{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T22:29:17Z","timestamp":1791239357110,"version":"4.1.0"},"reference-count":37,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,11,28]],"date-time":"2024-11-28T00:00:00Z","timestamp":1732752000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,11,28]],"date-time":"2024-11-28T00:00:00Z","timestamp":1732752000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"NTNU Norwegian University of Science and Technology"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Headache Pain"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>We have previously found that almost two thirds (64.6%) of adults in Peru have an active headache disorder. Here, using data from the same sample, we present attributed burden at individual and population levels. We use these data to assess need for headache-related health care among this population.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We used the standard methodology of the Global Campaign against Headache. Cluster-sampling from five geographical regions of Peru (Cajamarca, Lima, Piura, Puno, San Mart\u00edn) generated a sample representative of the population aged 18\u201365 years. At unannounced visits to households, we interviewed one adult from each using the HARDSHIP questionnaire. We assessed symptom burden in terms of headache frequency and usual duration and intensity, and impaired participation in paid work, household work and social or leisure activities using the HALT index. To assess need for health care, we counted all those with headache on \u2265\u200915 days\/month (H15+), those with migraine on \u2265\u20093 days\/month, and those with migraine or tension-type headache meeting either of two criteria: a) proportion of time in ictal state (pTIS)\u2009&gt;\u20093.3% <jats:italic>and<\/jats:italic> intensity\u2009\u2265\u20092 (moderate-to-severe); b)\u2009\u2265\u20093 lost days from paid and\/or household work during the preceding 3 months. We derived population-level estimates by factoring in prevalences.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The sample size was <jats:italic>N<\/jats:italic>\u2009=\u20092,149. From individual data, we estimated population-level pTIS at 1.9\u20132.5%, this proportion of all time among adults in Peru being spent with headache, with migraine the greatest contributor (1.2%). At population level, headache was responsible for 0.5 days lost from paid work and 1.0 days from household work per person per 3 months, with migraine again the biggest contributor (0.2 and 0.5 days). However, at individual level, H15\u2009+\u2009was associated with greatest burden (pTIS 14.9\u201324.9%; 2.3\u20134.5 lost workdays\/3 months). A quarter of the sample (<jats:italic>n<\/jats:italic>\u2009=\u2009590; 27.5%) fulfilled one or more of our health-care need criteria.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Headache disorders are responsible for high levels of ill health and economic burden in Peru, with a substantial requirement for health care. Health and economic policies balancing health benefits against the cost of providing care should take account of the productivity losses that might be recovered, and the expected cost-offset.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s10194-024-01902-3","type":"journal-article","created":{"date-parts":[[2024,11,28]],"date-time":"2024-11-28T07:23:13Z","timestamp":1732778593000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["The burden of headache disorders among adults in Peru: national estimates and a health-care needs assessment from a population-based door-to-door survey"],"prefix":"10.1186","volume":"25","author":[{"given":"Guiovanna","family":"Quispe","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cesar","family":"Loza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis","family":"Limaco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Gallegos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Palomino-Diaz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivett","family":"Cruz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline","family":"Miranda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liliana","family":"Rodriguez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Hus\u00f8y","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy J.","family":"Steiner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,11,28]]},"reference":[{"key":"1902_CR1","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1186\/s10194-022-01420-0","volume":"23","author":"TJ Steiner","year":"2022","unstructured":"Steiner TJ, Birbeck GL, Jensen RH, Martelletti P, Stovner LJ, Uluduz D et al (2022) The global campaign turns 18: a brief review of its activities and achievements. 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All participants gave verbal consent to their inclusion in conformity with this approval.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"TJS and AH are Directors and Trustees of <i>Lifting The Burden<\/i>. TJS is associate editor of The Journal of Headache and Pain. AH is a member of the Junior Editorial Board of The Journal of Headache and Pain. Otherwise, no author declares a conflict of interest.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"209"}}