RESUMEN
OBJECTIVE: To translate, perform the cross-cultural adaptation, and an initial validation of the Brazilian Portuguese version of PedMIDAS (BP-PedMIDAS). BACKGROUND: Pediatric Migraine Disability Assessment (PedMIDAS) was developed to measure the impact of migraine among children and adolescents. METHODS: PedMIDAS was subjected to translation, back-translation, and application of the questionnaire to 40 children and adolescents with migraine for confirmation validation. Once validated, the psychometric properties were tested through administration to 100 children and adolescents with migraine. RESULTS: The mean time required to complete BP-PedMIDAS was 135 ± 51 seconds. BP-PedMIDAS had a Cronbach's coefficient α of 0.84 and a good stability (test-retest), with a good intraobserver and interobserver agreement (Pearson's correlation > 0.80) and correlated with the frequency of the headaches. These results mirrored those seen with PedMIDAS, further validating the interchangeability of the versions. CONCLUSION: BP-PedMIDAS has been shown to be useful for assessing disability in children and adolescents.
Asunto(s)
Comparación Transcultural , Evaluación de la Discapacidad , Trastornos Migrañosos/diagnóstico , Trastornos Migrañosos/etnología , Encuestas y Cuestionarios/normas , Traducción , Adolescente , Brasil/etnología , Niño , Femenino , Humanos , Masculino , Reproducibilidad de los ResultadosRESUMEN
OBJECTIVE: To compare the timing and magnitude of variation of pediatric readmission rates across race/ethnicity for selected chronic conditions: asthma, diabetes, seizures, migraines, and depression. STUDY DESIGN: Retrospective analysis of hospitalizations at 48 children's hospitals in the 2013 Pediatric Health Information System database for children (ages 0-18 years) admitted for asthma (n = 36 910), seizure (n = 35 361), diabetes (n = 12 468), migraine (n = 5882), and depression (n = 5132). Generalized linear models with a random effect for hospital were used to compare the likelihood of readmission by patients' race/ethnicity, adjusting for severity of illness, age, payer, and medical complexity. Adjusted readmission rates were calculated by week over 1 year. RESULTS: Significant variation in adjusted readmission rates by race/ethnicity existed for conditions aside from depression. Disparities for diabetes and asthma emerged at 3 and 4 weeks, respectively; they remained divergent up to 1 year with the highest 1-year readmission rates in non-Hispanic blacks vs other race/ethnicities (diabetes: 21.7% vs 13.4%, P < .001; asthma: 21.4% vs 14.6%, P < .001). Disparities for migraines and seizure emerged at 6 and 7 weeks, respectively; they remained up to 1 year, with the highest 1-year readmission rates in non-Hispanic whites vs other race/ethnicities (migraine: 17.3% vs 13.6%, P < .001; seizure: 23.9% vs 21.9%, P < .001). CONCLUSIONS: Readmission disparities behave differently across chronic conditions. They emerge more quickly after discharge for children hospitalized with asthma or diabetes than for seizures or migraines. The highest readmission rates were not consistently observed for 1 particular race/ethnicity. Study findings can impact pediatric chronic disease management to improve care for children with these conditions.
Asunto(s)
Asma/etnología , Trastorno Depresivo/etnología , Diabetes Mellitus/etnología , Etnicidad/estadística & datos numéricos , Trastornos Migrañosos/etnología , Readmisión del Paciente/estadística & datos numéricos , Convulsiones/etnología , Población Blanca/estadística & datos numéricos , Adolescente , Niño , Preescolar , Enfermedad Crónica , Femenino , Humanos , Lactante , Recién Nacido , Masculino , Estudios Retrospectivos , Estados UnidosRESUMEN
BACKGROUND AND AIM: Cultural variation in pain and headache presentation may exist. The objective of this study was to assess cross-cultural differences in the use of drugs commonly managed to treat and prevent migraine, and to analyze the awareness about symptoms and triggers between two populations of migraneurs in Brazil and Spain. METHODS: International cross-cultural study. Patients answered a socio-demographic questionnaire that included questions about trigger factors, and use of drugs to treat and prevent migraine attacks. RESULTS: 292 patients (mean age 34.6 years; 80% females) were included in the study. Most common identified triggers in Brazilian and Spanish patients were: food (30.5% vs 12.6%), sleep (56.7% vs 28.5%), odors (52.5% vs 9.3%), stress (73.1% vs 46.4%), and menstrual period (55.6% vs 38.1%), all p<0.01. Analgesics and anti-inflammatory drugs were the most commonly used drugs to treat migraine attacks. Brazilian migraneurs used less commonly triptans (16.3% vs 47%; p<0.0001). Prophylactic drugs were used less frequently in Brazil than in Spain (21.9% vs 52.9%; p<0.0001). Calcium-antagonists, tricyclic anti-depressives, beta-blockers, and anti-epileptic drugs were significantly more used in Spanish migraineurs (p<0.01). CONCLUSIONS: Brazilians migraneurs are more often undertreated for migraine, and underutilization of triptans and preventatives was observed.
Asunto(s)
Comparación Transcultural , Trastornos Migrañosos/tratamiento farmacológico , Trastornos Migrañosos/etnología , Vigilancia de la Población , Adolescente , Adulto , Anciano , Analgésicos/uso terapéutico , Antiinflamatorios no Esteroideos/uso terapéutico , Brasil/etnología , Femenino , Humanos , Internacionalidad , Masculino , Persona de Mediana Edad , Vigilancia de la Población/métodos , Estudios Prospectivos , España/etnología , Encuestas y Cuestionarios , Resultado del Tratamiento , Triptaminas/uso terapéutico , Adulto JovenRESUMEN
To examine associations among Puerto Rican children's physical health problems and children's internalizing disorders, parental psychopathology and acculturative stress, and family factors. A population-based probability sample of 2491 Puerto Rican children, aged between 5 and 13 years, and caregivers from the South Bronx and the U.S. Commonwealth of Puerto Rico participated in this study. The parent version of the Diagnostic Interview Schedule for Children-IV was used to assess children's internalizing disorders. Children's anxiety disorders, parental psychopathology, and acculturative stress were associated with childhood asthma, abdominal pain, and headaches. Children's depressive disorders, maternal acceptance, and family functioning were associated with abdominal pain and headaches. Parents of children living in Puerto Rico were more likely to report physical health problems in their children than in the Bronx. Children's internalizing disorders, parental psychopathology, and acculturative stress may be important areas to target among Puerto Rican children with physical health problems.
Asunto(s)
Trastornos de la Conducta Infantil/etnología , Trastornos de la Conducta Infantil/psicología , Hijo de Padres Discapacitados/psicología , Enfermedad Crónica/etnología , Enfermedad Crónica/psicología , Conflicto Familiar/psicología , Hispánicos o Latinos/psicología , Control Interno-Externo , Rol del Enfermo , Población Urbana , Dolor Abdominal/etnología , Dolor Abdominal/psicología , Aculturación , Trastorno de Personalidad Antisocial/diagnóstico , Trastorno de Personalidad Antisocial/etnología , Trastorno de Personalidad Antisocial/psicología , Trastornos de Ansiedad/diagnóstico , Trastornos de Ansiedad/etnología , Trastornos de Ansiedad/psicología , Asma/etnología , Asma/psicología , Niño , Maltrato a los Niños/diagnóstico , Maltrato a los Niños/etnología , Maltrato a los Niños/psicología , Trastornos de la Conducta Infantil/diagnóstico , Comparación Transcultural , Estudios Transversales , Trastorno Depresivo/diagnóstico , Trastorno Depresivo/etnología , Trastorno Depresivo/psicología , Femenino , Cefalea/etnología , Cefalea/psicología , Humanos , Masculino , Trastornos Migrañosos/etnología , Trastornos Migrañosos/psicología , Ciudad de Nueva York , Responsabilidad Parental/psicología , Determinación de la Personalidad/estadística & datos numéricos , Psicometría , Puerto Rico/etnología , Factores de Riesgo , Medio SocialRESUMEN
OBJECTIVE: To describe the ritual and ethnobotanical treatments about migraine performed by shamans from several native cultures. METHODS: Anthropological field study conducted with Tzeltal Maya (Mexico), Kamayurá (Brazil), and Uru-Chipaya (Bolivia) American Indians. RESULTS: Migraine is called yaxti-wanjol chawaj by Tzeltal shamans. They wash the head of the patient with an herbal solution to treat headache. The boiled leaves of a shrub called payté wamal (Tagetes nelsonii) are used to relieve migraine. Migraine is called monkey's disease by Kamayurá natives. The disease is originated by the revenge of the killed monkey's spirit, striking to Kamayurá hunter on his head. It is treated with an herbal infusion applied in the eyes of the patient. Migraine is called eskeclamix by Chipaya people, and is treated by drinking the cañahua plant (Chenopodium palludicale) boiled with water. The patient's head may also be washed with shaman's fermented urine. CONCLUSIONS: Cultural equivalents of migraine exist in the healing system of isolated American cultures.
Asunto(s)
Medicina de Hierbas , Indígenas Sudamericanos , Medicina Tradicional , Trastornos Migrañosos/tratamiento farmacológico , Trastornos Migrañosos/etnología , Antropología Cultural , América Central , Características Culturales , Humanos , Chamanismo , América del SurRESUMEN
This is the first study to assess the prevalence of headache and migraine among Pomeranian descendents in Brazil. A high prevalence of headache in the last 6 months was found (53.2 percent). Most headache sufferers were diagnosed as having migraine (55 percent). More women reported to have headache than men (65 percent and 33.8 percent, respectively). Migraine was the most common headache found among women (62.2 percent). Among men migraine was responsible for only 37.8 percent of the cases of headache. A high impact of headache was found, especially among migraineurs. Most of the headache sufferers declared to seek medical assistance for headache (67 percent) and most of them used to take common analgesics for headache relief. None of them was under prophylactic therapy.
Este estudo é o primeiro a avaliar a prevalência da cefaléia e da migrânea entre descendentes de pomeranos no Brasil. Demonstrou-se alta prevalência de cefaléia (53,2 por cento), sendo que a migrânea foi responsável por 55 por cento das cefaléias. Houve maior prevalência de cefaléia entre as mulheres (65 por cento) do que entre os homens (33,8 por cento). Entre as mulheres verificou-se maior prevalência de migrânea (62,2 por cento) sobre as outras cefaléias (37,8 por cento). Entre os homens a migrânea foi responsável por apenas 34,6 por cento dos casos de cefaléia. Verificou-se importante impacto da cefaléia nesta população, especialmente entre os portadores de migrânea. A maior parte (67 por cento) dos portadores de cefaléia recebia algum tipo de orientação médica em relação ao problema, e a maioria fazia uso de medicamentos analgésicos comuns. Nenhum dos indivíduos estava em tratamento profilático.
Asunto(s)
Adulto , Femenino , Humanos , Masculino , Cefalea/etnología , Trastornos Migrañosos/etnología , Brasil/epidemiología , Cefalea/epidemiología , Trastornos Migrañosos/epidemiología , Prevalencia , Polonia/etnología , Encuestas y CuestionariosRESUMEN
OBJECTIVE: Migraine is a disease of high prevalence with important impact on people's daily activities. The study aimed at assessing the distribution of migraine in adult population and some of its determinants. METHODS: A cross-sectional population-based study was conducted with a multi-stage and probabilistic sampling. A total of 2,715 individuals aged 20 to 64 years old living in the urban area of the city of Pelotas, Southern Brazil, were interviewed. A questionnaire was applied according to the recommendations of the International Headache Society to define the main outcome. Crude and adjusted analysis were performed using Poisson regression. RESULTS: The prevalence of headache and migraine was 71.3% (95% CI: 69.6-73.0) and 10.7% (95% CI: 9.4-12.1) respectively. Women showed a four-fold risk greater than men and white skin people showed 1.4 times greater risk than those non-white. Women taking oral contraceptives or shots against pregnancy showed a risk for migraine 1.3 times greater than those women not taking these medicines. Socioeconomic level and regular menstrual periods in the last three months were not found to be associated with migraine. CONCLUSIONS: Migraine is a disease that affects mainly women being associated to the white skin color and use of hormonal contraceptives.
Asunto(s)
Anticonceptivos Femeninos , Trastornos Migrañosos/epidemiología , Adulto , Distribución por Edad , Brasil/epidemiología , Anticonceptivos Femeninos/efectos adversos , Métodos Epidemiológicos , Femenino , Humanos , Masculino , Trastornos de la Menstruación/complicaciones , Persona de Mediana Edad , Trastornos Migrañosos/etnología , Trastornos Migrañosos/etiología , Embarazo , Distribución por Sexo , Factores Sexuales , Factores Socioeconómicos , Población Urbana , Población BlancaRESUMEN
This is the first study to assess the prevalence of headache and migraine among Pomeranian descendents in Brazil. A high prevalence of headache in the last 6 months was found (53.2%). Most headache sufferers were diagnosed as having migraine (55%). More women reported to have headache than men (65% and 33.8%, respectively). Migraine was the most common headache found among women (62.2%). Among men migraine was responsible for only 37.8% of the cases of headache. A high impact of headache was found, especially among migraineurs. Most of the headache sufferers declared to seek medical assistance for headache (67%) and most of them used to take common analgesics for headache relief. None of them was under prophylactic therapy.
Asunto(s)
Cefalea/etnología , Trastornos Migrañosos/etnología , Adulto , Brasil/epidemiología , Femenino , Cefalea/epidemiología , Humanos , Masculino , Trastornos Migrañosos/epidemiología , Polonia/etnología , Prevalencia , Encuestas y CuestionariosRESUMEN
We conducted an investigation of migraine headache in a general population of Mexican-Americans living in San Diego county. Specific headache triggers were reported and analyzed, the most frequently reported for females with migraine being missing meals (58.9%), weather changes (54.4%), menstruation (53.6%), post-crisis letdown (52.7%), and fatigue (51.8%). The most frequently reported trigger factors for migraines reported by males were fatigue (58.8%), sleep (as a precipitating factor) (56.3%), post-crisis letdown (41.2%), and weather changes (37.5%). Trigger factors were further evaluated using stratification by presence or absence of Raynaud's phenomenon (RP), menstrual migraine, family history of migraine, and by migraine type. Odds ratios and 95% confidence intervals were calculated. These results suggest that subjects with migraine and RP (perhaps indicative of a systematic vascular tone disorder) and those with menstrual migraine (indicative of sensitivity to hormonal changes) may overall be more sensitive to certain environmental stimuli, particularly those involving change in the internal environment.