Major sex differences in migraine prevalence among occupational categories: a cross-sectional study using UK Biobank.


Journal

The journal of headache and pain
ISSN: 1129-2377
Titre abrégé: J Headache Pain
Pays: England
ID NLM: 100940562

Informations de publication

Date de publication:
04 Dec 2021
Historique:
received: 13 09 2021
accepted: 09 11 2021
entrez: 5 12 2021
pubmed: 6 12 2021
medline: 15 12 2021
Statut: epublish

Résumé

Migraine represents one of the most prevalent neurological conditions worldwide. It is a disabling condition with high impact on the working situation of migraineurs. Interestingly, gender-related differences regarding an association of migraine with important occupational characteristics has been hardly studied. The current study scrutinizes gender-specific differences in the prevalence of migraine across a broad spectrum of occupational categories, shedding also light on associations with important job-related features such as shift work, job satisfaction, and physical activity. The study included data from 415 712 participants from the UK Biobank cohort, using the official ICD10 diagnosis of migraine and other health conditions as selection criteria. Prevalence ratios of migraineurs compared to healthy controls among different occupational categories and job-related variables were estimated using log-binomial regression analyses. Statistical models were adjusted for important sociodemographic features such as age, BMI, ethnicity, education and neuroticism. To better highlight specific differences between men and women we stratified by sex. We detected a differential prevalence pattern of migraine in relation to different job categories between men and women. Especially in men, migraine appears to be more prevalent in highly physically demanding occupations (PR 1.38, 95% CI [0.93, 2.04]). Furthermore, migraine is also more prevalent in jobs that frequently involve shift or night shift work compared to healthy controls. Interestingly, this prevalence is especially high in women (shift work PR 1.45, 95% CI [1.14, 1.83], night shift work PR 1.46, 95% CI [0.93, 2.31]). Our results show that migraine is genderdependently associated with physically demanding jobs and shift working.

Sections du résumé

BACKGROUND BACKGROUND
Migraine represents one of the most prevalent neurological conditions worldwide. It is a disabling condition with high impact on the working situation of migraineurs. Interestingly, gender-related differences regarding an association of migraine with important occupational characteristics has been hardly studied.
METHODS METHODS
The current study scrutinizes gender-specific differences in the prevalence of migraine across a broad spectrum of occupational categories, shedding also light on associations with important job-related features such as shift work, job satisfaction, and physical activity. The study included data from 415 712 participants from the UK Biobank cohort, using the official ICD10 diagnosis of migraine and other health conditions as selection criteria. Prevalence ratios of migraineurs compared to healthy controls among different occupational categories and job-related variables were estimated using log-binomial regression analyses. Statistical models were adjusted for important sociodemographic features such as age, BMI, ethnicity, education and neuroticism. To better highlight specific differences between men and women we stratified by sex.
RESULTS RESULTS
We detected a differential prevalence pattern of migraine in relation to different job categories between men and women. Especially in men, migraine appears to be more prevalent in highly physically demanding occupations (PR 1.38, 95% CI [0.93, 2.04]). Furthermore, migraine is also more prevalent in jobs that frequently involve shift or night shift work compared to healthy controls. Interestingly, this prevalence is especially high in women (shift work PR 1.45, 95% CI [1.14, 1.83], night shift work PR 1.46, 95% CI [0.93, 2.31]).
CONCLUSION CONCLUSIONS
Our results show that migraine is genderdependently associated with physically demanding jobs and shift working.

Identifiants

pubmed: 34863088
doi: 10.1186/s10194-021-01356-x
pii: 10.1186/s10194-021-01356-x
pmc: PMC8903549
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

145

Subventions

Organisme : Medical Research Council
ID : MC_PC_17228
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_QA137853
Pays : United Kingdom

Informations de copyright

© 2021. The Author(s).

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Auteurs

Oreste Affatato (O)

Department of Neuroscience, University of Uppsala, Uppsala, Sweden. oreste.affatato@neuro.uu.se.
Uppsala University's centre for Women's Mental Health during the Reproductive lifespan - WoMHeR, University of Uppsala, Uppsala, Sweden. oreste.affatato@neuro.uu.se.

Maud Miguet (M)

Department of Neuroscience, University of Uppsala, Uppsala, Sweden.

Helgi B Schiöth (HB)

Department of Neuroscience, University of Uppsala, Uppsala, Sweden.
Institute for Translational Medicine and Biothechnology, I. M. Sechenov First Moscow State Medical University, Moscow, Russia.

Jessica Mwinyi (J)

Department of Neuroscience, University of Uppsala, Uppsala, Sweden.
Uppsala University's centre for Women's Mental Health during the Reproductive lifespan - WoMHeR, University of Uppsala, Uppsala, Sweden.

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Classifications MeSH