title: Health status and health-related behaviors in epilepsy compared to other chronic conditions--a national population-based study.
abstract: OBJECTIVE
  The negative impact of epilepsy is disproportionate to its prevalence. Our objectives were to determine if health-related behaviors (HRBs) and health status differ between patients with epilepsy, migraine, or diabetes.
  
  
  METHODS
  The 2001-2005 Canadian Community Health Survey (N = 400,055) was used to explore health status and HRBs in patients with epilepsy, migraine, and diabetes and in the general population. Weighted estimates of association were produced as proportions with 95% confidence intervals (CIs). Logistic regression was used to explore the association between demographic variables and HRBs in epilepsy.
  
  
  RESULTS
  The prevalence of active epilepsy, migraine, and diabetes was 0.6%, 8.4%, and 3.8%, respectively. Those with epilepsy and diabetes were more likely than migraineurs to perceive their health as poor and to be physically inactive. Obesity and comorbidities were more likely in all chronic conditions studied compared to the general population. Those with epilepsy or migraine were significantly more likely to smoke compared to the general population or to those with diabetes. Those with epilepsy were more likely to ever have consumed more than 12 alcoholic drinks per week. Health monitoring did not differ between groups. In the logistic regression analysis, epilepsy was associated with physical inactivity and lower alcohol consumption in the past 12 months compared to the general population.
  
  
  CONCLUSIONS
  Our study demonstrated that those with epilepsy have a poorer pattern of HRBs and poorer health status compared to the general population. Screening for and managing comorbidities, and promoting exemplary HRBs, should improve overall health and quality-of-life in those with epilepsy.
authors.affiliation: Department of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada.
authors.forename: Claire
authors.initials: C
authors.lastname: Hinnell
authors.forename: Jeanne
authors.initials: J
authors.lastname: Williams
authors.forename: Amy
authors.initials: A
authors.lastname: Metcalfe
authors.forename: Scott B
authors.initials: SB
authors.lastname: Patten
authors.forename: Robyn
authors.initials: R
authors.lastname: Parker
authors.forename: Samuel
authors.initials: S
authors.lastname: Wiebe
authors.forename: Nathalie
authors.initials: N
authors.lastname: Jetté
mesh_terms: D017677:Age Distribution; D000428:Alcohol Drinking / Q000453:epidemiology; D002170:Canada / Q000453:epidemiology; D002908:Chronic Disease; D015897:Comorbidity; D003625:Data Collection; D003920:Diabetes Mellitus / Q000175:diagnosis / Q000453:epidemiology*; D004827:Epilepsy / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D015438:Health Behavior; D006304:Health Status; D006801:Humans; D016015:Logistic Models; D008297:Male; D008881:Migraine Disorders / Q000175:diagnosis / Q000453:epidemiology*; D015995:Prevalence; D011788:Quality of Life; D012307:Risk Factors; D012907:Smoking / Q000453:epidemiology; D011795:Surveys and Questionnaires