Prevalence of frequent headache in a population sample
Prevalence of frequent headache in a population sample
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DOI：
10.1046/j.1526-4610.1998.3807497.x
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发表时间：
1998-07-01
期刊：
影响因子：
5
通讯作者：
Lipton, RB
中科院分区：
文献类型：
--
作者：
Scher, AI;Stewart, WF;Lipton, RB
目的：每天或几乎每天头痛的患者在神经科诊所和头痛专科中心很常见，但关于这种情况在普通人群中的流行率的信息很少。我们提出了第一个以美国为基础的研究，描述了。方法：在马里兰州巴尔的摩县，以随机数字拨号的方式抽取13 343名年龄在18-65岁之间的人群，通过电话访谈了解头痛的情况。每年报告头痛180次或更多的受试者被归类为经常头痛。结果：频繁头痛的总患病率为4.1%(女性为5.0%，男性为2.8%；男女比例为1.8：1)。频繁头痛在高加索人(4.4%)中比非裔美国人(3.3%)高33%。在男性和女性中，受教育程度最低的人群患病率最高。在经常头痛的患者中，超过一半(52%的女性，56%的男性)符合慢性紧张型头痛的标准，近三分之一(33%的女性，25%的男性)符合伴有偏头痛特征的频繁头痛的标准，其余的(15%女性，19%男性)未被分类。总体而言，30%的女性和25%的男性经常头痛患者符合国际头痛协会(IHS)偏头痛(有或没有先兆)的标准。结论：经常头痛在普通人群中很常见，在高加索人和高中以下教育程度的人中更常见。慢性紧张型头痛比以偏头痛为特征的常见性头痛更常见，尽管后者的致残率更高。虽然女性比男性更常见，但女性频繁头痛的优势并不像偏头痛那么明显。性别比因经常头痛的亚型而异。
Purpose.-Patients with daily or near-daily headaches are commonly seen in neurology practices and in headache subspecialty centers, but there is little information on the prevalence of this condition in the general population. We present the first US-based study describing the. prevalence and characteristics of frequent headache in the general population.Methods.-In Baltimore County, Maryland, 13 343 individuals 18 to 65 years of age were selected by random-digit dialing and interviewed by telephone about their headaches. Subjects reporting 180 or more headaches per year were classified as having frequent headache. Three mutually exclusive subtypes of frequent headache were identified: frequent headache with migrainous features, chronic tension-type headache, and unclassified frequent headache.Results.-The overall prevalence of frequent headache was 4.1% (5.0% female, 2.8% male; 1.8:1 female to male ratio). Frequent headache was 33% more common in Caucasians (4.4%) than in African Americans (3.3%). In both males and females, prevalence was highest in the lowest educational category. Among frequent headache sufferers, more than half (52% female, 56% male:) met criteria for chronic tension-type headache, almost one third (33% female, 25% male) met criteria for frequent headache with migrainous features, and the remainder (15% female, 19% male) were unclassified. Overall, 30% of female and 25% of male frequent headache sufferers met International Headache Society (IHS) criteria for migraine (with or without aura).Conclusions;-Frequent headache is common in the general population and is more prevalent in Caucasians and in those with less than a high school education. Chronic tension-type headache is more common than frequent headache with migrainous features, though the latter is more disabling. Although more common in females than males, the female preponderance of frequent headache is less marked than in migraine. The sex ratio varies by frequent headache subtype.