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Migraine: Prevalence and Associated Disability Among Nigerian Undergraduates

  • Kolawole Wasiu Wahab (a1) and Asuwemhe Johnson Ugheoke (a2)
Abstract
Background:

Studies on migraine in Nigeria are scanty while the disability associated with the disease has not been determined. We aimed at determining the lifetime prevalence of migraine and its associated disability among the students of a Nigerian university.

Method:

Using a multi-stage sampling method, undergraduates of Ambrose Alli University, Nigeria were screened with the International Headache Society (IHS) criteria. Those who satisfied the criteria for migraine were then assessed with the Migraine Disability Assessment questionnaire to ascertain the level of disability resulting from migraine in the three months preceding the study. Information was also obtained on the use of preventive and abortive medications.

Results:

Out of the 1513 respondents screened, 145 satisfied the IHS criteria for the diagnosis of migraine giving an overall lifetime prevalence of 9.6% (females 10.3%, males 8.9%, p>0.05). Migraine associated disability was little or none in 53.1% (males 55.2%, females 51.3%, p>0.05), mild in 10.3% (males 11.9%, females 9.0%, p>0.05), moderate in 20.7% (males 20.9%, females 20.5%, p>0.05) and severe in 15.9% (males 11.9%, females 19.2%, p>0.05). In spite of the fact that 53 (36.6%) of the migraineurs had moderate-severe disability, only 19/53 (35.8%) reported being on preventive treatment while none had ever used a triptan.

Conclusion:

Prevalence of migraine among our respondents falls within the range reported from similar studies among university students outside Africa. In spite of the high disability associated with the disease, use of effective preventive and abortive therapies is very poor.

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Copyright
Corresponding author
Division of Neurology, Department of Medicine, University of Ilorin Teaching Hospital, PMB 1459, Ilorin, 240001, Kwara State, Nigeria
References
Hide All
1.Menken, M, Munsat, TL, Toole, JF.The global burden of disease study implications for neurology. Arch Neurol. 2000; 57: 41820.
2.Osuntokun, BO, Adeuja, AO, Nottidge, VA, Bademosi, O, Alumide, AO, Ige, O, et al.Prevalence of headache and migrainous headache among Nigerian Africans: a community-based study. East Afr Med J. 1992; 69(4): 1969.
3.Stewart, WF, Lipton, RB, Celentano, DD, Reed, MI.Prevalence of migraine headache in the United States: relation to age, income, race and other sociodemographic factors. JAMA. 1992; 267: 649.
4.Rasmussen, BK, Olesen, J.Symptomatic and nonsymptomatic headaches in a general population. Neurology. 1992; 42: 122531.
5.Steiner, TJ, Stewart, WF, Kolodner, K, Liberman, J, Lipton, RB.Epidemiology of migraine in England. Cephalalgia. 1999; 19: 33056. [abstract].
6.Pryse-Phillips, W, Findlay, H, Tugwell, P, Edmeads, J, Murray, TJ, Nelson, RF.A Canadian population survey on the clinical, epidemiologic and societal impact of migraine and tension-type headache. Can J Neurol Sci. 1992; 19 (3): 3339.
7.Mitsikostas, DD, Gatzonis, S, Thomas, A, Kalfakis, N, Ilias, A, Papageoergiou, C.An epidemiological study of headaches among medical students in Athens. Headache. 1996; 36: 5614.
8.Sanvito, WL, Monzillo, PH, Peres, MF, Martinelli, MO, Fera, MP, Gouveia, DA, et al.The epidemiology of migraine in medical students. Headache. 1996; 36: 3169.
9.Lipton, RB, Stewart, WF, Stone, AM, Lainez, MJA, Sawyer, JPC.Stratified care versus step care strategies for migraine. JAMA. 2000; 284: 2599605.
10.Lipton, RB, Silberstein, SD.The role of headache-related disability in migraine management: implications for headache treatment guidelines. Neurology. 2001; 56: 3542.
11.Oluwole, S, Bwala, SA, Nwabueze, AC, Davies, AO.Effectiveness of sumatriptan for acute treatment of migraine headache in an African population. Afr J Neurol Sci. 2003; 22(2). Available from: http://www.ajol.info. [cited 2008 Jan 7]. http://www.ajol.info
12.World Health Organization Teaching Statistics. In: Lwanga, SK, Tye, CY, editors. Twenty lessons and seminar outlines. Geneva WHO. 1986. p. 6774.
13.Ogunyemi, AO.Prevalence of headache among Nigerian university students. Headache. 1984; 24: 12730.
14.Headache Classification Committee of the International Headache Society. The international classification of headache disorders. (2nd ed.). Cephalalgia. 2004; 24 suppl 1: 1160.
15.Stewart, WF, Lipton, RB, Kolodner, K, Liberman, J, Sawyer, J.Reliability of the Migraine Disability Assessment score in a population-based sample of headache sufferers. Cephalalgia. 1999; 19: 10714.
16.Bener, A.Frequency of headache and migraine in Qatar. Neuro-epidemiology. 2006; 27(2): 616.
17.Deleu, D, Khan, MA, Humaidan, H, Al Mantheri, Z, Al Hashami, S.Prevalence and clinical characteristics of headache in medical students in Oman. Headache. 2001; 41 (8): 798804.
18.Demirkirkan, MK, Ellidokuz, H, Boluk, A.Prevalence and clinical characteristics of migraine in university students in Turkey. Tohoku J Exp Med. 2006; 208: 8792.
19.O’Brien, B, Goeree, R, Streiner, D.Prevalence of migraine headache in Canada: a population-based survey. Int J Epidemiol. 1994; 23 (5): 10206.
20.Ad Hoc Committee: Classification of Headache. JAMA. 1962; 179: 71718.
21.MacGregor, EA, Brandes, J, Eikermann, A.Migraine prevalence and treatment patterns: the global migraine and zolmitriptan evaluation survey. Headache. 2003; 43: 1926.
22.Jelinski, SE, Becker, WJ, Christie, SN, Giammarco, R, Mackie, GF, Gawel, MJ, et al.Clinical features and pharmacological treatment of migraine patients referred to headache specialists in Canada. Cephalalgia. 2005; 26: 57888.
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Canadian Journal of Neurological Sciences
  • ISSN: 0317-1671
  • EISSN: 2057-0155
  • URL: /core/journals/canadian-journal-of-neurological-sciences
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