Headache Epidemiologic Study in Ansan City, Kyunggi-Do, Korea

안산 시민들의 두통 역학조사

Seo, Woo-Keun;Lee, Jung-Bok;Koh, Seung-Beom;Kim, Byung-Jo;Park, Min-Kyu;Park, Kun-Woo;Shin, Chol;Lee, Dae-Hie
서우근;이정복;고성범;김병조;박민규;박건우;신철;이대희

  • Published : 20020000

Abstract

Background : Although headaches are one of the most common discomfort worldwide, our understanding of headache distribution is incomplete. Moreover, epidemiologic studies on headache in Korea have not yet gone beyond finding mere prevalence. Therefore, this study not only aims to find the prevalence, subtypes of headache, but also the relationship between headache and such factors as socio-economic variables, demographics, life-styles among randomly selected Korean people. Methods : In a face-to-face manner, trained personnel interviewed one thousand five subjects. The subtypes of headache included migraine, tension-type headache, mixed headache and unclassified headache. Furthermore, socio-economic features, demographics and life-styles were analyzed in each subgroup with logistic regression analysis. Results : The prevalence of headache was 58.3%. Those with migraine, tension-type headache, and mixed headache were 12.3%, 44.3%, and 5.2%, respectively. Women (odds ratio [OR] 2.51, 95% confidence interval [CI] 1.91-3.30), negative perception about their health (OR 7.16, CI 1.59-32.18), and young age groups (OR 3.32, CI 2.03-5.42, when the group before 30-year-old was compared to the group after 61-year-old) had higher prevalence of headache. In respect of migraine and tension-type headache, women (OR 0.42, CI 0.22-0.78) and positive family history of headache (OR 2.13, CI 3.14-3.66) had more migraine. Migraineurs were more common among women (OR 6.04, CI 3.14-11.61) and young age groups (OR 17.42, CI 4.64-65.46) compared to non headache-sufferers. Conclusions : This study showed the prevalence and epidemiologic characteristics of headache and its subtypes in Korea.

Keywords

References

  1. Breslau N, Rasmussen BK. The impact of migraine:Epidemiology, risk factors, and comorbidities. Neurology 2001;56(Suppl1):S4-12 https://doi.org/10.1212/WNL.56.suppl_1.S4
  2. Terwindt GM, Ferrari MD, Tijhuis M, Groenen SMA, Picavet HSJ, Launer LJ. The impact of migraine on quality of life in the general population The GEM study. Neurology 2000;55:624-629 https://doi.org/10.1212/WNL.55.5.624
  3. Lipton RB, Hamelsky SW, Kolodner KB, Steiner TJ,Stewart WF. Migraine, quality of life, and depression. Neurology 2000;55:629-635 https://doi.org/10.1212/WNL.55.5.629
  4. Schwartz BS, Stewart WF, Simon D, Lipton RB.Epidemiology of tension-type headache. JAMA 1998;279(5):381-383 https://doi.org/10.1001/jama.279.5.381
  5. Headache Classification Committee of the International Headache Society. Classification and diagnostic criteria for headache disorders, cranial neuralgias, and facial pain. Cephalalgia 1988;8(suppl7):1-96 https://doi.org/10.1046/j.1468-2982.1988.0801001.x
  6. Gobel H, Petersen-Braun M, Soyka D. The epidemiology of headache in Germany: a nationwide survey of a representative sample on the basis of the headache classification of the International Headache Society. Cephalalgia 1994;14:97-106 https://doi.org/10.1046/j.1468-2982.1994.1402097.x
  7. Rasmussen BK, Jensen R, Schroll M, Olesen J. Epidemiology of headache in a general population: A prevalence study. J Clin Epidemiol 1991;44:1147-1157 https://doi.org/10.1016/0895-4356(91)90147-2
  8. Sanin LC, Mathew NT, Bellmeyer LR, Ali S. The International Headache Society(IHS) headache classification as applied to a headache clinic population. Cephalalgia 1994;14:443-446 https://doi.org/10.1046/j.1468-2982.1994.1406443.x
  9. Edmeads J, Findlay H, Tugwell P, Pyresphillips W,Nelson RF, Murray TJ. Impact of Migraine and Tensiontype headache on life-style, Consulting Behaviour, and Medication Use: A Canadian Population Survey. Can J Neurol Sci 1993;20:131-137 https://doi.org/10.1017/S0317167100047697
  10. Stewart WF, Shechter A, Rasmussen BK. Migraine prevalence A review of population-based studies. Neurology 1994;44(suppl4):S17-S23
  11. Hagen K, Zwart JA, Vatten L, Stovner LJ, Bovim G.Prevalence of migraine and non-migrainous headachehead-HUNT, a large population-based study. Cephalalgia 2000;20:900-906 https://doi.org/10.1046/j.1468-2982.2000.00145.x
  12. Raymond T.F. Cheung. Prevalence of Migraine, Tensiontype headache, and other Headaches in Hong Kong. Headache 2000;40:473-479
  13. Silberstein SD, Lipton RB. Overview of diagnosis and treatment of migraine. Neurology 1994;44(suppl 7):S6-16 https://doi.org/10.1212/WNL.44.12_Suppl_10.S6
  14. Rasmussen BK, Jensen R, Olesen J. Questionnaire versus clinical interview in the diagnosis of headache. Headache 1991;31:290-295 https://doi.org/10.1111/j.1526-4610.1991.hed3105290.x
  15. Scher AI, Stewart WF, Lipton RB, Migraine and Headache :a meta-analytic approach, In:Crombie IK, Croft PR, Linton SJ, LeResche L, Von Korff M. Epidemiology of pain, Seattle: LASP Press, 1999:150-170
  16. Roh JK, Kim JS, Ahn YO. Epidemiologic and clinical characteristics of migraine and tension-type headache in Korea. Headache 1998;38(5):356-365 https://doi.org/10.1046/j.1526-4610.1998.3805356.x
  17. Te Gyu Lee, Kyung Cheon Chung, Jae Wook Choi. Prevalence of Migraine in Korean Adults: A Nationwide Survey. Korean Journal of Headache 2000;1:57-66
  18. Breslau N, Davis GC, Andreski P. Migraine, psychiatric disorders, and suicide attempts: an epidemiologic study of young adults. Psychiatric Res 1991;37:11-23 https://doi.org/10.1016/0165-1781(91)90102-U
  19. Stewart WF, Lipton RB, Celentano DD, Reed ML.Prevalence of migraine headache in the United States. Relation to age, income, race, and other sociodemographic factors. JAMA 1992;267:64-69 https://doi.org/10.1001/jama.267.1.64
  20. O'Brien B, Goeree R, Streiner D. Prevalence of migraine headache in Canada: a population-based survey. Int J Epidemiol 1994;23:1020-1026 https://doi.org/10.1093/ije/23.5.1020
  21. Salvesero R, Belkelund SI. Migraine, as compared to other headaches, is worse during midnight-sun summer than during polar night. A qustionnaire study in an arctic population.Headache 2000;40:824-829 https://doi.org/10.1046/j.1526-4610.2000.00149.x
  22. Joutel A, Bousser MG, Biousse V, Labauge P, Chabriat H, Nibbio A, et al. A gene for familial hemiplegic migraine maps to chromosome 19. Nat Genet 1993;5:40-45 https://doi.org/10.1038/ng0993-40
  23. Ophoff RA, Terwindt GM, Vergouwe MN, van Eijk R,Oefner PJ, Hoffman SM, et al. Familial hemiplegic migraine and episodic ataxia type-2 are caused by mutations in the Ca2+ channel gene CACNL1A4. Cell 1996;87:543-552 https://doi.org/10.1016/S0092-8674(00)81373-2
  24. May A, Ophoff RA, Terwindt GM, Urban C, van Eijk R,Haan J, et al. Familial hemiplegic migraine locus on 19p13 is involved in the common forms of migraine with and without aura. Hum Genet 1995;96:604-608 https://doi.org/10.1007/BF00197420
  25. Russell MB, Iselius L, Olesen J. Inheritance of migraine investigated by complex segregation analysis. Hum Genet 1995;96:726-730 https://doi.org/10.1007/BF00210307
  26. Russell MB, Olesen J. The genetics of migraine without aura and migraine with aura. Cephalalgia 1993 Aug;13:245-248 https://doi.org/10.1046/j.1468-2982.1993.1304245.x
  27. Gardner K. The genetic basis of migraine: how much do we know? Can J Neurol Sci 1999;26(Suppl 3):S37-43