Bugdayci Resul, Ozge Aynur, Sasmaz Tayyar, Kurt Ahmet Oner, Kaleagasi Hakan, Karakelle Ali, Tezcan Hanife, Siva Aksel
Department of Public Health, Mersin University School of Medicine, Mersin, Turkey.
Pediatr Int. 2005 Jun;47(3):316-22. doi: 10.1111/j.1442-200x.2005.02051.x.
Headache is a public health problem affecting life quality negatively. The present cross-sectional, selective (2nd-5th grades) study was conducted to determine the prevalence of recurrent headache in schoolchildren in Mersin, a city of Turkey.
A stratified sample of 5777 students was selected to be representative of the city's schoolchildren population. After the data quality control process, the study sample was reduced to 5562 schoolchildren.
The prevalence of recurrent headache was 49.2% (2739/5562). Among the studied population 24.7% had tension-type headache and 10.4% had migraine. Girls had significantly more frequent headache than boys. Binary logistic regression analysis found that increasing age, female gender, low socioeconomic status of family, low education level of mother, and positive family history of headache (father, mother, siblings, second degree relatives) had a statistically significant effect on the presence of headache in children. Additionally, having travel sickness had a statistically significant effect on schoolchildren headache (P = 0.000).
Headache is a common health problem among schoolchildren in Mersin, which merits increased attention and detailed multicentre epidemiological and clinical studies.
头痛是一个对生活质量有负面影响的公共卫生问题。本横断面、选择性（二至五年级）研究旨在确定土耳其梅尔辛市学童复发性头痛的患病率。
选取5777名学生的分层样本以代表该市学童群体。经过数据质量控制过程后，研究样本减少至5562名学童。
复发性头痛的患病率为49.2%（2739/5562）。在研究人群中，24.7%患有紧张型头痛，10.4%患有偏头痛。女孩头痛的频率明显高于男孩。二元逻辑回归分析发现，年龄增长、女性性别、家庭社会经济地位低、母亲教育水平低以及头痛家族史阳性（父亲、母亲、兄弟姐妹、二级亲属）对儿童头痛的发生有统计学显著影响。此外，晕动病对学童头痛有统计学显著影响（P = 0.000）。
头痛是梅尔辛市学童中常见的健康问题，值得更多关注以及开展详细的多中心流行病学和临床研究。
