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Nonpharmacological Self-Management of Migraine Across Social Locations: An Equity-Oriented Qualitative Analysis

机译:偏头痛跨社会场所的非药理学自我管理:一种基于权益的定性分析

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摘要

BackgroundMigraine is a disabling neurological disorder and the sixth biggest cause of disability worldwide. The World Health Organization has declared migraine a major public health problem due to a paucity of knowledge about cause and effective treatment options. Both in incidence and severity, migraine disproportionately affects people occupying marginalized social locations (SL). Managed pharmacologically, migraine is treated with daily preventive and as-needed abortive medications. Both come with high literal and figurative costs: intolerable side effects, medication interactions, and prohibitive prices. Cost prohibitive, ineffective, and unsustainable pharmacological treatment options have contributed to high levels of interest in complementary approaches by people with migraine, but little is known about their motivations, patterns of use or access, or how these may vary by SL.
机译:背景偏头痛是一种致残的神经系统疾病,是全球第六大致残原因。由于缺乏有关病因和有效治疗选择的知识,世界卫生组织宣布偏头痛是主要的公共卫生问题。偏头痛在发病率和严重程度上均不成比例地影响着处于边缘化社交场所(SL)的人们。药理学上,偏头痛每天用预防性和必要的流产药物治疗。两者都具有很高的文字和图形成本:无法忍受的副作用,药物相互作用和价格过高。成本高昂,无效和不可持续的药物治疗选择已引起偏头痛患者对辅助治疗方法的高度关注,但对他们的动机,使用或获得途径的方式以及SL可能如何改变的了解甚少。

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