Workplace absenteeism and aspects of access to health care for individuals with migraine headache

Headache
J H Lofland, K D Frick

Abstract

(1) To examine the relationship between access to care and the number of missed workdays, and (2) to determine how this relationship is confounded by the presence of having health insurance and health care use among migraineurs. This retrospective, pooled, cross-sectional study used 1996 to 1999 Medical Expenditure Panel Survey data. Employed migraineurs who were between 18 and 65 years of age were included. Individuals reporting a neoplastic or an acute pain condition were excluded. An access to care index was developed using Rasch Partial Credit Analysis. A 2-part model was used to estimate the annual number of missed workdays. Of the 703 migraineurs, 538 (77%) reported missing work time. Of those who missed work, the mean (SE) annual number of missed workdays was 4.4 (.39). A higher level of access to care (P= .025) and presence of depression (P= .033) were significantly associated with missing a greater number of workdays. We created a proxy for migraine severity based on migraine-related prophylactic medication use and hospitalization(s). Severe migraines were significantly (OR = 2.01, SE = .51, P= .006) associated with an increased likelihood to miss workdays. When health insurance was included in the model, a higher leve...Continue Reading

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Citations

Jan 18, 2011·International Journal of Behavioral Medicine·Christine A Hovanitz, Dawn Lindsay Thatcher
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