Sense of Coherence and Medicine Use for Headache Among Adolescents
Sense of Coherence and Medicine Use for Headache Among Adolescents
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DOI：
10.1016/j.jadohealth.2008.12.009
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发表时间：
2009-08-01
影响因子：
7.6
通讯作者：
Holstein, Bjorn E.
中科院分区：
文献类型：
--
作者：
Koushede, Vibeke;Holstein, Bjorn E.
目的：以社区为基础的青少年样本调查头痛、连贯感 (SOC) 和头痛药物使用之间的关联。方法：流行病学横断面研究，涵盖丹麦南日德兰郡健康促进学校网络中 23 所学校中的 20 所。研究人群由七年级和九年级的学生组成，参与率为 93%，n = 1393。学生在匿名标准化问卷中回答了有关人口变量、包括药物使用在内的健康行为、心理社会健康方面和连贯感的问题。结果测量是自我报告的头痛药物使用情况。决定因素是头痛频率和由 Wold 和 Torsheim 版本的安东诺夫斯基 13 项 SOC 量表测量的儿童 SOC。 结果：根据年龄组、家庭社会阶层、遭受欺凌的情况和头痛频率进行调整的分析显示，通过降低 SOC，头痛药物使用（以下简称：药物使用）的几率增加。在很少有头痛经历的学生中，SOC 与药物使用之间没有关联，但在至少每周经历一次头痛的学生中，SOC 与药物使用之间存在显着且分级的关联，即头痛频率改变了 SOC 与药物使用之间的关联。结论：我们发现，SOC 较低的青少年比 SOC 高的青少年更多地使用药物来应对头痛。 (c) 2009 年青少年医学学会。版权所有。
Objective: To examine the association between headache, sense of coherence (SOC), and medicine use for headaches in a community-based sample of adolescents.Methods: Epidemiological cross-sectional study, encompassing 20 out of 23 schools in the network of health-promoting schools in the county of South Jutland, Denmark. The study population consisted of students from seventh and ninth grade, participation rate 93%, n = 1393. The students answered questions on demographic variables, health behavior including medicine use, psychosocial health aspects, and sense of coherence, in an anonymous standardized questionnaire. The outcome measure was self-reported medicine use for headaches. The determinants were headache frequency and SOC measured by Wold and Torsheim's version for children of Antonovsky's 13-item SOC scale.Results: Analyses adjusted for age group, family social class, exposure to bullying, and headache frequency showed increasing odds for medicine use for headaches (hereafter: medicine use) by decreasing SOC. There was no association between SOC and medicine use among students with a rare experience of headaches but a significant and graded association among students with at least weekly experience of headaches, that is, frequency of headaches modified the association between SOC and medicine use.Conclusions: We found that adolescents with low SOC used medicine to cope with headaches to a greater extent than adolescents with high SOC. (c) 2009 Society for Adolescent Medicine. All rights reserved.