{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T17:17:52Z","timestamp":1790702272399,"version":"4.1.0"},"reference-count":57,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T00:00:00Z","timestamp":1742342400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["HHSN268201300001I\/N01\u2010HC\u201065233"],"award-info":[{"award-number":["HHSN268201300001I\/N01\u2010HC\u201065233"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["HHSN268201300004I\/N01\u2010HC\u201065234"],"award-info":[{"award-number":["HHSN268201300004I\/N01\u2010HC\u201065234"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["HHSN268201300002I\/N01\u2010HC\u201065235"],"award-info":[{"award-number":["HHSN268201300002I\/N01\u2010HC\u201065235"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["HHSN268201300003I\/N01HC\u201065236"],"award-info":[{"award-number":["HHSN268201300003I\/N01HC\u201065236"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["HHSN268201300005I\/N01\u2010HC\u201065237"],"award-info":[{"award-number":["HHSN268201300005I\/N01\u2010HC\u201065237"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["headachejournal.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Headache"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To quantify the prevalence of migraine and examine its association with sleep disorders, patterns, and symptoms in adults in the Hispanic Community Health Study\/Study of Latinos (HCHS\/SOL). We hypothesized that migraine would be associated with insomnia but not sleep apnea.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Sparse research has examined migraine prevalence and sleep comorbidities in underrepresented racial and ethnic groups in the United States. Hispanic\/Latino adults in the United States may be at risk for worse health outcomes due to disparities in health\u2010care access and socioeconomic stressors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analyzed data collected during the baseline examination (March 2008\u2013June 2011) from the HCHS\/SOL, a community\u2010based cohort study of self\u2010identified Hispanic\/Latino adults in the United States. The exposure was self\u2010reported medical diagnosis of migraine, and primary outcomes were obstructive sleep apnea (apnea\u2013hypopnea index \u2265\u200915 events\/h from at\u2010home sleep testing) and insomnia (\u2265\u20099 on the Women's Health Initiative Insomnia Rating Scale). Exploratory outcomes included self\u2010reported sleep duration, timing, sleeping pill use, and naps. We compared weighted differences in outcomes by migraine status, adjusting for age and sex in all reported models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Our analytical sample included HCHS\/SOL participants who completed questionnaires on sleep and migraine (16,325). The mean age (standard deviation) was 41.1 (31.7) years, 52.2% identified as female, and 39.5% had a body mass index \u2265\u200930\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      . Lifetime prevalence of migraine was 15.9% (95% confidence interval [CI]: 15.0, 16.8; 23.6% [95% CI: 22.2, 25.0] of females and 7.5% [95% CI:6.6, 8.5] of males). Those with migraine were more likely to be unemployed (50.8% vs. 36.2%) and to have a household yearly income of &lt; $20,000 (50.9% vs. 45.5%). There was no association between migraine and obstructive sleep apnea (odds ratio [OR] 0.98 [95% CI: 0.76, 1.26]) or napping (OR 0.92 [95% CI: 0.81, 1.06]). Compared to individuals without migraine, those with migraine were more likely to have insomnia (OR\u2009=\u20091.87; 95% CI: 1.62, 2.15) and to use sleeping pills (OR\u2009=\u20092.16; 95% CI: 1.80, 2.60) in sex\u2010 and age\u2010adjusted models. Individuals with migraine also had shorter mean sleep duration (7.88\u2009\u00b1\u20092.5\u2009h vs. 8.00\u2009\u00b1\u20092.1\u2009h,\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22120.20; 95% CI: \u22120.30, \u22120.09) and later bedtimes (11:28\u2009p.m.\u2009\u00b1\u20095.1\u2009h vs. 11:17\u2009p.m.\u2009\u00b1\u20094.2\u2009h,\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u200916.85; 95% CI: 3.58, 30.13; weekdays) in sex\u2010 and age\u2010adjusted models.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Self\u2010reported medical diagnosis of migraine is common in Hispanic\/Latino adults, especially females. Migraine is not associated with obstructive sleep apnea. Consistent with non\u2010Hispanic\/Latino populations, migraine is associated with insomnia in the HCHS\/SOL.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/head.14926","type":"journal-article","created":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T08:08:46Z","timestamp":1742371726000},"page":"1716-1726","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Migraine and sleep apnea, insomnia, and sleep patterns in the Hispanic Community Health Study\/Study of Latinos (\n                    <scp>HCHS<\/scp>\n                    \/\n                    <scp>SOL<\/scp>\n                    )"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5191-1475","authenticated-orcid":false,"given":"Angeliki","family":"Vgontzas","sequence":"first","affiliation":[{"name":"Division of Headache Medicine, Department of Neurology Brigham and Women's Hospital, Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murray A.","family":"Mittleman","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Harvard T.H. Chan School of Public Health  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecilia","family":"Castro\u2010Diehl","sequence":"additional","affiliation":[{"name":"Division of Sleep and Circadian Disorders, Department of Medicine Brigham and Women's Hospital, Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen R.","family":"Isasi","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Population Health Albert Einstein College of Medicine  Bronx New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2652-2897","authenticated-orcid":false,"given":"Richard B.","family":"Lipton","sequence":"additional","affiliation":[{"name":"Montefiore Headache Center, Department of Neurology Albert Einstein College of Medicine  Bronx New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjay R.","family":"Patel","sequence":"additional","affiliation":[{"name":"Division of Pulmonary, Allergy, Critical Care and Sleep Medicine University of Pittsburgh School of Medicine  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Ramos","sequence":"additional","affiliation":[{"name":"Evelyn F. McKnight Brain Institute, Department of Neurology University of Miami Miller School of Medicine  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Sotres\u2010Alvarez","sequence":"additional","affiliation":[{"name":"Department of Biostatistics University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Agudelo","sequence":"additional","affiliation":[{"name":"Evelyn F. 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