Migraine Trigger Factors in a Non-Clinical Mexican-American Population in San Diego County: Implications for Etiology

Author:

Turner LC1,Molgaard CA1,Gardner CH1,Rothrock JF2,Stang PE3

Affiliation:

1. Graduate School of Public Health1, San Diego State University, CA, USA

2. Department of Neurology2, University of South Alabama, AL, USA

3. Graduate School of Public Health3, University of North Carolina-Chapel Hill, NC, USA

Abstract

We conducted an investigation of migraine headache in a general population of Mexican-Americans living in San Diego county. Specific headache triggers were reported and analyzed, the most frequently reported for females with migraine being missing meals (58.9%), weather changes (54.4%), menstruation (53.6%), post-crisis letdown (52.7%), and fatigue (51.8%). The most frequently reported trigger factors for migraines reported by males were fatigue (58.8%), sleep (as a precipitating factor) (56.3%), post-crisis letdown (41.2%), and weather changes (37.5%). Trigger factors were further evaluated using stratification by presence or absence of Raynaud's phenomenon (RP), menstrual migraine, family history of migraine, and by migraine type. Odds ratios and 95% confidence intervals were calculated. These results suggest that subjects with migraine and RP (perhaps indicative of a systematic vascular tone disorder) and those with menstrual migraine (indicative of sensitivity to hormonal changes) may overall be more sensitive to certain environmental stimuli, particularly those involving change in the internal environment.

Publisher

SAGE Publications

Subject

Neurology (clinical),General Medicine

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