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Childhood Abuse, Intimate Partner Violence and Risk of Migraine Among Pregnant Women: An Epidemiologic Study

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Authors
Gelaye, Bizu
Do, Ngan
Avilla, Samantha
Carlos Velez, Juan
Zhong, Qiu-Yue
Sanchez, Sixto E.
Lee Peterlin, B.
Williams, Michelle A.
Issue Date
2016-06-07
Keywords
Abuse
Pregnancy
Intimate partner violence
Migraine
xmlui.metadata.dc.contributor.email
bgelaye@hsph.harvard.edu

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Citation
Childhood Abuse, Intimate Partner Violence and Risk of Migraine Among Pregnant Women: An Epidemiologic Study 2016 Headache: The Journal of Head and Face Pain
Publisher
John Wiley & Sons, Inc.
Journal
Headache
URI
http://hdl.handle.net/10757/612014
DOI
10.1111/head.12855
Additional Links
http://doi.wiley.com/10.1111/head.12855
Abstract
Objective To examine the independent and joint associations of childhood abuse and intimate partner violence with migraine among pregnant women. Background Childhood abuse and intimate partner violence have each been associated with migraine headaches in previous studies, but these associations have not been explored among pregnant women. Methods A cross-sectional study was conducted among a cohort of 2970 pregnant women attending prenatal clinics in Lima, Peru. History of childhood abuse (ie, physical or sexual abuse) was assessed using the Childhood Physical and Sexual Abuse Questionnaire. Intimate partner violence (IPV) was assessed using the World Health Organization questionnaire. Migraine classification (including migraine and probable migraine) was based on International Classification of Headache Disorders (ICHD)-III beta criteria. Multivariable logistic regression analyses were performed to estimate odd ratios (OR) and 95% confidence intervals (95% CI). Results The prevalence of any migraine was 33.5% while approximately 70% of participants reported a history of childhood abuse and 36.7% a history of IPV. Women with a history of any childhood abuse had a 38% increased odds of any migraine compared to women with no history of childhood abuse (OR = 1.38; 95% CI 1.15-1.64). The odds of migraine increased with increasing numbers of experienced childhood abuse events (Ptrend < .001). Additionally, after adjusting for confounders women with a history of IPV had a 43% increased odds of any migraine as compared to women without intimate partner violence (OR = 1.43; 95%CI 1.02-2.02). Women with a joint positive history of childhood abuse and IPV, as compared with the reference group, had a 88% increased odds of migraine (aOR = 1.88, 95%CI: 1.51-2.35). Conclusion Childhood abuse and IPV are associated with increased odds of migraine in pregnant women. Our findings highlight the importance of screening for abuse among pregnant migraineurs to help guide treatment strategies.
Type
info:eu-repo/semantics/article
Rights
info:eu-repo/semantics/embargoedAccess
Language
eng
ISSN
00178748
ae974a485f413a2113503eed53cd6c53
10.1111/head.12855
Scopus Count
Collections
Medicina

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