학술논문

The burden of headache and a health-care needs assessment in the adult population of Mali: a cross-sectional population-based study
Document Type
article
Source
The Journal of Headache and Pain, Vol 25, Iss 1, Pp 1-11 (2024)
Subject
Headache
Medication-overuse headache
Epidemiology
Burden of disease
Health policy
Mali
Medicine
Language
English
ISSN
1129-2377
Abstract
Abstract Background Our recent studies have shown headache disorders to be very common in the central and western sub-Saharan countries of Benin and Cameroon. Here we report headache in nearby Mali, a strife-torn country that differs topographically, culturally, politically and economically. The purposes were to estimate headache-attributed burden and need for headache care. Methods We used cluster-random sampling in seven of Mali’s eleven regions to obtain a nationally representative sample. During unannounced household visits by trained interviewers, one randomly selected adult member (18–65 years) from each household was interviewed using the structured HARDSHIP questionnaire, with enquiries into headache in the last year and, additionally, headache yesterday (HY). Headache on ≥ 15 days/month (H15+) was diagnosed as probable medication-overuse headache (pMOH) when associated with acute medication use on ≥ 15 days/month, and as “other H15+” when not. Episodic headache (on