METHODS: The study was conducted at the Disease Relief through Excellent and Advanced Means (DREAM) centre in Blantyre, Malawi, in collaboration with the Global Campaign against Headache as an extension of a previous study. Enquiries about distance and costs of travel were added to the previously published questionnaire.
RESULTS: We included 495 consecutive HIV+ patients aged 6-65 years who had been followed for at least 1 year. One-year prevalence of any headache was 76.6%; 28.7% missed at least one appointment because of transport costs. Higher costs of transport were associated with higher probability of missing visits (p < 0.001), while costs were higher for those living in rural areas than for those in urban (p < 0.001).
CONCLUSIONS: Awareness of cost and affordability of transport in SSA may suggest strategies to improve access to headache care. Given the disability attributable to headache, this is necessary if the IGAP strategic objectives and targets are to be achieved.
方法:这项研究是在布兰太尔通过优秀和先进手段(DREAM)中心进行的,马拉维,与全球头痛运动合作,作为先前研究的延伸。关于距离和旅行费用的查询被添加到先前发布的问卷中。
结果:我们纳入了495名年龄在6-65岁的连续HIV+患者,随访时间至少1年。任何头痛的一年患病率为76.6%;由于交通费用,28.7%的人至少错过了一次预约。较高的运输成本与较高的错访概率相关(p<0.001),而生活在农村地区的人的成本高于城市地区的人(p<0.001)。
结论:对SSA中运输的成本和可负担性的认识可能建议改善头痛治疗的策略。鉴于头痛导致的残疾,如果要实现IGAP战略目标和指标,这是必要的。