Migraine: clinical features and disability in a rural population in Cuba

• Published in: Revista de neurologiá Vol. 50; no. 2; pp. 72 - 76
• Main Authors: Quesada-Vazquez, A J, Contreras-Maure, L J, Traba-Tamayo, E R, Frometa-Guerra, A
• Format: Journal Article
• Language: Spanish
• Published: Spain 16.01.2010
• Subjects: Adolescent; Adult; Child; Cross-Sectional Studies; Cuba - epidemiology; Disability Evaluation; Female; Health Surveys; Humans; Male; Middle Aged; Migraine Disorders - classification; Migraine Disorders - diagnosis; Migraine Disorders - epidemiology; Migraine Disorders - physiopathology; Rural Health; Severity of Illness Index; Young Adult; Cuba
• ISSN: 1576-6578
• DOI: 10.33588/rn.5002.2008652

To identify the clinical-epidemiological features and the factors related to the presence of disability in patients with migraine. A cross-sectional study was conducted in a rural population at the Policlinica Mabay in the province of Granma, Cuba. The second International Headache Society classification was used. Sample size, which was calculated using the program EpiInfo 2002, was 360 adult workers over 18 years of age, who were selected by simple random sampling. Sixty-one respondents were diagnosed with migraine (prevalence: 16.9%; 95% CI = 13.3-21.31). Prevalence among females was 24.3% (CI 95% = 18.7-30.82) and 7.1% (CI 95% = 3.8-12.73) among males. Chronic migraine was the most frequent, with 25 cases (prevalence: 6.9%; CI 95% = 4.63-10.21), followed by migraine without aura, with 18 diagnoses (prevalence: 5%; CI 95% = 3.08-7.93). Frequency of headaches was greater in females (30.17 Y 12 days versus 23.45 Y 10 days; p = 0.041), as was their duration (19.87 Y 6.95 h versus 15.73 Y 5.58 h in males; p = 0.027). Minimal disability affected 24.6% of patients with migraine and 39.3% suffered moderate disability. Higher degrees of disability were associated to being female, the time elapsed since onset of the disease (21.04 Y 10.1 years versus 15.33 Y 7.5 years; p = 0.017), the frequency of headaches in the last three months (30.28 Y 10.1 days with headache versus 25.25 Y 8.5; p = 0.042), the duration of the headache (23.3 Y 15.24 h versus 12.38 Y 10.9 h; p = 0.002) and chronic migraine (p = 0.016). There is a great social and occupational burden of disability in patients with migraine in the geographical area under study, and females are affected by this condition to a greater extent.