Hagen Knut, Zwart John-Anker, Aamodt Anne Hege, Nilsen Kristian Berhard, Bråthen Geir, Helde Grethe, Stjern Marit, Tronvik Erling A, Stovner Lars Jacob
Department of Neuroscience, Faculty of medicine, Norwegian University of Science and Technology, St Olavs Hospital, 7006, Trondheim, Norway.
J Headache Pain. 2008 Oct;9(5):289-94. doi: 10.1007/s10194-008-0062-6. Epub 2008 Aug 9.
The aim of this study was to evaluate the effect of the screening question phrasing on the 1-year prevalence figures of headache disorders, including migraine. Of a random sample of 563 invited participants in the Nord-Trøndelag Health Survey 2006-2008 in Norway, 297 (53%) met to a face-to-face interview. There were 74.1% that reported having had headache during the last year, whereas only 31.0% stated that they had suffered from headache in the same period. The 1-year prevalence of migraine was 17.2% and of tension-type headache (TTH) 51.9%. Migraine was ten times more likely (OR = 9.96, 95% CI 4.75-20.91) among those who stated that they were headache sufferers than among those who were not. Only headache sufferers had chronic TTH or medication-overuse headache. Thus "Have you suffered from headache?" can be a useful screening question in population-based questionnaire studies if the goal is to identify most migraineurs and almost all individuals with chronic headache.
本研究的目的是评估筛查问题的措辞对包括偏头痛在内的头痛疾病1年患病率数据的影响。在挪威2006 - 2008年北特伦德拉格健康调查中随机抽取的563名受邀参与者中，297人（53%）接受了面对面访谈。有74.1%的人报告在过去一年中曾患头痛，而只有31.0%的人表示他们在同一时期患有头痛。偏头痛的1年患病率为17.2%，紧张型头痛（TTH）的患病率为51.9%。自称头痛患者的人群中患偏头痛的可能性是未自称头痛患者人群的10倍（比值比=9.96，95%可信区间4.75 - 20.91）。只有头痛患者患有慢性紧张型头痛或药物过度使用性头痛。因此，如果目标是识别大多数偏头痛患者和几乎所有慢性头痛患者，那么“你是否患有头痛？”在基于人群的问卷调查研究中可能是一个有用的筛查问题。
