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Epidemiology of migraine
1Comprehensive Headache Center, Germantown Hospital and Medical Center, Philadelphia, Pa.
Neuroepidemiology
|January 1, 1993
Summary
New population-based studies using International Headache Society (IHS) criteria simplify migraine epidemiology. Migraine affects 18% of women and 6% of men, often appearing in the third decade and linked to depression.
Area of Science:
- Neurology
- Epidemiology
- Public Health
Background:
- Migraine research historically faced challenges due to clinic-based studies, underrepresenting the general population.
- The International Headache Society (IHS) Classification provides updated criteria for migraine diagnosis.
- Population-based studies are crucial for accurate migraine prevalence and incidence data.
Purpose of the Study:
- To review recent population-based studies on migraine prevalence and incidence.
- To examine migraine characteristics, including personality, comorbidities, and neuropsychological impact.
- To highlight the impact of the new IHS Classification on migraine epidemiology.
Main Methods:
- Review of population-based epidemiological studies adhering to IHS criteria.
- Analysis of migraine prevalence and incidence data across different demographics.
- Examination of associated conditions such as psychiatric comorbidities and neuropsychological impairment.
Main Results:
- One-year migraine prevalence is 18% in women and 6% in men.
- Migraine is most prevalent in the third decade of life and in lower socioeconomic groups.
- Migraine is associated with higher rates of depression and panic attacks.
Conclusions:
- Population-based studies using IHS criteria offer a more accurate epidemiological picture of migraine.
- Migraine significantly impacts public health, particularly in women and younger adults.
- Understanding migraine's comorbidities is essential for comprehensive patient care.