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One-year prevalence and socio-cultural aspects of chronic headache in Turkish immigrants and German natives.

机译:土耳其移民和德国人的慢性头痛的一年患病率和社会文化因素。

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The aim of this research was to study the prevalence of chronic headache (CH) and associated socio-cultural factors in Turkish immigrants and native Germans. Five hundred and twenty-three Turkish and German company employees were screened using a standard questionnaire. Those who suffered from headaches were also examined by a neurologist. Complete data were available for 471 (90%) subjects. Thirty-four participants (7.2%) had CH. Two independent factors for association with CH could be identified: overuse of acute headache medication (OR = 72.5; 95% CI 25.9-202.9), and being a first-generation Turkish immigrant compared with native Germans (OR = 4.4; 95% CI 1.4-13.7). In contrast, the factor associated with chronic headache was not increased in second-generation Turkish immigrants. Medication overuse was significantly more frequent in first-generation Turkish immigrants (21.6%) compared with second-generation Turkish immigrants (3.3%) and native Germans (3.6%; chi(2) = 38.0, P < 0.001). First-generation Turkish immigrants did not contact headache specialists at all, compared with 2.8% of second-generation Turkish immigrants and 8.8% of native Germans (chi(2) = 118.4, P < 0.001). Likewise no first-generation Turkish immigrant suffering from CH received headache preventive treatment, compared with 6.6% of native Germans (chi(2) = 19.1, P = 0.014). The data from this cross-sectional study reveal a high prevalence of chronic headache as well as a very low utilization of adequate medical care in first-generation Turkish immigrants in Germany.
机译:这项研究的目的是研究土耳其移民和德国本地人中慢性头痛(CH)的患病率及其相关的社会文化因素。使用标准问卷对523名土耳其和德国公司员工进行了筛选。那些头痛的人也接受了神经科医生的检查。有471名(90%)受试者的完整数据。 34名参与者(7.2%)患有CH。可以确定与CH关联的两个独立因素:急性头痛药物的过度使用(OR = 72.5; 95%CI 25.9-202.9);与德国本土人相比,他们是第一代土耳其移民(OR = 4.4; 95%CI 1.4 -13.7)。相反,与第二代土耳其移民相比,与慢性头痛相关的因素并未增加。与第二代土耳其移民(3.3%)和德国原住民(3.6%; chi(2)= 38.0,P <0.001)相比,第一代土耳其移民(21.6%)的用药过量现象更为频繁。第一代土耳其移民根本没有与头痛专家联系,相比之下,第二代土耳其移民为2.8%,德国本土人为8.8%(chi(2)= 118.4,P <0.001)。同样,没有CH的第一代土耳其移民接受头痛预防治疗,而德国原住民为6.6%(chi(2)= 19.1,P = 0.014)。这项横断面研究的数据显示,德国第一代土耳其移民的慢性头痛患病率很高,而对充分医疗保健的利用却很低。

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