Karli Necdet, Akiş Nalan, Zarifoğlu Mehmet, Akgöz Semra, Irgil Emel, Ayvacioğlu Utku, Calişir Nermin, Haran Nazan, Akdoğan Ozlem
Department of neurology, School of Medicine, University of Uludag, 16059 Gorukle/Bursa, Turkey.
Headache. 2006 Apr;46(4):649-55. doi: 10.1111/j.1526-4610.2006.00362.x.
The objective of this study was to investigate the prevalence and sociodemographic characteristics of headaches among Turkish adolescents aged 12 to 17 years old in Bursa province of Turkey.
A multistep, stratified, cluster sampling method was used for subject selection. The estimated sample size for 12- to 14-year-old students was 1,270 and for 15- to 17-year-old students was 1,117. Our study sample included 6.5% of the secondary schools and 1.8% of the students aged 12 to 17 years old. The study was conducted in two phases; the questionnaire phase and the face-to-face interview phase.
The prevalence of recurrent headache in the study population was 52.2%. Girls (59.8%) had significantly more recurrent headache than boys (45.1%) The prevalence of recurrent headache increased from 42.2% up to 60.7% by age. In multivariate logistic regression analysis age and gender differed significantly between adolescents with and without recurrent headache groups. Frequent episodic tension-type headache was the most common (25.9%) headache among Turkish adolescents, followed by migraine (14.5%).
Age and gender appeared to be demographic factors increasing adolescent headache prevalence. Frequent episodic-tension type headache was the most common headache followed by migraine. Our migraine prevalence was slightly higher than most of the previously reported prevalence rates. This might be due to the new classification criteria of headache released by International Headache Society.
本研究旨在调查土耳其布尔萨省12至17岁青少年头痛的患病率及社会人口学特征。
采用多步骤、分层、整群抽样方法进行受试者选择。12至14岁学生的估计样本量为1270人，15至17岁学生的估计样本量为1117人。我们的研究样本包括6.5%的中学和1.8%的12至17岁学生。该研究分两个阶段进行；问卷调查阶段和面对面访谈阶段。
研究人群中复发性头痛的患病率为52.2%。女孩（59.8%）的复发性头痛明显多于男孩（45.1%）。复发性头痛的患病率随年龄从42.2%增至60.7%。在多因素逻辑回归分析中，有复发性头痛组和无复发性头痛组的青少年在年龄和性别上存在显著差异。频繁发作性紧张型头痛是土耳其青少年中最常见的头痛类型（25.9%），其次是偏头痛（14.5%）。
年龄和性别似乎是增加青少年头痛患病率的人口统计学因素。频繁发作性紧张型头痛是最常见的头痛类型，其次是偏头痛。我们的偏头痛患病率略高于大多数先前报道的患病率。这可能是由于国际头痛协会发布的头痛新分类标准。
