The prevalence of primary headache disorders in Russia: A countrywide survey
The prevalence of primary headache disorders in Russia: A countrywide survey
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DOI：
10.1177/0333102412438977
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发表时间：
2012-04-01
期刊：
影响因子：
4.9
通讯作者：
Steiner, T. J.
中科院分区：
文献类型：
--
作者：
Ayzenberg, I.;Katsarava, Z.;Steiner, T. J.
目的：估计原发性头痛疾病的1年患病率，并确定其主要危险因素在一般人群中的Russian.Methods：一个全国范围内的人口为基础的随机抽样的2725个生物无关的成年人在35个城市和9个农村地区进行了采访，在一个门到门的调查，使用以前验证的诊断问卷。在接触的2725名合格成年人中，2025名（74.3%）有应答（女性52.6%，平均年龄39.5 ± 13.4岁）。其中，1273人（62.9%）报告称头痛“与流感、宿醉、感冒、头部受伤无关”，在过去一年中至少发生过一次。偏头痛的性别和年龄标准化1年患病率为20.8%。女性（比值比（OR）= 3.8; 95%置信区间（CI）2.8-5.1）和肥胖（OR = 1.5; 1.1-2.1）与这种类型的头痛呈正相关。紧张型头痛（TTH）的性别和年龄标准化1年患病率为30.8%。TTH在城市比农村更普遍（OR = 1.6; 1.3-2.0）。213例报告头痛>= 15天/月（10.5%）受访者（性别和年龄标准化患病率10.4%），并与社会经济地位低有关（OR = 3.4; 2.4-4.9）、肥胖（OR = 3.0; 2.1-4.3）、女性（OR = 2.9; 2.1-4.1）、年龄≥ 40岁（OR = 2.6; 1.9-3.6）。这些受访者中的大多数（68.1%）过度使用急性头痛药物。结论：该研究表明，偏头痛的患病率很高，头痛的患病率非常高，>= 15天/月，并揭示了未满足的医疗保健需求的人在俄罗斯头痛。
Objective: To estimate the 1-year prevalences of primary headache disorders and identify their principal risk factors in the general population of Russia.Methods: A countrywide population-based random sample of 2725 biologically unrelated adults in 35 cities and nine rural areas were interviewed in a door-to-door survey using a previously validated diagnostic questionnaire.Results: Of the 2725 eligible adults contacted, 2025 (74.3%) responded (females 52.6%, mean age 39.5 +/- 13.4 years). Of these, 1273 (62.9%) reported headache 'not related to flu, hangover, cold, head injury' occurring at least once in the previous year. The gender- and age-standardized 1-year prevalence of migraine was 20.8%. Female gender (odds ratio (OR) = 3.8; 95% confidence interval (CI) 2.8-5.1) and obesity (OR = 1.5; 1.1-2.1) were positively associated with this type of headache. The gender- and age-standardized 1-year prevalence of tension-type headache (TTH) was 30.8%. TTH was more prevalent in urban than in rural areas (OR = 1.6; 1.3-2.0).Headache on >= 15 days/month was reported by 213 (10.5%) respondents (gender- and age-standardized prevalence 10.4%), and associated with low socioeconomic status (OR = 3.4; 2.4-4.9), obesity (OR = 3.0; 2.1-4.3), female gender (OR = 2.9; 2.1-4.1) and age over 40 years (OR = 2.6; 1.9-3.6). The majority of these respondents (68.1%) overused acute headache medications.Conclusion: The study demonstrated a high prevalence of migraine and a very high prevalence of headache on >= 15 days/month, and revealed unmet health-care needs of people with headache in Russia.