Neurology, University Medical Center Rostock, Rostock, Germany., Kropp P; Institute of Medical Psychology and Medical Sociology, Rostock University Medical Center, Gehlsheimer Str. 20, Rostock, 18147, Germany., Ruscheweyh R; Department of Neurology, LMU University Hospital, LMU Munich, Munich, Germany., Straube A; Department of Neurology, LMU University Hospital, LMU Munich, Munich, Germany., Brähler E; Integrated Research and Treatment Center (IFB) Adiposity Diseases - Behavioral Medicine, Psychosomatic Medicine and Psychotherapy, University of Leipzig Medical Center, Leipzig, Germany.; Department of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany., Förderreuther S; Department of Neurology, LMU University Hospital, LMU Munich, Munich, Germany., Rimmele F; Department of Neurology, Headache Center North-East, University Medical Center Rostock, Rostock, Germany., Dresler T; Department of Psychiatry and Psychotherapy, Tübingen Center for Mental Health, University Hospital Tübingen, Tübingen, Germany.; LEAD Graduate School & Research Network, University of Tübingen, Tübingen, Germany.; German Center for Mental Health (DZPG), Partner Site Tübingen, Tübingen, Germany.
Jazyk: angličtina
Zdroj: The journal of headache and pain [J Headache Pain] 2024 Oct 01; Vol. 25 (1), pp. 164. Date of Electronic Publication: 2024 Oct 01.
DOI: 10.1186/s10194-024-01844-w
Abstrakt: Background: Headache disorders are among the most prevalent neurological disorders worldwide. However, whether groups differing in socioeconomic position (SEP) are disproportionately affected by headache disorders has not yet been adequately clarified. Our aim was to analyse (1) the headache prevalence by socioeconomic position (SEP) and (2) the attack frequency by SEP in a German population-based adult sample.
Methods: Cross-sectional data from a random general population were used. The sample included N = 2,189 participants aged ≥ 18 years. SEP was measured using net equivalised income (NEI) and education. A binary logistic regression model tested the effect of SEP in predicting the prevalence of headache in general. Ordinal logistic regressions were modeled to predict the effect of SEP on the likelihood of attack frequency. Attack frequency was categorized in low frequency episodic headache (LFEH: 0-3 days per month), moderate frequency episodic headache (MFEH: 4-14 days per month) and chronic headache (CH: ≥ 15 days per month).
Results: Of the 2,189 participants, 891 reported headache in the last six months. Neither income nor education was associated with headache prevalence. However, significant differences between income groups were found for attack frequency. Compared to participants with NEI > 150%, those with NEI < 60% were 5.21 times more likely (95%CI 2.03, 13.36) to experience higher headache frequency, and those with NEI between 60 and 150% were 2.29 times more likely (95%CI 1.02, 5.11), with adjustments made for a set of potential confounders, including depressive symptoms.
Conclusions: To reduce headache attacks, it is essential to address both low- and middle-income groups affected by headaches. Universal public health prevention campaigns are particularly appropriate.
(© 2024. The Author(s).)
Databáze: MEDLINE
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