title: A population-based survey of the social and personal impact of headache.
abstract: To explore the social and personal impact of headache, we contributed questions on serious headache to a population-based telephone survey on health in Kentucky. A total of 647 persons aged 20 and older was assessed for serious headache. Migraine without aura was distinguished from non-migraine headache using a modification of the 1988 IHS criteria. The 12-month period prevalence for all serious headaches was 13.4%; for migraine, it was 8.5%. Demographically, there was a higher proportion of headache sufferers in the low income bracket (< $10,000/year) and a higher proportion of women reporting migraines. Of those with serious headaches, 73.6% stated that headaches adversely affected their lifestyle in at least one way. Migraineurs reported significantly more interference in family relations, work attendance, and work efficiency than non-migraineurs. Women said their family relationships and work productivity were impacted significantly more often than men. Of those reporting disability, 46.8% said they take only non-prescription medications. We conclude there is a significant number of serious headache sufferers in Kentucky who experience social as well as vocational impairment as a result of their illness. Further research is recommended to evaluate the extent of interpersonal and personal disability and to identify barriers to adequate health care for headache sufferers.
authors.affiliation: Department of Behavioral Science, University of Kentucky College of Medicine, Lexington.
authors.forename: S
authors.initials: S
authors.lastname: Kryst
authors.forename: E
authors.initials: E
authors.lastname: Scherl
mesh_terms: D000328:Adult; D005190:Family; D005260:Female; D006261:Headache / Q000453:epidemiology* / Q000523:psychology; D006306:Health Surveys; D006801:Humans; D007398:Interpersonal Relations; D007629:Kentucky / Q000453:epidemiology; D008019:Life Style; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012649:Self Concept; D011795:Surveys and Questionnaires