Current definitions of migraine that are based mainly on clinical characteristics do not account for other patient’s features such as those related to an impaired quality of life, due to loss of social life and productivity, and the differences related to the geographical distribution of the disease and cultural misconceptions which tend to underestimate migraine as a psychosocial rather than neurobiological disorder. Global differences definition, care access, and health equity for headache disorders, especially migraine are reported in this paper from a collaborative group of the editorial board members of the Journal of Headache and Pain. Other components that affect patients with migraine, in addition to the impact promoted by the migraine symptoms such as stigma and social determinants, are also reported.

中文翻译：

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头痛的健康公平、护理获取和质量 – 第 1 部分

目前对偏头痛的定义主要基于临床特征，没有考虑到其他患者的特征，例如由于社交生活和生产力丧失而导致的生活质量受损，以及与疾病和疾病的地理分布有关的差异。文化误解往往低估偏头痛是一种社会心理疾病，而不是神经生物学疾病。《头痛与疼痛杂志》编辑委员会成员的协作小组在本文中报告了头痛疾病（尤其是偏头痛）的全球差异定义、护理获取和健康公平性。除了偏头痛症状造成的影响外，还报告了影响偏头痛患者的其他因素，例如耻辱和社会决定因素。