Wang S J, Fuh J L, Young Y H, Lu S R, Shia B C
The Neurological Institute, Taipei Veterans General Hospital, and Department of Neurology and National Yang-Ming University School of Medicine, Taiwan.
Cephalalgia. 2000 Jul;20(6):566-72. doi: 10.1046/j.1468-2982.2000.00085.x.
We conducted the first population-based migraine survey in Taipei, Taiwan, using a validated questionnaire administered by interviewers during the period from August 1997 to June 1998. Our target population comprised all individuals (age > or = 15 years) in 1400 randomly selected households. Migraine diagnoses were made according to the classification criteria of migraine without aura proposed by the International Headache Society, 1988, except that attacks with a duration of between 2 h and 4 h were also included. Of the 4434 eligible subjects in the 1211 respondent households, 3377 (76%) completed the questionnaire. After adjustment for age and sex distribution according to the population structure, the prevalence of migraine was 9.1% (F/M 14.4%/4.5%). Fifty-four percent of the subjects with migraine had consulted a physician about their headaches in the past year. However, only 18% of them reported that their migraine had been diagnosed by physicians. This study found that Taipei residents have the highest migraine prevalence of all Chinese populations studied, although it is still in the low range of prevalence compared with the results from Western countries.
1997年8月至1998年6月期间,我们在台湾台北市开展了首次基于人群的偏头痛调查,采用经过验证的问卷,由访员进行访谈。我们的目标人群包括1400个随机抽取家庭中的所有个体(年龄≥15岁)。偏头痛诊断依据国际头痛协会1988年提出的无先兆偏头痛分类标准进行,不过持续时间在2小时至4小时之间的发作也包括在内。在1211个应答家庭的4434名符合条件的受试者中,3377名(76%)完成了问卷。根据人口结构对年龄和性别分布进行调整后,偏头痛患病率为9.1%(女性/男性为14.4%/4.5%)。54%的偏头痛患者在过去一年中就其头痛问题咨询过医生。然而,其中只有18%的人报告其偏头痛已被医生诊断。本研究发现,台北居民的偏头痛患病率在所研究的所有华人人群中最高,不过与西方国家的结果相比,仍处于低患病率范围。