The journal of headache and pain · 2013
Gender-specific influence of socioeconomic status on the prevalence of migraine and tension-type headache: the results from the Korean Headache Survey.
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Chu Min Kyung, Kim Dong-Wook, Kim Byung-Kun, Kim Jae-Moon, Jang Tae-Won, Park Jeong Wook, Lee Kwang Soo, Cho Soo-Jin
Аннотация
BACKGROUND: Socioeconomic status plays an important role in pain coping strategy. Its influence on migraine and tension-type headache may differ by gender. This study aimed to evaluate how socioeconomic status affects the prevalence of migraine and tension-type headache by gender.
METHODS: We used data from the Korean Headache Survey, a population-based sample of Koreans aged 19-69 years. Education level, district size, and household income were evaluated as socioeconomic variables.
RESULTS: Among 1507 participants, the 1-year prevalence rates of migraine and tension-type headache were 8.7% [95% confidence interval (CI) 1.9-4.6%] and 29.1% (95% CI 25.7-32.5%) in women and 3.2% (95% CI 1.9-4.6%) and 32.5% (95% CI 29.1-35.9%) in men, respectively. In women, multiple regression analysis found that living in rural areas was related to higher prevalence of migraine [odds ratio (OR) 4.52, 95% CI 1.85-11.02] and lower prevalence of tension-type headache (OR 0.29, 95% CI 0.15-0.58) and college-level education was related to lower prevalence of tension-type headache (OR 0.37, 95% CI 0.18-0.74). In men, multiple regression analysis failed to reveal significant influences of any socioeconomic variable on the prevalence of migraine or tension-type headache.
CONCLUSIONS: The influence of socioeconomic status on migraine and tension-type headache differs by gender, with women being more susceptible to socioeconomic influence.
METHODS: We used data from the Korean Headache Survey, a population-based sample of Koreans aged 19-69 years. Education level, district size, and household income were evaluated as socioeconomic variables.
RESULTS: Among 1507 participants, the 1-year prevalence rates of migraine and tension-type headache were 8.7% [95% confidence interval (CI) 1.9-4.6%] and 29.1% (95% CI 25.7-32.5%) in women and 3.2% (95% CI 1.9-4.6%) and 32.5% (95% CI 29.1-35.9%) in men, respectively. In women, multiple regression analysis found that living in rural areas was related to higher prevalence of migraine [odds ratio (OR) 4.52, 95% CI 1.85-11.02] and lower prevalence of tension-type headache (OR 0.29, 95% CI 0.15-0.58) and college-level education was related to lower prevalence of tension-type headache (OR 0.37, 95% CI 0.18-0.74). In men, multiple regression analysis failed to reveal significant influences of any socioeconomic variable on the prevalence of migraine or tension-type headache.
CONCLUSIONS: The influence of socioeconomic status on migraine and tension-type headache differs by gender, with women being more susceptible to socioeconomic influence.