Koushede Vibeke, Holstein Bjørn E
Institute of Public Health, University of Copenhagen, Copenhagen, Denmark.
J Adolesc Health. 2009 Aug;45(2):149-55. doi: 10.1016/j.jadohealth.2008.12.009. Epub 2009 Feb 24.
To examine the association between headache, sense of coherence (SOC), and medicine use for headaches in a community-based sample of adolescents.
Epidemiological cross-sectional study, encompassing 20 out of 23 schools in the network of health-promoting schools in the county of South Jutland, Denmark. The study population consisted of students from seventh and ninth grade, participation rate 93%, n=1393. The students answered questions on demographic variables, health behavior including medicine use, psychosocial health aspects, and sense of coherence, in an anonymous standardized questionnaire. The outcome measure was self-reported medicine use for headaches. The determinants were headache frequency and SOC measured by Wold and Torsheim's version for children of Antonovsky's 13-item SOC scale.
Analyses adjusted for age group, family social class, exposure to bullying, and headache frequency showed increasing odds for medicine use for headaches (hereafter: medicine use) by decreasing SOC. There was no association between SOC and medicine use among students with a rare experience of headaches but a significant and graded association among students with at least weekly experience of headaches, that is, frequency of headaches modified the association between SOC and medicine use.
We found that adolescents with low SOC used medicine to cope with headaches to a greater extent than adolescents with high SOC.
在一个基于社区的青少年样本中，研究头痛、连贯感（SOC）与头痛用药之间的关联。
进行流行病学横断面研究，涵盖丹麦南日德兰郡健康促进学校网络中23所学校中的20所。研究人群包括七年级和九年级的学生，参与率为93%，n = 1393。学生们通过一份匿名标准化问卷回答有关人口统计学变量、包括用药在内的健康行为、心理社会健康方面以及连贯感的问题。结果指标是自我报告的头痛用药情况。决定因素是头痛频率和通过Wold和Torsheim版Antonovsky的13项SOC量表对儿童进行测量的连贯感。
在对年龄组、家庭社会阶层、受欺凌情况和头痛频率进行调整后的分析显示，随着连贯感的降低，头痛用药（以下简称：用药）的几率增加。在很少经历头痛的学生中，连贯感与用药之间没有关联，但在至少每周经历一次头痛的学生中，存在显著的分级关联，即头痛频率改变了连贯感与用药之间的关联。
我们发现，与高连贯感的青少年相比，低连贯感的青少年在更大程度上使用药物来应对头痛。
