Updates on management of headache in women and transgender women

Ailani, Jessica

doi:10.1097/wco.0000000000000926

Cited by 7 publications

(5 citation statements)

References 30 publications

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“…Some of these associations have long been demonstrated in the general population; this study confirms that the same is true in the workplace. The higher prevalence in women is an established fact in the literature [ 74 ]. Conclusive studies have associated bereavement with frequent and severe headaches [ 75 ].…”

Section: Discussionmentioning

confidence: 99%

Headache in the Workplace: Analysis of Factors Influencing Headaches in Terms of Productivity and Health

Magnavita

2022

IJERPH

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Headache is a very common condition that can have a significant impact on work. This study aimed to assess the prevalence of headaches and their impact on a sample of 1076 workers from 18 small companies operating in different sectors. The workers who volunteered to participate were asked to fill in the Headache Impact Test-6 (HIT-6) and answer questions designed to assess stressful and traumatic factors potentially associated with headaches. The volunteers subsequently underwent a medical examination and tests for diagnosing metabolic syndrome. Out of the 1044 workers who completed the questionnaire (participation rate = 97%), 509 (48.8%) reported suffering from headaches. In a multivariate logistic regression model, female gender, recent bereavement, intrusive leadership, and sleep problems were significantly associated with headaches. In univariate logistic regression models, headache intensity was associated with an increased risk of anxiety (OR 1.10; CI95% 1.09; 1.12) and depression (OR 1.09; CI95% 1.08; 1.11). Headache impact was also associated with the risk of metabolic syndrome (OR 1.02; CI95% 1.00, 1.04), obesity (OR 1.02, CI95% 1.01; 1.03), and reduced HDL cholesterol (OR 1.03; CI95% 1.01; 1.04). The impact of headache calls for intervention in the workplace not only to promote a prompt diagnosis of the different forms of headaches but also to improve work organization, leadership style, and the quality of sleep.

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Section: Discussionmentioning

confidence: 99%

Headache in the Workplace: Analysis of Factors Influencing Headaches in Terms of Productivity and Health

Magnavita

2022

IJERPH

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“…Finally, our study revealed that women were independent predictors of the occurrence of ischemic stroke-related headaches, which is consistent with the results of a previous study on migrainous infarction [ 52 ]. Primarily, this finding may be related to the endocrine hormones and physiological protein regulation in women [ 53 ]. Second, women are more susceptible to mood swings than men and are especially more likely to experience negative emotions, such as anxiety and irritability, because of an illness.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and risk factors of ischemic stroke-related headache in China: a systematic review and meta-analysis

Xie

Pei

et al. 2022

BMC Public Health

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Background Headache accompanying ischemic stroke is considered an independent predictor of neurological deterioration. This meta-analysis aims to estimate the prevalence of ischemic stroke-related headaches and identify its risk factors in China. Methods PubMed, Embase, Cochrane Library database, Web of Science, PsycINFO, and four Chinese databases for the related publications were searched. Two researchers independently selected the literature, extracted the relevant data, and assessed its methodological quality. The meta-analysis applied a random-effects model with R software to calculate the pooled prevalence of ischemic stroke-related headaches in Chinese patients, and to merge the odds ratio (OR) of risk factors. Subgroup analysis, sensitivity analysis, and meta-regression analysis were conducted. Publication bias was assessed by a funnel plot and Egger test. Results Ninety-eight studies were eligible for inclusion. The overall pooled prevalence of ischemic stroke-related headache was 18.9%. Subgroup analysis showed that the prevalence of ischemic stroke related-headaches was higher among studies using self-report to diagnosis headache (18.9%; 95%CI, 8.9% to 40.2%), and those focused on age ≥ 55 years (19.7%; 95%CI, 14.9% to 25.9%), rural settings (24.9%; 95%CI, 19.7% to 31.6%). There were no significant differences in the headache prevalence between studies in the south and north, and inland and coastal studies. The prevalence of pre onset headache (13.9%) and tension-type headache (15.5%) and was higher compared with other types. History of headache (OR = 3.24; 95%CI, 2.26 to 4.65.), female gender (OR = 2.06; 95%CI, 1.44 to 2.96.), midbrain lesions (OR = 3.56; 95%CI, 1.86 to 6.83.), and posterior circulation stroke (OR = 2.13; 95%CI, 1.14 to 4.32) were major risk factors. Conclusion The prevalence of ischemic stroke-associated headache is high in China. In addition, women, presence of midbrain lesions, posterior circulation stroke and a history of migraine were high-risk factors for ischemic stroke-related headaches. Designing effective interventions to prevent or alleviated headaches is necessary to promote patients’ neurological recovery and quality of life.

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“…Cisgendered women experience higher rates of migraine, often two to three times that of cisgendered men, 51 whereas cisgendered men experience cluster headaches up to five times that of cisgendered women. 52 The effects of sex hormones are complex, with both direct effects on higher-order functional neural networks and vascular structures, as well as indirect effects through genomic alterations and neurotransmitter signaling. 53 Animal and laboratory models 54 have shown that estrogen increases central opioid tone, decreases serotonin, activates the trigeminovascular system, modulates levels of inflammatory mediators including calcitonin gene-related peptide, and increases susceptibility to cortical spreading depolarization, the mechanism thought to cause auras.…”

Section: Hormonesmentioning

confidence: 99%

Neurological Health in Sexual and Gender Minority Individuals

Simmasalam,

Zuniga,

Hinson

2024

Semin Neurol

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Despite representing a significant proportion of the U.S. population, there is a paucity of population-based research on the health status and health needs of sexual and gender minority (SGM) individuals in neurology. Compared with heterosexual peers, some SGM populations have a higher burden of chronic health conditions. In parallel, SGM individuals are more likely to experience stigma and discrimination producing psychological distress, which may contribute to and be compounded by reduced health care access and utilization. In this narrative review, we summarize the existing literature on common neurological health conditions such as stroke, headache, epilepsy, movement disorders, and traumatic brain injury through the lens of intersection of SGM identity. Special focus is attuned to social determinants of health and gender-affirming hormonal therapy. Given the limitations in the available literature, there is an urgent unmet need for datasets that include sexual orientation and gender identity information, as well as funding for research that will characterize the prevalence of neurological conditions, unique risk factors, and health outcomes in SGM populations. In the health care community, providers should address deficiencies in their professional training and integrate inclusive language into their clinical skillset to build trust with SGM patients. There is an opportunity in neurology to proactively engage SGM communities, collaborate to remove barriers to care, promote resilience, and develop targeted interventions to ensure high-quality, culturally competent care for SGM populations to improve neurological health for all.

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Updates on management of headache in women and transgender women

Cited by 7 publications

References 30 publications

Headache in the Workplace: Analysis of Factors Influencing Headaches in Terms of Productivity and Health

Headache in the Workplace: Analysis of Factors Influencing Headaches in Terms of Productivity and Health

Prevalence and risk factors of ischemic stroke-related headache in China: a systematic review and meta-analysis

Neurological Health in Sexual and Gender Minority Individuals

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