Findings

What does this study add?

• 69% sought care, and of those 80% were diagnosed and 28.3% subsequently received recommended preventative treatment.
• Only 15.4% of individuals with ≥4 monthly headache days and moderate or severe headache-related disability, followed the pathway: sought care, diagnosed and take recommended preventative treatment.
• Seeking care was associated with older age males, having health insurance and severe headache disability, while migraine diagnosis was associated with being female and having severe headache disability.
• Receiving recommended preventative medication was associated with having health insurance and severe headache disability.
• Notably, seeking care exclusively at an Emergency Department/Urgent Care/Retail Clinic was associated with lack of diagnosis and not receiving recommended preventative treatments.