Skip to main content
Erschienen in: Current Pain and Headache Reports 6/2022

26.03.2022 | Hot Topics in Pain and Headache (N Rosen, Section Editor)

A Review of Underserved and Vulnerable Populations in Headache Medicine in the United States: Challenges and Opportunities

verfasst von: Juliana H. VanderPluym, Larry Charleston IV, Michael E. Stitzer, Charles C. Flippen II, Cynthia E. Armand, Jessica Kiarashi

Erschienen in: Current Pain and Headache Reports | Ausgabe 6/2022

Einloggen, um Zugang zu erhalten

Abstract

Purpose of Review

This review will briefly summarize recent literature published on headache disparities in underserved and vulnerable populations. It will also report the personal observations of headache medicine providers working with underserved and vulnerable populations in the USA, specifically in an urban practice dedicated to patients in a safety net program and a rural practice dedicated to Native American patients.

Recent Findings

Headache disorders are recognized as one of the most prevalent neurological conditions. People with headache and migraine encounter several barriers to obtaining appropriate care, which are magnified in vulnerable and underserved populations. Research has shown disparities in headache and migraine diagnosis, prevalence rates, treatment, and outcomes based on race, socioeconomic status, and geography.

Summary

Continued research regarding disparities in headache medicine is required. Strategies to address the identified challenges, including structural competence and the underrepresented in medicine pipeline, are reviewed.
Literatur
3.
Zurück zum Zitat •• Kiarashi J, VanderPluym J, Szperka CL, Turner S, Minen MT, Broner S, et al. Factors associated with, and mitigation strategies for, health care disparities faced by patients with headache disorders. Neurology. 2021;97(6):280–9. https://doi.org/10.1212/WNL.0000000000012261. Most recently published expansive review of disparities in headache medicine.CrossRefPubMed •• Kiarashi J, VanderPluym J, Szperka CL, Turner S, Minen MT, Broner S, et al. Factors associated with, and mitigation strategies for, health care disparities faced by patients with headache disorders. Neurology. 2021;97(6):280–9. https://​doi.​org/​10.​1212/​WNL.​0000000000012261​. Most recently published expansive review of disparities in headache medicine.CrossRefPubMed
4.
Zurück zum Zitat •• Burch R, Rizzoli P, Loder E. The prevalence and impact of migraine and severe headache in the United States: Figures and trends from government health studies. Headache. 2018;58(4):496–505. https://doi.org/10.1111/head.13281. Provides epidemiological data on disparities in headache medicine based on government health studies.CrossRefPubMed •• Burch R, Rizzoli P, Loder E. The prevalence and impact of migraine and severe headache in the United States: Figures and trends from government health studies. Headache. 2018;58(4):496–505. https://​doi.​org/​10.​1111/​head.​13281. Provides epidemiological data on disparities in headache medicine based on government health studies.CrossRefPubMed
9.
Zurück zum Zitat Stewart WF, Lipton RB, Celentano DD, Reed ML. Prevalence of migraine headache in the United States. Relation to age, income, race, and other sociodemographic factors. JAMA. 1992;267(1):64–9.CrossRef Stewart WF, Lipton RB, Celentano DD, Reed ML. Prevalence of migraine headache in the United States. Relation to age, income, race, and other sociodemographic factors. JAMA. 1992;267(1):64–9.CrossRef
12.
Zurück zum Zitat Mauser ED, Rosen NL. So many migraines, so few subspecialists: analysis of the geographic location of United Council for Neurologic Subspecialties (UCNS) certified headache subspecialists compared to United States headache demographics. Headache. 2014;54(8):1347–57. https://doi.org/10.1111/head.12406.CrossRefPubMed Mauser ED, Rosen NL. So many migraines, so few subspecialists: analysis of the geographic location of United Council for Neurologic Subspecialties (UCNS) certified headache subspecialists compared to United States headache demographics. Headache. 2014;54(8):1347–57. https://​doi.​org/​10.​1111/​head.​12406.CrossRefPubMed
17.
Zurück zum Zitat Institute of Medicine (US) Committee on the Changing Market MC, and the Future Viability of Safety Net Providers, Lewin ME, Altman S. Americas's health care safety net: intact but endangered. Washington (DC): National Academies Press (US); 2000. Institute of Medicine (US) Committee on the Changing Market MC, and the Future Viability of Safety Net Providers, Lewin ME, Altman S. Americas's health care safety net: intact but endangered. Washington (DC): National Academies Press (US); 2000.
26.
Zurück zum Zitat United States Government Acountability Office. Report to the Ranking Member, Committee on Transportation and Infrastructure, House of Representatives. Tribal Transportation. Better data could improve road management and inform Indian student attendance strategies. 2017. https://www.gao.gov/assets/gao-17-423.pdf. Accessed 3 Dec 2021. United States Government Acountability Office. Report to the Ranking Member, Committee on Transportation and Infrastructure, House of Representatives. Tribal Transportation. Better data could improve road management and inform Indian student attendance strategies. 2017. https://​www.​gao.​gov/​assets/​gao-17-423.​pdf. Accessed 3 Dec 2021.
28.
Zurück zum Zitat Curley C, Birru E, Shin S, McBain R, Vanwassenhove J, Damewood A, et al. Understanding access to healthy food in Navajo Nation using GIS mapping. ESRI Users Conference. San Diego, CA. 2015. Curley C, Birru E, Shin S, McBain R, Vanwassenhove J, Damewood A, et al. Understanding access to healthy food in Navajo Nation using GIS mapping. ESRI Users Conference. San Diego, CA. 2015.
Metadaten
Titel
A Review of Underserved and Vulnerable Populations in Headache Medicine in the United States: Challenges and Opportunities
verfasst von
Juliana H. VanderPluym
Larry Charleston IV
Michael E. Stitzer
Charles C. Flippen II
Cynthia E. Armand
Jessica Kiarashi
Publikationsdatum
26.03.2022
Verlag
Springer US
Erschienen in
Current Pain and Headache Reports / Ausgabe 6/2022
Print ISSN: 1531-3433
Elektronische ISSN: 1534-3081
DOI
https://doi.org/10.1007/s11916-022-01042-w

Weitere Artikel der Ausgabe 6/2022

Current Pain and Headache Reports 6/2022 Zur Ausgabe

Acute Pain Medicine (R Urman, Section Editor)

Postdural Puncture Headache—Risks and Current Treatment

Acute Pain Medicine (R Urman, Section Editor)

Acupuncture and Postoperative Pain Reduction

Childhood and Adolescent Headache (S Evers, Section Editor)

Emotional Problems in Pediatric Headache Patients

Acute Pain Medicine (R Urman, Section Editor)

Patients on Buprenorphine Formulations Undergoing Surgery

Neuropathic Pain (A Abd-Elsayed, Section Editor)

Small Fiber Neuropathy

Childhood and Adolescent Headache (S Evers, Section Editor)

CGRP in Childhood and Adolescence Migraine: (Patho)physiological and Clinical Aspects

Mehr Frauen im OP – weniger postoperative Komplikationen

21.05.2024 Allgemeine Chirurgie Nachrichten

Ein Frauenanteil von mindestens einem Drittel im ärztlichen Op.-Team war in einer großen retrospektiven Studie aus Kanada mit einer signifikanten Reduktion der postoperativen Morbidität assoziiert.

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

17.05.2024 Klinik aktuell Nachrichten

Sie sei „ethisch geboten“, meint Gesundheitsminister Karl Lauterbach: mehr Transparenz über die Qualität von Klinikbehandlungen. Um sie abzubilden, lässt er gegen den Widerstand vieler Länder einen virtuellen Klinik-Atlas freischalten.

Delir bei kritisch Kranken – Antipsychotika versus Placebo

16.05.2024 Delir Nachrichten

Um die Langzeitfolgen eines Delirs bei kritisch Kranken zu mildern, wird vielerorts auf eine Akuttherapie mit Antipsychotika gesetzt. Eine US-amerikanische Forschungsgruppe äußert jetzt erhebliche Vorbehalte gegen dieses Vorgehen. Denn es gibt neue Daten zum Langzeiteffekt von Haloperidol bzw. Ziprasidon versus Placebo.

Klinikreform soll zehntausende Menschenleben retten

15.05.2024 Klinik aktuell Nachrichten

Gesundheitsminister Lauterbach hat die vom Bundeskabinett beschlossene Klinikreform verteidigt. Kritik an den Plänen kommt vom Marburger Bund. Und in den Ländern wird über den Gang zum Vermittlungsausschuss spekuliert.

Update AINS

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.