BACKGROUND: @entity2794 are common worldwide, causing @entity158 and disability. India appears to have a very high prevalence of @entity2704 , and of other @entity2794 in line with global averages. Our objective was to estimate the burdens attributable to these disorders in order to inform health policy. METHODS: In a door-to-door survey, biologically unrelated adults (18-65 years) were randomly sampled from urban and rural areas of Bangalore and interviewed by trained researchers. The validated structured questionnaire enquired into several aspects of burden. RESULTS: Of 2,329 @entity1 (non-participation rate 7.4  %), 1,488 (63.9  %; 621 male, 867 female) reported @entity10 in the preceding year. Symptom burden was high. @entity2704 (1-year prevalence 25.2  %) occurred on average on 28  days/year but, in 38.0  % of cases (ie, 9.6  % of adults), on >= 3  days/month (>= 10  % of days). All causes of @entity10 on >= 15  days/month (prevalence 3.0  %) occurred on a mean of 245  days/year. Both these and @entity2704 were rated severe in intensity. @entity1 with @entity10 lost 4.3  % of productive time; those with @entity2704 lost 5.8  % (equating to 1.5  % from the adult population). Lost paid worktime accounted for 40  % of this, probably detracting directly from @entity3006 . We estimated population-level disability attributable to @entity2704 using the disability weight from GBD2010 for the ictal state (0.433). Mean disability per @entity1 with @entity2704 was 1.8  %, reducing the functional capacity of the entire adult population by 0.46  %. Fewer than one quarter of @entity1 with @entity10 had engaged with health-care services for @entity10 in the last year. Actual expenditure on @entity10 care was greatest among those with @entity10 on >= 15  days/month (especially probable medication-overuse @entity10 ), but otherwise not high. @entity5785 to pay for effective treatment for @entity10 was higher, signalling dissatisfaction with current treatments. CONCLUSIONS: In Karnataka State, southern India, prevalent @entity2794 , especially @entity2704 , give rise to commensurately heavy burdens. Limited access to health care fails to alleviate these. Structured @entity10 services, with their basis in primary care, are the most efficient, effective, affordable and equitable solution. They could be implemented within the health-care infrastructure of India and are likely to be cost-saving. This solution requires political will, itself dependent on awareness.

The burden attributable to XXXX in India: estimates from a community-based study in Karnataka State.

@entity1 :: ('9606', 'Species') :: ['participants', 'Participants', 'person'] @entity5785 :: ('MESH:D001039', 'Disease') :: ['Expressed willingness'] @entity3006 :: ('MESH:D006153', 'Chemical') :: ['GDP'] @entity2704 :: ('MESH:D008881', 'Disease') :: ['migraine', 'Migraine'] @entity2794 :: ('MESH:D020773', 'Disease') :: ['Headache disorders', 'headache disorders'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity10 :: ('MESH:D006261', 'Disease') :: ['headache']
@entity2794 :: (MESH:D020773,Disease) :: ['headache disorders']
