EPIDEMIOLOGY OF HEADACHE IN A GENERAL-POPULATION - A PREVALENCE STUDY
EPIDEMIOLOGY OF HEADACHE IN A GENERAL-POPULATION - A PREVALENCE STUDY
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DOI：
10.1016/0895-4356(91)90147-2
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发表时间：
1991-01-01
影响因子：
7.2
通讯作者：
OLESEN, J
中科院分区：
文献类型：
--
作者：
RASMUSSEN, BK;JENSEN, R;OLESEN, J
我们提出了使用国际头痛协会的操作诊断标准的具体头痛实体的第一个流行研究。研究人员从丹麦国家中央人口登记处随机抽取了居住在哥本哈根县西部的1000名25-64岁的男女。所有受试者都被邀请参加以头痛为重点的一般健康检查，检查内容包括：一份有关社会人口学变量的自我管理问卷、一份结构化的头痛访谈和一份一般的身体和神经检查。参与率为76%。关于79%的非参与者的信息显示头痛患病率略有不同，这在数量上并不重要。因此，以下参与者的结果代表了总样本。男性头痛（包括任何形式的头痛）、偏头痛和紧张性头痛的终生患病率分别为93%、8%和69%；女性是99% 25% 88%头痛的点患病率男性为11%，女性为22%。前一年偏头痛的患病率男性为6%，女性为15%，紧张性头痛的相应患病率分别为63%和86%。性别差异显著，偏头痛的男女比例为1:3，紧张性头痛的男女比例为4:5。紧张性头痛的患病率随着年龄的增长而下降，而偏头痛在研究的年龄区间内与年龄无关。头痛疾病极为普遍，是一个重要的健康问题，值得进一步重视。
We present the first prevalence study of specific headache entities using the operational diagnostic criteria of the International Headache Society. One thousand 25-64 year old men and women, who lived in the western part of Copenhagen County were randomly drawn from the Danish National Central Person Registry. All subjects were invited to a general health examination focusing on headache and including: a self-administered questionnaire concerning sociodemographic variables, a structured headache interview and a general physical and neurological examination. The participation rate was 76%. Information about 79% of the non-participants showed a slightly differing headache prevalence which was not quantitatively important. The following results in participants are therefore representative of the total sample.The lifetime prevalences of headache (including anybody with any form of headache), migraine, and tension-type headache were 93, 8 and 69% in men; and 99, 25 and 88% in women. The point prevalence of headache was 11% in men and 22% in women. Prevalence of migraine in the previous year was 6% in men and 15% in women and the corresponding prevalences of tension-type headache were 63 and 86%. Differences according to sex were significant with a male:female ratio of 1:3 in migraine, and 4:5 in tension-type headache. The prevalence of tension-type headache decreased with increasing age, whereas migraine showed no correlation to age within the studied age interval. Headache disorders are extremely prevalent and represent a major health problem, which merits increased attention.