Migraine Headache in Women Veterans: VHA Cohort Reporting and Demographics
The presentation highlights the prevalence and healthcare utilization of migraine headaches in women veterans served by the Veterans Health Administration (VHA) from 2008 to 2021. It covers data on the number of women veterans with headaches, demographics including race/ethnicity and age distributions, VHA visits for headache diagnoses, and the national picture of women veterans with migraines in the VHA headache cohort. The information sheds light on the challenges and healthcare needs of this specific population.
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Migraine Headache in Women Veterans Served by VHA Jason J. Sico MD MHS National Director, VA Headache Centers of Excellence Program VA Connecticut Healthcare System VA Central Office: Joel Scholten MD, Glenn Graham MD PhD and Friedhelm Sandbrink MD 1 Women s Congressional Policy Institute Presentation
VA HEADACHE COHORT REPORTING FY2008-FY2021 305,947 Women Veterans with Headache 2 Migraine Headache in Women Veterans Served by VHA
VA HEADACHE COHORT REPORTING FY2008-FY2021 189,368 Women Veterans with Migraine 3 Migraine Headache in Women Veterans Served by VHA
DEMOGRAPHICS OF WOMEN VETERANS WITH MIGRAINE SERVED BY VHA (FY2008-2021) 35.00% 32.35% 30.00% Race/Ethnicity 27.31% Other 10% 25.00% 22.15% Hispanic 9% 20.00% Percent Non- Hispanic White 50% 15.00% Non- Hispanic Black 31% 9.46% 10.00% 6.85% 5.00% Non-Hispanic White Non-Hispanic Black 1.51% Hispanic Other 0.28% 0.10% 0.00% Age 4 Migraine Headache in Women Veterans Served by VHA
VHA VISITS FOR HEADACHE BY WOMEN WITH MIGRAINE DIAGNOSES (FY2008-2019) 55% of women with headache have Primary Care and Specialist visits for headache 93% of women have Primary Care (including Women s Clinic) visits for headache 26% of women with headache have ER visits for headache 38% of women with headache have Neurology visits Seng, E., Fenton, B., Wang, K., Lipton, R., Ney, J., Damush, T., Grinberg, A., Skanderson, M., Sico, J. Characteristics, healthcare utilization, and concomitant disorders of people with medically diagnosed migraine in the Veteran s Health Administration: a national cohort study, 2008-2019. Neurology. 5 Migraine Headache in Women Veterans Served by VHA
NATIONAL PICTURE OF WOMEN VETERANS WITH MIGRAINE IN THE HEADACHE COHORT Type of Facility Headache Center of Excellence Consortium Site VA Medical Centers without an HCOE or Consortium Site Number of Women Veterans with Migraine at Given VAMC Rurality Status 26% Urban Total Number of Women with Migraine in Cohort FY 2008-2021: 189,368 Rural 74% 6 Migraine Headache in Women Veterans Served by VHA
VISITS BY WOMEN VETERANS WITH HEADACHE Monthly Visits and Unique Patients in FY21 25000 23287 22011 22290 21054 21733 21139 21560 20784 21026 19845 20488 19388 20424 19618 20245 19226 20000 19980 18194 19684 18085 19367 17642 18661 17379 Unique Patients 15000 10000 5272 5000 4813 4618 4608 4487 4254 4113 4027 4012 3967 3957 3703 1119 1050 1034 1028 1020 1010 999 992 939 930 914 868 0 Unique Patient VVC ER In Person Patients are unique within a month only. One patient may be counted in more than one month, so visits cannot be summed. 7 Migraine Headache in Women Veterans Served by VHA
VA HEADACHE COHORT REPORTING FY2008-FY2021 1,743,922 Total Veterans with Headache 58,939 Matched in Burn pit Cohort 9,240 Women with Headache in the Burn pit Cohort 8 Migraine Headache in Women Veterans Served by VHA
VHA VISITS FOR HEADACHE IN THE MATCHED HCOE/BURN PIT COHORT 17.6% of women with headache received headache care in the ER 89.5% of women with headache saw Primary Care 11.9% of men with headache received headache care in the ER 81.3% of men with headache saw Primary Care 9 Migraine Headache in Women Veterans Served by VHA
