Deleu Dirk, Khan Mushtaq A, Al Shehab Tariq A H
Department of Clinical Pharmacology & Therapeutics, Muscat-123, Sultanate of Oman.
Headache. 2002 Nov-Dec;42(10):963-73. doi: 10.1046/j.1526-4610.2002.02225.x.
To perform a prospective epidemiological study of headache in a rural community in Oman, assessing prevalence, symptom profile, and health care utilization pattern.
Using a door-to-door survey prevalence estimates were based on a detailed structured headache assessment questionnaire performed in 1158 subjects. Migraine and tension-type headache were diagnosed according to the International Headache Society criteria.
The crude lifetime and last-year prevalence of headache were 83.6% and 78.8%, respectively, with a female preponderance. The last-year prevalence of migraine and tension headache was 10.1% and 11.2%, respectively. There was no significant gender difference in migraine prevalence (4.5% in male and 5.6% in female), but tension-type headache was 2.6 times more common in females (3.1% in male and 8.1% in female). Last-year prevalence of frequent headaches was 5.4%. Forty eight percent of respondents sought medical assistance for their headaches and 79% were using medication, 40% of them used self-medication.
This prospective study shows that headache is also highly prevalent in this community. Migraine and tension-type headache have the same prevalence, but the sex distribution for migraine is different from that observed in the Western world. Tension-type headache prevalence was substantially lower than that observed in other parts of the world. Frequent headaches were as common as in other population-based studies worldwide. Analgesic use/overuse probably also coexisted with headache, because self-medication was quite common.
在阿曼的一个农村社区开展一项关于头痛的前瞻性流行病学研究，评估患病率、症状特征及医疗保健利用模式。
采用挨家挨户调查的方式，基于对1158名受试者进行的详细结构化头痛评估问卷得出患病率估计值。偏头痛和紧张型头痛依据国际头痛协会标准进行诊断。
头痛的终生粗患病率和去年患病率分别为83.6%和78.8%，女性占多数。去年偏头痛和紧张性头痛的患病率分别为10.1%和11.2%。偏头痛患病率无显著性别差异（男性为4.5%，女性为5.6%），但紧张型头痛在女性中更为常见，是男性的2.6倍（男性为3.1%，女性为8.1%）。去年频繁头痛的患病率为5.4%。48%的受访者因头痛寻求医疗帮助，79%正在使用药物，其中40%为自行用药。
这项前瞻性研究表明，头痛在该社区也极为普遍。偏头痛和紧张型头痛的患病率相同，但偏头痛的性别分布与西方世界观察到的情况不同。紧张型头痛的患病率显著低于世界其他地区。频繁头痛与全球其他基于人群的研究中的情况一样常见。由于自行用药很普遍，镇痛药的使用/过度使用可能也与头痛并存。
