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Abstract Details

Migraine: Another Health Disparity in Canada
Headache
P11 - Poster Session 11 (8:00 AM-9:00 AM)
7-002

This study determines the prevalence of migraine headache and associated factors for self-reported migraine headache in a Canadian population aged 12 years and older using the Population Health Approach (PHA) as a framework.

Previous Canadian studies measuring the prevalence of headache have been mainly focused on biological associated factors
Using data from the 215-2016 Canadian Community Health Survey (CCHS), prevalence of migraine headache was determined through self-reported, health professional diagnosis. Individual, demographic, contextual factors and health outcomes were obtained. A weighted logistic regression analysis was performed considering clustering effects by using appropriate technics.

The overall estimate prevalence of self-reported migraine headache in Canadians older than 12 years old in 2015/2016 was with prevalence in females (14.6%), and individuals aged 40-49 years (14.4%.). Logistic regression analysis disclosed the following odds ratios for factors associated with self-reported migraine headache: female sex (OR:1.6, 95%CI:1.122.26), self-identified Aboriginal status (OR:1.22, 95%CI:1.05,1.41), low income HH (OR:1.16, 95%CI:1.01, 1.32) and individuals with stroke (OR:1.47, 95%CI: 1.1,1.9), mood disorder (OR:1.55, 95%CI:1.39, 1.74), and anxiety disorder (OR:3.4, 95%CI: 2.37,4.79). Individuals who self-reported migraine headache also disclosed significantly more poor health (OR:3.06,95%CI:2.90,4.70),and were more likely to have had more than ten visits to the emergency room in the last 12 months (OR:3.50, 95%CI:2.34,5.22).

Important interaction between predictors of migraine headache included: sex and age( higher prevalence in females aged 40-49 years); sex and anxiety ( higher prevalence in females with anxiety disorders); mood disorder and use of the emergency room (higher rates in individuals with mood disorder high use of emergency room services); and anxiety disorder and perceived health (higher rates in individuals with anxiety disorder and higher perception of poor health).

We found significant demographic, contextual and individual characteristics associated with individuals who self-report migraine headache in Canada that recognized migraine as a health disparity.
Authors/Disclosures

PRESENTER
No disclosure on file
No disclosure on file
No disclosure on file
Jose F. Tellez Zenteno, MD, PhD, FRCP No disclosure on file
No disclosure on file