The burden of headache disorders in the adult population of Morocco: estimates, and a health-care needs assessment, from a cross-sectional population-based door-to-door survey
Abstract Background We have previously shown headache disorders to be prevalent in in the adult general population of Morocco, especially migraine (30.8%) and headache on ≥ 15 days/month (H15+; 10.5%). This study, collecting data from the same population-based sample, is the first to estimate headac...
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BMC
2024-12-01
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| Series: | The Journal of Headache and Pain |
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| Online Access: | https://doi.org/10.1186/s10194-024-01942-9 |
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| author | Najib Kissani Latifa Adarmouch Aboubacar Sidik Sidibe Abderrahmane Garmane Rachid Founoun Mohamed Chraa Andreas Husøy Timothy J. Steiner |
| author_facet | Najib Kissani Latifa Adarmouch Aboubacar Sidik Sidibe Abderrahmane Garmane Rachid Founoun Mohamed Chraa Andreas Husøy Timothy J. Steiner |
| author_sort | Najib Kissani |
| collection | DOAJ |
| description | Abstract Background We have previously shown headache disorders to be prevalent in in the adult general population of Morocco, especially migraine (30.8%) and headache on ≥ 15 days/month (H15+; 10.5%). This study, collecting data from the same population-based sample, is the first to estimate headache-attributed burden not only in Morocco but, more widely, in the Maghreb countries of North Africa. Methods We used the standard methodology and questionnaire developed by the Global Campaign against Headache. Cluster-based random sampling generated a sample (N = 2,575) representative of the general population aged 18–65 years. Interviews conducted face-to-face enquired into symptom burden (headache frequency, usual duration and usual intensity), and impaired participation in paid work, household work and social or leisure activities during the preceding 3 months. Further enquiry was into headache yesterday (HY). We calculated population-level estimates by factoring in prevalence. Needs assessment estimated the population proportion in need of headache-related health care based on likelihood of benefit. Results Participants with headache of any type spent, on average, 12.5% of their time with headache of intensity rated 2.3 on a scale of 1–3. According to age- and gender-corrected estimates, 7.2–8.4% of all time in the population (calculated by two methods) was spent with headache, H15 + accounting for well over half of this. Impaired participation measured as lost time due to headache averaged 0.5 days from paid work, 1.6 days from household work and 0.3 days from social or leisure activities during the preceding 3 months. Of those with HY (17.8% of the sample), 24.1% of males and 50.9% of females could do nothing or less than half of their planned activity yesterday. At population level this diluted to 7.0% of all activity lost to headache. At least 30% of the population were estimated to need headache-related health care. Conclusion Headache disorders cause much ill health in the adult population of Morocco. While this will be of obvious concern to health policy in Morocco, the call for provision of health care for almost one third of this population is challenging. On the other hand, economic policy should recognise the lost-productivity costs of inadequately treated headache, especially migraine. |
| format | Article |
| id | doaj-art-ebdf6646e7ea43729ff07d645511a10a |
| institution | Kabale University |
| issn | 1129-2377 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
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| series | The Journal of Headache and Pain |
| spelling | doaj-art-ebdf6646e7ea43729ff07d645511a10a2025-01-05T12:41:47ZengBMCThe Journal of Headache and Pain1129-23772024-12-0125111010.1186/s10194-024-01942-9The burden of headache disorders in the adult population of Morocco: estimates, and a health-care needs assessment, from a cross-sectional population-based door-to-door surveyNajib Kissani0Latifa Adarmouch1Aboubacar Sidik Sidibe2Abderrahmane Garmane3Rachid Founoun4Mohamed Chraa5Andreas Husøy6Timothy J. Steiner7Laboratory of Clinical and Experimental Neuroscience, Faculty of Medicine, Cadi Ayyad UniversityCommunity Medicine and Public Health Department, Bioscience and Health Research Laboratory, Faculty of Medicine, Cadi Ayyad UniversityLaboratory of Clinical and Experimental Neuroscience, Faculty of Medicine, Cadi Ayyad UniversityMarrakech Medical SchoolMarrakech Medical SchoolLaboratory of Clinical and Experimental Neuroscience, Faculty of Medicine, Cadi Ayyad UniversityDepartment of Neuromedicine and Movement Science, Norwegian University of Science and TechnologyDepartment of Neuromedicine and Movement Science, Norwegian University of Science and TechnologyAbstract Background We have previously shown headache disorders to be prevalent in in the adult general population of Morocco, especially migraine (30.8%) and headache on ≥ 15 days/month (H15+; 10.5%). This study, collecting data from the same population-based sample, is the first to estimate headache-attributed burden not only in Morocco but, more widely, in the Maghreb countries of North Africa. Methods We used the standard methodology and questionnaire developed by the Global Campaign against Headache. Cluster-based random sampling generated a sample (N = 2,575) representative of the general population aged 18–65 years. Interviews conducted face-to-face enquired into symptom burden (headache frequency, usual duration and usual intensity), and impaired participation in paid work, household work and social or leisure activities during the preceding 3 months. Further enquiry was into headache yesterday (HY). We calculated population-level estimates by factoring in prevalence. Needs assessment estimated the population proportion in need of headache-related health care based on likelihood of benefit. Results Participants with headache of any type spent, on average, 12.5% of their time with headache of intensity rated 2.3 on a scale of 1–3. According to age- and gender-corrected estimates, 7.2–8.4% of all time in the population (calculated by two methods) was spent with headache, H15 + accounting for well over half of this. Impaired participation measured as lost time due to headache averaged 0.5 days from paid work, 1.6 days from household work and 0.3 days from social or leisure activities during the preceding 3 months. Of those with HY (17.8% of the sample), 24.1% of males and 50.9% of females could do nothing or less than half of their planned activity yesterday. At population level this diluted to 7.0% of all activity lost to headache. At least 30% of the population were estimated to need headache-related health care. Conclusion Headache disorders cause much ill health in the adult population of Morocco. While this will be of obvious concern to health policy in Morocco, the call for provision of health care for almost one third of this population is challenging. On the other hand, economic policy should recognise the lost-productivity costs of inadequately treated headache, especially migraine.https://doi.org/10.1186/s10194-024-01942-9Headache disordersMigraineTension-type headacheMedication-overuse headacheEpidemiologyBurden of disease |
| spellingShingle | Najib Kissani Latifa Adarmouch Aboubacar Sidik Sidibe Abderrahmane Garmane Rachid Founoun Mohamed Chraa Andreas Husøy Timothy J. Steiner The burden of headache disorders in the adult population of Morocco: estimates, and a health-care needs assessment, from a cross-sectional population-based door-to-door survey The Journal of Headache and Pain Headache disorders Migraine Tension-type headache Medication-overuse headache Epidemiology Burden of disease |
| title | The burden of headache disorders in the adult population of Morocco: estimates, and a health-care needs assessment, from a cross-sectional population-based door-to-door survey |
| title_full | The burden of headache disorders in the adult population of Morocco: estimates, and a health-care needs assessment, from a cross-sectional population-based door-to-door survey |
| title_fullStr | The burden of headache disorders in the adult population of Morocco: estimates, and a health-care needs assessment, from a cross-sectional population-based door-to-door survey |
| title_full_unstemmed | The burden of headache disorders in the adult population of Morocco: estimates, and a health-care needs assessment, from a cross-sectional population-based door-to-door survey |
| title_short | The burden of headache disorders in the adult population of Morocco: estimates, and a health-care needs assessment, from a cross-sectional population-based door-to-door survey |
| title_sort | burden of headache disorders in the adult population of morocco estimates and a health care needs assessment from a cross sectional population based door to door survey |
| topic | Headache disorders Migraine Tension-type headache Medication-overuse headache Epidemiology Burden of disease |
| url | https://doi.org/10.1186/s10194-024-01942-9 |
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