| 11. |
- Jonsson, Pernilla, 1978, et al.
(författare)
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Epidemiology of medication overuse headache in the general Swedish population
- 2011
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Ingår i: Cephalalgia. - : SAGE Publications. - 0333-1024 .- 1468-2982. ; 31:9, s. 1015-1022
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Tidskriftsartikel (refereegranskat)abstract
- Aims: The aim was to estimate the prevalence of medication overuse headache (MOH) in Sweden and to analyze the occurrence of this disorder in different population groups. Methods: A total of 44,300 randomly selected individuals (55% women), aged 15 years and above, were interviewed in a national telephone survey, using a standardized questionnaire including the International Headache Society criteria for MOH and questions about sociodemographic factors, headache history and medication use. Results: In Sweden, 3.2% (95% confidence interval (CI) 3.1–3.4), n¼1428) suffer from chronic daily headache (CDH) and out of those, 56% (n¼799) have MOH. The prevalence of MOH is 1.8% (95% CI 1.7–1.9). The mean age of onset was higher among men than women as well as among those with tension-type headache as primary headache compared to those who originally had migraine. A multivariate analysis showed that socioeconomic factors such as having a low level of education and/or a low household income were associated with MOH. Conclusions: This is the first Swedish population-based study of MOH and we conclude that MOH is a significant public health problem in Sweden, as it is in other parts of the world.
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| 12. |
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| 13. |
- Jonsson, Pernilla, 1978, et al.
(författare)
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Holding on to the indispensable medication –A grounded theory on medication use from the perspective of persons with medication overuse headache
- 2013
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Ingår i: Journal of Headache and Pain. - : Springer Science and Business Media LLC. - 1129-2369 .- 1129-2377. ; 14:43, s. 1-11
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Tidskriftsartikel (refereegranskat)abstract
- Background: Medication overuse headache (MOH) is a chronic headache disorder, caused by overuse of acute medication. To date, it remains unclear why some people overuse these medications. The aim of this qualitative study was to explore how individuals with MOH use medications and other strategies to manage headaches in their daily lives, and their thoughts about their own use of acute medication. Our intention was to develop a theoretical model about the development of MOH, from the perspective of those with MOH. Methods: Data collection and analysis were conducted according to grounded theory methodology. The participants were recruited via newspaper advertisements. Fourteen persons with MOH were interviewed in individual qualitative interviews. Results: The basic process leading to medication overuse was holding on to the indispensable medication. The acute medication was indispensable to the participants because they perceived it as the only thing that could prevent headaches from ruining their lives. The participants perceived headaches as something that threatened to ruin their lives. As a result, they went to great lengths trying to find ways to manage it. They tried numerous strategies. However, the only strategy actually perceived as effective was the use of acute medication and they eventually became resigned to the idea that it was the only effective aid. The acute medication thus became indispensable. Their general intention was to use as little medication as possible but they found themselves compelled to medicate frequently to cope with their headaches. They did not like to think about their medication use and sometimes avoided keeping track of the amount used. Conclusions: This qualitative study adds understanding to the process via which MOH develops from the perspective of those having MOH. Such knowledge may help bridge the gap between the perspectives of patients and health-care professionals.
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| 14. |
- Jonsson, Pernilla, 1967-, et al.
(författare)
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Resources and Swedish Women's Organisations' Participation on the International Scene, 1885–1916
- 2007
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Ingår i: Politische Netzwerkerinnen. - Berlin : Trafo. - 9783896266415 ; , s. 229-248
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Die Geschichte der verschiedenen Richtungen der Frauenbewegungen im 19. und 20. Jahrhundert ist in den letzten Jahrzehnten einer breiten wissenschaftlichen Untersuchung unterzogen worden. Dabei lag der Schwerpunkt der Forschungen weitgehend auf den Methoden, Strukturen und Aktionsformen von nationalen Frauenbewegungen, die in ihren verschiedenen Erscheinungsformen untersucht worden sind. Die historische Analyse in Deutschland hat erst in den letzten Jahren begonnen, sich von dieser nationalen Ebene wegzubewegen und einen ersten vorsichtigen Blick darauf zu werfen, dass die Frauenbewegungen der verschiedenen Länder eine Organisation auf internationaler Bühne anstrebten und diese auch schufen. International organisierte Frauen konnten dabei teilweise auf jahrelanges gemeinsames Engagement zurückgreifen, denn die Frauenbewegungen hatten seit ihren Anfängen international diskutiert und gearbeitet. Es waren gerade diese über die nationalen Grenzen hinausgehenden Diskussionen, die eine wesentliche Grundlage der Frauenbewegungen bildeten. Es greift allerdings zu kurz, wenn man die internationale Dimension der Frauenbewegungen als ihre unveränderbare Grundlage zwischen 1848 und der Zeit nach dem Zweiten Weltkrieg ansehen wollte. So wie nationale Bewegungen historischen Veränderungen ausgesetzt waren und diese beschleunigten oder abbremsten, so unterlag auch die internationale Zusammenarbeit historischen Prozessen. Diese internationale Zusammenarbeit in den Frauenbewegungen, ihre Brüche und Kontinuitäten, sind Gegenstand des vorliegenden Sammelbandes. Die hier versammelten Artikel gehen auf die Tagung "Kommunikation – Mobilität – Netzwerke: Die internationale Dimension der Frauenbewegungen (ca. 1830 bis in die 1960er Jahre)" zurück, die vom 15. bis 17. September 2005 an der Universität Bremen stattfand. Inhaltlich war die Tagung von Mitgliedern des Arbeitskreises Historische Frauen- und Geschlechterforschung konzipiert und durchgeführt worden, insbesondere von Eva Schöck-Quinteros, Jutta Schwarzkopf, Annika Wilmers und Kerstin Wolff.Die Konferenz war eine der ersten in Deutschland, die verschiedene nationale Frauenbewegungen des 19. und 20. hinsichtlich ihrer internationalen Dimensionen untersuchte. Forscherinnen und Forscher aus Deutschland, England, Schweden, den USA, Kanada, Ungarn und den Niederlanden trugen dazu bei, die Geschichte der nationalen Frauenbewegungen um ihre internationale Perspektive zu erweitern.
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| 15. |
- Jonsson, Pernilla, 1978, et al.
(författare)
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Sociodemographic differences in medication use, health-care contacts and sickness absence among individuals with medication-overuse headache
- 2012
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Ingår i: Journal of Headache and Pain. - : Springer Science and Business Media LLC. - 1129-2369 .- 1129-2377. ; 13:4, s. 281-290
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Tidskriftsartikel (refereegranskat)abstract
- The objective of this study was to analyse sociodemographic differences in medication use, health-care contacts and sickness absence among individuals with medication-overuse headache (MOH). A cross-sectional, population survey was conducted, in which 44,300 Swedes (a parts per thousand yen15 years old) were interviewed over telephone. In total, 799 individuals had MOH. Of these, 47 % ( = 370) only used over-the-counter medications. During the last year, 46 % ( = 343) had made a headache-related visit to their physician and 14 % ( = 102) had visited a neurologist. Among individuals aged < 30 years, the number of days/month with headache was greater than the number of days with medication use, whereas the opposite was true for those a parts per thousand yen30 years. Both the proportion using prophylactic medication and the proportion having consulted a neurologist were smaller among those who only had elementary school education than among those with higher education ( = 0.021 and = 0.046). Those with a lower level of education also had a higher number of days/month with headache and with medication use than those with a higher educational level ( = 0.011 and = 0.018). The MOH-sufferers have limited contacts with health-care and preventive measures thus need to include other actors as well. Particular efforts should be directed towards those with low educational levels, and more research on medication use in relation to age is required.
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| 16. |
- Linde, Mattias, 1966, et al.
(författare)
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Adherence to migraine prophylaxis at a Swedish tertiary clinic. A cross-sectional study of influence of disease features
- 2007
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Ingår i: The 13th Congress of the International Headache Society, Stockholm, juni 2007.
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Konferensbidrag (refereegranskat)abstract
- Introduction The efficacy of mainly the more recently developed prophylactic treatments of migraine have been well established in a large number of randomised controlled trials. However, such trials tend to focus on the effects of the drug in an ideal setting and rather underestimate the impact of non-compliance, which generally escapes detection by the physician. This poorly understood phenomenon was further looked at in a naturalistic setting. Methods A consecutive sample of 175 migraineurs (85% women, mean age 4512, range 19-79 years) with a current prescription of pharmacological prophylaxis were studied at a Swedish headache specialist clinic. Adherence was self-reported with the Medication Adherence Report Scale (MARS, possible range of scores 5-25). Logistic regression analysis was performed to analyze the association between MARS and frequency of attacks, number of days with migraine per month, attack duration, presence of prodrome (68%), presence of aura (41%, some or all attacks), mean intensity of pain, and recovery between attacks. Results The mean frequency of migraine was 6.5 days / month, and 68% did not recover completely interictally. The mean MARS score was 22.52.8. One third (35%) was not highly adherent. Neither demographic characteristics, nor any of the studied disease specific variables were significantly associated with adherence. Discussion The full benefit of prophylactic migraine medication cannot be realised at currently achieved levels of adherence. Characteristics of the headaches per se are the starting point of patients’ decision-making. However, the present study indicates that other factors play a more important role in this complicated process.
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