偏头痛患病率,环境风险和男性和女性的并发病 退伍军人
Marianna Gasperi1,2,3, Nathaniel M Schuster4, Brooke Franklin5
1Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle.
JAMA network open
|March 14, 2024
概括
偏头痛在女性退伍军人中更为普遍,尤其是西班牙裔女性. 军事服务和环境暴露与更高的偏头痛率有关,需要有针对性的干预措施.
科学领域:
- 流行病学 流行病学
- 退伍军人健康 退伍军人的健康
- 神经学 神经学
背景情况:
- 偏头痛显著影响退伍军人的生活质量.
- 了解患病率,并发症和暴露对于有针对性的护理至关重要.
- 退伍军人中偏头痛的性别差异需要调查.
研究的目的:
- 确定美国退伍军人的偏头痛患病率.
- 确定相关的健康并发症.
- 检查偏头痛,兵役和环境暴露之间的联系,重点关注性别.
主要方法:
- 百万退伍军人计划 (MVP) 数据的横截面分析.
- 包括491,604名美国退伍军人.
- 评估自我报告的偏头痛,并发性疾病,人口统计,服兵役和暴露.
主要成果:
- 女退伍军人中偏头痛的患病率为30.1%,男性为8.2%.
- 西班牙裔女性退伍军人患病率最高 (34.7%).
- 偏头痛与健康状况恶化,疼痛,精神病/神经病症和阿片类药物使用有关. 军事服务和环境暴露与偏头痛有关.
结论:
- 在老兵偏头痛患病率方面存在显著的性别差异.
- 女性和西班牙裔退伍军人面临更高的风险.
- 建议采用跨学科的方法,提高认识和查,并进一步研究服务/环境影响.
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