One-year prevalence of migraine in Sweden:: a population-based study in adults
One-year prevalence of migraine in Sweden:: a population-based study in adults
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DOI：
10.1046/j.1468-2982.2001.00218.x
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发表时间：
2001-07-01
期刊：
影响因子：
4.9
通讯作者：
Linde, M
中科院分区：
文献类型：
--
作者：
Dahlöf, C;Linde, M
随机抽取1668人（782名女性和886名男性），年龄在18-74岁之间，通过电话采访，使用包括国际头痛协会（IHS）偏头痛标准在内的标准化问卷。这项调查是由国家民意调查机构SIFO进行的。结果表明，21%的瑞典人在过去的一年中患有严重的头痛。这些头痛患者中的大多数（61%）符合偏头痛的ihs标准。瑞典偏头痛的1年患病率为13.2±1.9%（女性为16.7%，男性为9.5%）。瑞典人口中偏头痛的患病率在瑞典北部、中部和南部、城市和农村地区或不同收入群体之间没有差异。只有大约一半（49%）的偏头痛患者得到了医生的诊断。在符合IHS偏头痛标准的个体中，平均发作频率为每月1.3次，平均发作持续时间为19小时。如果忽略发作持续时间作为偏头痛的严格标准（包括发作< 4小时和发作≤72小时），患病率增加到17.0±1.9%，而不影响性别分布。有了这个修正，92%认为自己的头痛是偏头痛或类似偏头痛的人实际上满足了偏头痛的替代标准。然而，只有76%的人认为自己患有偏头痛或类似偏头痛的头痛，符合严格的IHS偏头痛标准。从实用和理性的临床角度来看，将时间窗口从4小时延长至72小时可能是合理的。
A randomly selected sample of 1668 individuals (782 women and 886 men) aged 18-74 years was interviewed by telephone using a standardized questionnaire including the International Headache Society (IHS) criteria for migraine. The survey was performed by SIFO, the national public opinion poll agency. The results obtained demonstrate that 21% of the Swedish population had suffered from severe headaches during the past year. A majority of these headache sufferers (61%) fulfilled the IHS-criteria for migraine. The 1-year prevalence of migraine in Sweden was found to be 13.2 +/- 1.9% (16.7% among women and 9.5% among men). The prevalence of migraine in this Swedish population did not differ between the northern, middle and southern part of Sweden, or between urban and rural areas or different income groups. Only about half (49%) of the migraineurs had been diagnosed by a physician. Among the individuals who fulfilled the IHS criteria for migraine the mean attack-frequency was 1.3 per month and the mean attack-duration was 19 h. If the duration of the attack was disregarded as a strict criterion for migraine (attacks < 4 h and > 72 h were included), the prevalence increased to 17.0 +/- 1.9% without affecting the sex distribution. With this amendment, 92% of those who considered their headaches to be migraine or migraine-like in fact fulfilled the alternative criteria for migraine. However, only 76% of those who believed that they had migraine or migraine-like headaches fulfilled the strict IHS criteria for migraine. An extension of the time window from 4 to 72 h may be reasonable both from a pragmatic and from a rational clinical point of view.