Characterizing idiopathic intracranial hypertension socioeconomic disparities and clinical risk factors: A retrospective case-control study
Against the backdrop of the diverse minority-majority state of Hawaii, this study seeks to better characterize associations between idiopathic intracranial hypertension (IIH) with sociodemographic variables and medical comorbidities. A retrospective case-control study was conducted by utilizing 54 I...
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| Veröffentlicht in: | Clinical neurology and neurosurgery 2021-09, Vol.208, p.106894-106894, Article 106894 |
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| container_title | Clinical neurology and neurosurgery |
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| creator | Morden, Frances Tiffany Cava Tan, Charissa Carrazana, Enrique Viereck, Jason Liow, Kore Kai Ghaffari-Rafi, Arash |
| description | Against the backdrop of the diverse minority-majority state of Hawaii, this study seeks to better characterize associations between idiopathic intracranial hypertension (IIH) with sociodemographic variables and medical comorbidities.
A retrospective case-control study was conducted by utilizing 54 IIH patients and 216 age-, sex-, and race-matched controls, 216 unmatched controls, and 63 age-, sex-, and race-matched migraine patients.
Relative to controls, IIH were 25 years younger (p |
| doi_str_mv | 10.1016/j.clineuro.2021.106894 |
| format | Article |
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A retrospective case-control study was conducted by utilizing 54 IIH patients and 216 age-, sex-, and race-matched controls, 216 unmatched controls, and 63 age-, sex-, and race-matched migraine patients.
Relative to controls, IIH were 25 years younger (p < 0.0001) and 10.18 kg/m2 heavier (p < 0.0001), as well as exhibited greater odds of the following variables (p < 0.05): female (odds ratio [OR]: 8.87), the lowest income quartile (OR: 2.33), Native Hawaiian or other Pacific Islander (NHPI; OR: 2.23), Native American or Alaskan Native (OR: 16.50), obesity class 2 (35.0–39.9 kg/m2; OR: 4.10), obesity class 3 (>40 kg/m2; OR: 6.10), recent weight gain (OR: 11.66), current smoker (OR: 2.48), hypertensive (OR: 3.08), and peripheral vascular disease (OR: 16.42). Odds of IIH were reduced (p < 0.05) for patients who were Asian (OR: 0.27) or students (OR: 0.30;). Unique from Whites, NHPI IIH patients exhibited greater odds (p < 0.05) for being from lower socioeconomic status and currently smoking, as well as potential association with seizures (p = 0.08). Compared to migraines, IIH headaches were at increased odds of occurring (p < 0.05) occipitally, for greater than 15 days per month, aggravated by postural changes, and comorbid with dizziness and tinnitus.
These results not only better characterize IIH, but also highlight socioeconomic and racial disparities in diagnosis.
•Asians are at reduced odds of idiopathic intracranial hypertension (IIH).•Native Hawaiians, Native Americans, and Blacks are predisposed to IIH diagnosis.•Lower socioeconomic status and cardiovascular risk factors increase odds of IIH.•IIH headaches more often occur occipitally relative to migraines.•IIH headaches more often last greater than 15 days per month relative to migraines.]]></description><identifier>ISSN: 0303-8467</identifier><identifier>EISSN: 1872-6968</identifier><identifier>DOI: 10.1016/j.clineuro.2021.106894</identifier><identifier>PMID: 34455402</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Adult ; Age ; BMI ; Case-Control Studies ; Diplopia ; Epilepsy ; Family income ; Female ; Headache ; Headaches ; Health Status Disparities ; Humans ; Hypertension ; Idiopathic intracranial hypertension ; Male ; Middle Aged ; Migraine ; Migraines ; Minority & ethnic groups ; Neurology ; Obesity ; Patients ; Poverty ; Pseudotumor Cerebri - diagnosis ; Retrospective Studies ; Risk Factors ; Seizures ; Sex Factors ; Sociodemographics ; Socioeconomic ; Socioeconomic Factors ; Tinnitus ; Vascular diseases</subject><ispartof>Clinical neurology and neurosurgery, 2021-09, Vol.208, p.106894-106894, Article 106894</ispartof><rights>2021 The Authors</rights><rights>Copyright © 2021 The Authors. Published by Elsevier B.V. All rights reserved.</rights><rights>2021. The Authors</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c444t-fb7d1188b55e076b419b0271ad1107a908792f5b7a7f759d80c60947612fb3773</citedby><cites>FETCH-LOGICAL-c444t-fb7d1188b55e076b419b0271ad1107a908792f5b7a7f759d80c60947612fb3773</cites><orcidid>0000-0002-6098-8036 ; 0000-0002-6711-5457</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0303846721004236$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34455402$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Morden, Frances Tiffany Cava</creatorcontrib><creatorcontrib>Tan, Charissa</creatorcontrib><creatorcontrib>Carrazana, Enrique</creatorcontrib><creatorcontrib>Viereck, Jason</creatorcontrib><creatorcontrib>Liow, Kore Kai</creatorcontrib><creatorcontrib>Ghaffari-Rafi, Arash</creatorcontrib><title>Characterizing idiopathic intracranial hypertension socioeconomic disparities and clinical risk factors: A retrospective case-control study</title><title>Clinical neurology and neurosurgery</title><addtitle>Clin Neurol Neurosurg</addtitle><description><![CDATA[Against the backdrop of the diverse minority-majority state of Hawaii, this study seeks to better characterize associations between idiopathic intracranial hypertension (IIH) with sociodemographic variables and medical comorbidities.
A retrospective case-control study was conducted by utilizing 54 IIH patients and 216 age-, sex-, and race-matched controls, 216 unmatched controls, and 63 age-, sex-, and race-matched migraine patients.
Relative to controls, IIH were 25 years younger (p < 0.0001) and 10.18 kg/m2 heavier (p < 0.0001), as well as exhibited greater odds of the following variables (p < 0.05): female (odds ratio [OR]: 8.87), the lowest income quartile (OR: 2.33), Native Hawaiian or other Pacific Islander (NHPI; OR: 2.23), Native American or Alaskan Native (OR: 16.50), obesity class 2 (35.0–39.9 kg/m2; OR: 4.10), obesity class 3 (>40 kg/m2; OR: 6.10), recent weight gain (OR: 11.66), current smoker (OR: 2.48), hypertensive (OR: 3.08), and peripheral vascular disease (OR: 16.42). Odds of IIH were reduced (p < 0.05) for patients who were Asian (OR: 0.27) or students (OR: 0.30;). Unique from Whites, NHPI IIH patients exhibited greater odds (p < 0.05) for being from lower socioeconomic status and currently smoking, as well as potential association with seizures (p = 0.08). Compared to migraines, IIH headaches were at increased odds of occurring (p < 0.05) occipitally, for greater than 15 days per month, aggravated by postural changes, and comorbid with dizziness and tinnitus.
These results not only better characterize IIH, but also highlight socioeconomic and racial disparities in diagnosis.
•Asians are at reduced odds of idiopathic intracranial hypertension (IIH).•Native Hawaiians, Native Americans, and Blacks are predisposed to IIH diagnosis.•Lower socioeconomic status and cardiovascular risk factors increase odds of IIH.•IIH headaches more often occur occipitally relative to migraines.•IIH headaches more often last greater than 15 days per month relative to migraines.]]></description><subject>Adult</subject><subject>Age</subject><subject>BMI</subject><subject>Case-Control Studies</subject><subject>Diplopia</subject><subject>Epilepsy</subject><subject>Family income</subject><subject>Female</subject><subject>Headache</subject><subject>Headaches</subject><subject>Health Status Disparities</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Idiopathic intracranial hypertension</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Migraine</subject><subject>Migraines</subject><subject>Minority & ethnic groups</subject><subject>Neurology</subject><subject>Obesity</subject><subject>Patients</subject><subject>Poverty</subject><subject>Pseudotumor Cerebri - diagnosis</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Seizures</subject><subject>Sex Factors</subject><subject>Sociodemographics</subject><subject>Socioeconomic</subject><subject>Socioeconomic Factors</subject><subject>Tinnitus</subject><subject>Vascular diseases</subject><issn>0303-8467</issn><issn>1872-6968</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkc2OFCEUhYnROOPoK0xI3LipFigKKFdOOv4lk7jRNaGoW_Ztq6EEapL2FealpdMzLty4Ijl853C5h5BrzjaccfV2v_EzBlhT3AgmeBWV6eUTcsmNFo3qlXlKLlnL2sZIpS_Ii5z3jLG2VeY5uWil7DrJxCW53-5ccr5Awt8YflAcMS6u7NBTDKXeJBfQzXR3XCAVCBljoDl6jOBjiIfKjZgXl7AgZOrCSE-Doa-ehPknnWp4TPkdvaEJSop5AV_wDqh3GZqaUbWZ5rKOx5fk2eTmDK8ezivy_eOHb9vPze3XT1-2N7eNl1KWZhr0yLkxQ9cB02qQvB-Y0NxVlWnXM6N7MXWDdnrSXT8a5hXrpVZcTEOrdXtF3pxzlxR_rZCLPWD2MM8uQFyzFZ1SQknNREVf_4Pu45pCna5SmsnWtNpUSp0pX_-XE0x2SXhw6Wg5s6e67N4-1mVPddlzXdV4_RC_DgcY_9oe-6nA-zMAdR93CMlmjxA8jJjqHu0Y8X9v_AFPE6xR</recordid><startdate>202109</startdate><enddate>202109</enddate><creator>Morden, Frances Tiffany Cava</creator><creator>Tan, Charissa</creator><creator>Carrazana, Enrique</creator><creator>Viereck, Jason</creator><creator>Liow, Kore Kai</creator><creator>Ghaffari-Rafi, Arash</creator><general>Elsevier B.V</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6098-8036</orcidid><orcidid>https://orcid.org/0000-0002-6711-5457</orcidid></search><sort><creationdate>202109</creationdate><title>Characterizing idiopathic intracranial hypertension socioeconomic disparities and clinical risk factors: A retrospective case-control study</title><author>Morden, Frances Tiffany Cava ; Tan, Charissa ; Carrazana, Enrique ; Viereck, Jason ; Liow, Kore Kai ; Ghaffari-Rafi, Arash</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c444t-fb7d1188b55e076b419b0271ad1107a908792f5b7a7f759d80c60947612fb3773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Age</topic><topic>BMI</topic><topic>Case-Control Studies</topic><topic>Diplopia</topic><topic>Epilepsy</topic><topic>Family income</topic><topic>Female</topic><topic>Headache</topic><topic>Headaches</topic><topic>Health Status Disparities</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Idiopathic intracranial hypertension</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Migraine</topic><topic>Migraines</topic><topic>Minority & ethnic groups</topic><topic>Neurology</topic><topic>Obesity</topic><topic>Patients</topic><topic>Poverty</topic><topic>Pseudotumor Cerebri - diagnosis</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Seizures</topic><topic>Sex Factors</topic><topic>Sociodemographics</topic><topic>Socioeconomic</topic><topic>Socioeconomic Factors</topic><topic>Tinnitus</topic><topic>Vascular diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Morden, Frances Tiffany Cava</creatorcontrib><creatorcontrib>Tan, Charissa</creatorcontrib><creatorcontrib>Carrazana, Enrique</creatorcontrib><creatorcontrib>Viereck, Jason</creatorcontrib><creatorcontrib>Liow, Kore Kai</creatorcontrib><creatorcontrib>Ghaffari-Rafi, Arash</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical neurology and neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Morden, Frances Tiffany Cava</au><au>Tan, Charissa</au><au>Carrazana, Enrique</au><au>Viereck, Jason</au><au>Liow, Kore Kai</au><au>Ghaffari-Rafi, Arash</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Characterizing idiopathic intracranial hypertension socioeconomic disparities and clinical risk factors: A retrospective case-control study</atitle><jtitle>Clinical neurology and neurosurgery</jtitle><addtitle>Clin Neurol Neurosurg</addtitle><date>2021-09</date><risdate>2021</risdate><volume>208</volume><spage>106894</spage><epage>106894</epage><pages>106894-106894</pages><artnum>106894</artnum><issn>0303-8467</issn><eissn>1872-6968</eissn><abstract><![CDATA[Against the backdrop of the diverse minority-majority state of Hawaii, this study seeks to better characterize associations between idiopathic intracranial hypertension (IIH) with sociodemographic variables and medical comorbidities.
A retrospective case-control study was conducted by utilizing 54 IIH patients and 216 age-, sex-, and race-matched controls, 216 unmatched controls, and 63 age-, sex-, and race-matched migraine patients.
Relative to controls, IIH were 25 years younger (p < 0.0001) and 10.18 kg/m2 heavier (p < 0.0001), as well as exhibited greater odds of the following variables (p < 0.05): female (odds ratio [OR]: 8.87), the lowest income quartile (OR: 2.33), Native Hawaiian or other Pacific Islander (NHPI; OR: 2.23), Native American or Alaskan Native (OR: 16.50), obesity class 2 (35.0–39.9 kg/m2; OR: 4.10), obesity class 3 (>40 kg/m2; OR: 6.10), recent weight gain (OR: 11.66), current smoker (OR: 2.48), hypertensive (OR: 3.08), and peripheral vascular disease (OR: 16.42). Odds of IIH were reduced (p < 0.05) for patients who were Asian (OR: 0.27) or students (OR: 0.30;). Unique from Whites, NHPI IIH patients exhibited greater odds (p < 0.05) for being from lower socioeconomic status and currently smoking, as well as potential association with seizures (p = 0.08). Compared to migraines, IIH headaches were at increased odds of occurring (p < 0.05) occipitally, for greater than 15 days per month, aggravated by postural changes, and comorbid with dizziness and tinnitus.
These results not only better characterize IIH, but also highlight socioeconomic and racial disparities in diagnosis.
•Asians are at reduced odds of idiopathic intracranial hypertension (IIH).•Native Hawaiians, Native Americans, and Blacks are predisposed to IIH diagnosis.•Lower socioeconomic status and cardiovascular risk factors increase odds of IIH.•IIH headaches more often occur occipitally relative to migraines.•IIH headaches more often last greater than 15 days per month relative to migraines.]]></abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>34455402</pmid><doi>10.1016/j.clineuro.2021.106894</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-6098-8036</orcidid><orcidid>https://orcid.org/0000-0002-6711-5457</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Age BMI Case-Control Studies Diplopia Epilepsy Family income Female Headache Headaches Health Status Disparities Humans Hypertension Idiopathic intracranial hypertension Male Middle Aged Migraine Migraines Minority & ethnic groups Neurology Obesity Patients Poverty Pseudotumor Cerebri - diagnosis Retrospective Studies Risk Factors Seizures Sex Factors Sociodemographics Socioeconomic Socioeconomic Factors Tinnitus Vascular diseases |
| title | Characterizing idiopathic intracranial hypertension socioeconomic disparities and clinical risk factors: A retrospective case-control study |
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