The prevalence of epilepsy along the Arizona-Mexico border

Jenny Chong, Dale C. Hesdorffer, David J. Thurman, Darlene Lopez, Robin B. Harris, W. Allen Hauser, Elizabeth T. Labiner, Ashley Velarde, David M. Labiner

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

Purpose: This study describes the epidemiology of epilepsy on the Arizona-Mexico border. Methods: Households in Southern Arizona were identified using two strategies. County-wide random digit dialing telephone surveys were supplemented with door-to-door recruitment in three Arizona border communities. Utilizing a two-step screening process, individuals with a seizure disorder or epilepsy were identified. A consensus diagnosis was arrived at after reviewing results from the detailed interview, medical records and clinical examination. Results: A total of 15,738 household individuals were surveyed. Two hundred and three individuals were identified as having had epilepsy at some point in their life; 25% of them were previously not diagnosed. The sex and age-adjusted prevalence estimate was 14.3 per 1000 (95% CI: 12.5-16.1) for lifetime epilepsy, and 11.8 per 1000 (CI: 10.2-13.5) for active epilepsy (seizures in the past 5 years or currently taking antiseizure medications). Non-Hispanic Whites were two times more likely to have active epilepsy than Hispanics. The majority of individuals with lifetime history of epilepsy had idiopathic or cryptogenic epilepsy; most were localization-related epilepsy although the exact location could not be determined for the majority. Although most individuals with epilepsy report receiving care from a neurology specialist, they were more likely to have visited a non-specialist in the past 3 months. Significance: The lower prevalence of epilepsy among Hispanics compared to non-Hispanics supports previous survey findings in the Southwest US and may be due to language, acculturation factors, stigma, or a reflection of the " healthy immigrant effect" . The surprisingly high proportion of previously un-diagnosed individuals shows a need for further investigation as well as a need to increase community awareness.

Original languageEnglish (US)
Pages (from-to)206-215
Number of pages10
JournalEpilepsy Research
Volume105
Issue number1-2
DOIs
StatePublished - Jul 1 2013

Keywords

  • Epilepsy
  • Hispanic
  • Non-Hispanic
  • Prevalence

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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  • Cite this

    Chong, J., Hesdorffer, D. C., Thurman, D. J., Lopez, D., Harris, R. B., Hauser, W. A., Labiner, E. T., Velarde, A., & Labiner, D. M. (2013). The prevalence of epilepsy along the Arizona-Mexico border. Epilepsy Research, 105(1-2), 206-215. https://doi.org/10.1016/j.eplepsyres.2012.12.006