The burden of headache and a health-care needs assessment in the adult population of Mali: a cross-sectional population-based study
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View abstract on PubMed
Summary
This summary is machine-generated.Headache disorders are highly prevalent in Mali, impacting health and productivity. Nearly a quarter of adults require headache care, posing a significant challenge for this low-income nation.
Area Of Science
- Neurology
- Public Health
- Epidemiology
Background
- Previous research identified high prevalence of headache disorders in Benin and Cameroon.
- Mali, a nation with distinct characteristics, was investigated for its headache burden.
Purpose Of The Study
- To estimate the prevalence of headache disorders in Mali.
- To assess the burden of headache in terms of lost productivity.
- To determine the need for headache care in the adult population.
Main Methods
- Cluster-random sampling across seven regions of Mali for a nationally representative sample.
- Structured HARDSHIP questionnaire administered to adults aged 18-65.
- Diagnosis of probable medication-overuse headache (pMOH) and other H15+ based on headache frequency and acute medication use.
Main Results
- The 1-year prevalence of any headache was 90.9%, with episodic headache at 86.3%, pMOH at 1.4%, and other H15+ at 3.1%.
- Participants with pMOH experienced the greatest loss in paid and household work.
- Nearly a quarter (23.4%) of the adult population in Mali requires headache care.
Conclusions
- Headache is extremely common in Mali, similar to neighboring countries, causing significant health and productivity losses.
- The high need for headache care presents a challenge for Mali's low-income economy.
- Lost productivity due to headache likely impacts the country's gross domestic product.
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