Cheung R T
Division of Neurology, University Department of Medicine, The University of Hong Kong, Queen Mary Hospital, Pokfulam.
Headache. 2000 Jun;40(6):473-9. doi: 10.1046/j.1526-4610.2000.00071.x.
To assess the prevalence of migraine and other headaches in Hong Kong in 1998.
A community-based prevalence survey of headache was carried out from July 1992 to March 1993, and the prevalence rates were 1% for migraine, 2% for tension-type headache, and 1% for other headaches. A similar survey was carried out in May and June 1998 to interview individuals aged 15 years or older. Recurrent headache was defined as having two or more headaches unrelated either to influenza or a common cold within the past 12 months.
Respondents with recurrent headache were offered a personal interview for clinical validation. Of 3156 randomly selected individuals, 1436 responded.
Headache was due to influenza or a common cold in 270 (18.8%) respondents; recurrent headache affected 533 (37.1%) respondents. The overall prevalence rates were 4.7% for migraine, 26.9% for tension-type headache, and 5.5% for other headaches. Clinical validation was available for 72 respondents. After adjustment for possible misclassification, the estimated prevalence rates became 12.5% for migraine, 18.7% for tension-type headache, and 6.0% for other headaches. There was a female preponderance for all types of headache with a peak in the 25- to 34-year-age group for tension-type headache.
All types of headache were more common in the 1998 study, and the prevalence rates were closer to those of Western communities.
评估1998年香港偏头痛及其他头痛的患病率。
1992年7月至1993年3月进行了一项基于社区的头痛患病率调查，偏头痛患病率为1%，紧张型头痛患病率为2%，其他头痛患病率为1%。1998年5月和6月进行了一项类似调查，对15岁及以上的个体进行访谈。复发性头痛定义为在过去12个月内有两次或更多次与流感或普通感冒无关的头痛。
对有复发性头痛的受访者进行个人访谈以进行临床验证。在随机抽取的3156名个体中，1436人作出回应。
270名（18.8%）受访者的头痛是由流感或普通感冒引起的；533名（37.1%）受访者有复发性头痛。偏头痛的总体患病率为4.7%，紧张型头痛为26.9%，其他头痛为5.5%。72名受访者有临床验证结果。在对可能的错误分类进行调整后，偏头痛的估计患病率变为12.5%，紧张型头痛为18.7%，其他头痛为6.0%。所有类型的头痛均以女性居多，紧张型头痛在25至34岁年龄组达到高峰。
在1998年的研究中，所有类型的头痛都更为常见，患病率更接近西方社区。
