土耳其伊斯坦布尔学童头痛的患病率及其与社会经济地位的关系。

The prevalence of headache and its association with socioeconomic status among schoolchildren in istanbul, Turkey.

作者信息

Işik Uğur, Topuzoğlu Ahmet, Ay Pinar, Ersu Refika Hamutçu, Arman Ayşe Rodopman, Onsüz M Fatih, Karavuş Melda, Dağli Elif

机构信息

Division of Pediatric Neurology, School of Medicine, Acibadem University, Istanbul, Turkey.

出版信息

Headache. 2009 May;49(5):697-703. doi: 10.1111/j.1526-4610.2009.01339.x. Epub 2009 Jan 21.

DOI:10.1111/j.1526-4610.2009.01339.x

PMID:19175424

Abstract

OBJECTIVE

The etiology and pathogenesis of migraine and other types of headache are still under discussion. An interaction of organic, psychological, and psychosocial factors is operative. In this study, we aimed to determine the prevalence of headache and its association with socioeconomic status among schoolchildren.

STUDY DESIGN

A cross-sectional study was performed on 2669 schoolchildren via a parental questionnaire. Socioeconomic status was determined according to the Turkish socioeconomic status scale.

RESULTS

The mean age of the students was 8.2 +/- 2.4 years. The headache prevalence was 46.2% (95% CI: 44.3-48.1). The prevalence of migraine was 3.4% (95% CI: 2.8-4.1), the prevalence of probable migraine was 8.7% (95% CI: 7.6-9.8), and that of non-migraine headache was 34.1% (95% CI: 32.3-35.9). Multivariate analysis revealed that older age, being a girl, having a family history of headache, and exposure to passive smoking at home were independently associated with headache. There was an inverse association between socioeconomic status and all 3 types of headaches after adjusting for age, sex, family history of headache, and presence of passive smoking. When the group with the lowest socioeconomic status was taken as the reference category, the odds ratios for the highest socioeconomic group were 0.33 (95% CI: 0.16-0.69, P = .003) for the migraine, 0.30 (95% CI: 0.11-0.89, P = .029) for the probable migraine, and 0.34 (95% CI: 0.16-0.72, P = 0.005) for the non-migraine headache.

CONCLUSION

Headache is more common among children with lower socioeconomic groups. Social causation can play a role in the pathogenesis of headache.

摘要

目的

偏头痛及其他类型头痛的病因和发病机制仍在探讨中。有机因素、心理因素和社会心理因素相互作用。在本研究中，我们旨在确定学童头痛的患病率及其与社会经济地位的关联。

研究设计

通过家长问卷对2669名学童进行了横断面研究。根据土耳其社会经济地位量表确定社会经济地位。

结果

学生的平均年龄为8.2±2.4岁。头痛患病率为46.2%（95%可信区间：44.3 - 48.1）。偏头痛患病率为3.4%（95%可信区间：2.8 - 4.1），可能偏头痛患病率为8.7%（95%可信区间：7.6 - 9.8），非偏头痛性头痛患病率为34.1%（95%可信区间：32.3 - 35.9）。多因素分析显示，年龄较大、为女孩、有头痛家族史以及在家中接触被动吸烟与头痛独立相关。在调整年龄、性别、头痛家族史和被动吸烟情况后，社会经济地位与所有三种类型的头痛之间存在负相关。以社会经济地位最低的组作为参照类别，社会经济地位最高组的偏头痛优势比为0.33（95%可信区间：0.16 - 0.69，P = 0.003），可能偏头痛为0.30（95%可信区间：0.11 - 0.89，P = 0.029），非偏头痛性头痛为0.34（95%可信区间：0.16 - 0.72，P = 0.005）。