Prevalence of primary headache disorders among information technology staff in China: the negative effects of computer use and other correlative factors

Prevalence of primary headache disorders among information technology staff in China: the negative effects of computer use and other correlative factors
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中国信息技术人员原发性头痛的患病率:计算机使用和其他相关因素的负面影响

DOI:
10.1186/s12889-020-08497-9
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发表时间:
2020-04-05
期刊:
影响因子:
4.5
通讯作者:
Yu, Shengyuan
Yu, Shengyuan
中科院分区:
医学2区
文献类型:
--
作者:
Li, Chunlin;Zhang, Lei;Yu, Shengyuan

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到目前为止,很少有研究探索头痛和电脑使用之间的关系。本研究的主要目的是调查信息技术人员中原发性头痛疾病的患病率,并确定导致头痛疾病的潜在因素。方法这是一项基于信息技术行业员工年度健康检查的横断面研究。采用分层随机抽样的方法,从北京市抽取2216名符合纳入标准的信息技术从业人员。所有参与者最初都被要求进行身体检查,之后他们完成了一份包括头痛筛查问题的一般情况调查问卷。那些在过去一年内患有头痛的人也完成了由减轻负担编制的问卷。采用国际头痛疾病分类3(ICHD-3)标准诊断头痛。结果从2216名参与者中回收有效问卷2012份,其中男性1544份[76.7%],女性468份[23.3%],回复率为90.8%。共有619名参与者被诊断为原发性头痛,一年患病率为30.8%。关于原发性头痛的分类,152名参与者患有偏头痛,一年患病率为7.6%;440人患有紧张性头痛,27人患有未分类头痛,一年患病率分别为21.9%和1.3%。多因素回归分析显示,女性是偏头痛和紧张性头痛的危险因素(OR分别为3.21[95% CI 2.28-4.53]和1.88[95% CI 1.47-2.40])。年龄也与偏头痛和紧张性头痛有关。41-50岁年龄组患偏头痛的概率是18-30岁年龄组的2.02倍,31-40岁年龄组患紧张性头痛的概率是1.89倍。肥胖和过度使用电脑(每天超过12小时)也是导致紧张性头痛的因素(OR分别为2.61[95% CI 1.91-3.56]和1.63[95% CI 1.18-2.25])。结论该人群1年原发性头痛患病率为30.8%。该人群紧张性头痛患病率高于中国普通人群。原发性头痛的发生与多种因素相关,其中过度使用电脑显著增加了紧张性头痛的发生风险。
BackgroundTo date, there have been very few studies that have explored the relationship between headaches and computer use. The chief aim of this study is to investigate the prevalence of primary headache disorders among informational technology staff and identify the potential factors contributing to it.MethodsThis is a cross-sectional study based on annual health checks of employees from the information technology industry. We identified 2216 information technology staff members from Beijing by stratified random sampling who met the inclusion criteria. All participants were initially required to have a physical examination, after which they complete a general situation questionnaire that included a headache screening question. Those who had suffered from headache within the previous year also completed the questionnaire developed by Lifting the Burden. The International Classification of Headache Disorders 3(ICHD-3) criteria was used for the diagnosis of headache.ResultsA total of 2012 valid questionnaires (males, 1544 [76.7%]; females, 468 [23.3%]) were obtained from 2216 participants for a response rate of 90.8%. A total of 619 participants were diagnosed with primary headache, the one-year prevalence of which was 30.8%. Regarding the classification of the primary headache, 152 participants suffered from migraine, with a one-year prevalence of 7.6%; 440 and 27 suffered from tension-type headache and unclassified headaches, with one-year prevalences of 21.9 and 1.3%, respectively. Multivariate regression analysis showed that female gender was a risk factor for migraine and tension-type headache (OR 3.21[95% CI 2.28–4.53] and 1.88[95% CI 1.47–2.40], respectively). Age was also related to migraine and tension-type headache. The 41–50 age group had 2.02 times the probability of migraine, and the 31–40 age group had 1.89 times the probability of tension-type headaches compared to the 18–30 age group. Obesity and excessive computer use (more than 12 h per day) were also factors contributing to tension-type headache (OR: 2.61[95% CI 1.91–3.56] and 1.63[95% CI 1.18–2.25], respectively).ConclusionsThe one-year prevalence of primary headache in this population was 30.8%. The prevalence of tension-type headache in this population was higher than that in the general Chinese population. The occurrence of primary headache is correlated with many factors, among which excessive computer use significantly contributed to the risk of tension-type headache.