Migraine Headache in an Employed Population: Demographics, Health Risks, Pharmaceutical Utilization, and Productivity Loss.

J Occup Environ Med

From the Environmental and Occupational Sciences, University of Illinois School of Public Health, Chicago (Dr Burton); Global Health Management Research Core, Ann Arbor, Michigan (Dr Schultz); Clinical Medicine and Pediatrics, Vanderbilt University Medical Center Office of Population Health; and Vanderbilt Health at Metro Nashville Public Schools, Nashville, Tennessee (Dr Shepherd); and Employee Benefits, Metro Nashville Public Schools, Tenn Nashville, Tennessee (Mr Hines).

Published: August 2022

Objective: Demographics, health risks, pharmaceutical utilization, and other characteristics of adults with and without migraine who were employed by a school district in the southern United States were compared.

Methods: A total of 4528 employees completed a health risk appraisal. A diagnosis of migraine was reported by 11%. Employees with and without migraine were compared on several measures.

Results: Demographic and health risk differences were observed among the comparison groups. One-fifth of migraineurs had a prescription for an opioid, which was associated with very high average annual health care costs ($17,791) compared with migraineurs without opioid ($3907).

Conclusions: Migraine is common in the workforce. Employers may want to educate employees with migraine about evidence-based treatments. Benefit plan design should be consistent with current accepted treatment guidelines for opioid use.

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Source
http://dx.doi.org/10.1097/JOM.0000000000002564DOI Listing

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