以色列北部青少年头痛和其他躯体抱怨的跨民族差异。
The cross- ethnic variations in the prevalence of headache and other somatic complaints among adolescents in Northern Israel.
机构信息
Pediatric Neurology Unit, Bnai Zion Medical Center, Haifa, Israel.
出版信息
J Headache Pain. 2013 Mar 4;14(1):21. doi: 10.1186/1129-2377-14-21.
BACKGROUND
Headache is the most common cause for chronic or recurrent pain in childhood and adolescence. Chronic pain may have a long-term effect on adolescents. It might contribute to functional limitations, such as poor school attendance, and it may adversely affect development of healthy social relationships. The aim of our study was to examine the cross- ethnic variation in the prevalence of headache in a non- clinical sample of adolescents in Northern Israel and to learn about its association to other somatic complaints.
METHODS
A self-administered, anonymous questionnaire was presented to 2,088 tenth grade students attending 19 high-schools in Northern Israel (all the public high schools within two districts). Participants were Jews and Arabs, the latter including Muslim, Christians, and Druze, aged 15 to 16. Parental and student consent was obtained from all participants. The study was approved by the IRB of our institution.
RESULTS
All 2088 questionnaires were returned although only 2019 were usable and analyzed. Arab adolescents comprised 55% (1117) of the analyzed sample and Jews 45% (902), 56% of participants were girls. Of the Arab participants, 18.6% reported having frequent headaches (girls 25.3%, boys 9.1%, P<0.0001) much less than their Jewish peers (P<0.0001) among whom 27.9% reported having frequent headaches (girls 35.6%, boys 19% P<0.0001). Other somatic complaints such as abdominal pain, palpitations, disordered sleep and fatigue were more frequent in adolescents (Jews and Arabs, girls and boys) who suffered from headaches than in their peers who did not report having headaches (P<0.0001), the same pattern observed in the Jewish and the Arab group.
CONCLUSIONS
Headache is a frequent complaint among adolescents in Northern Israel. Jewish adolescents reported having headaches more frequently than their Arab peers. Those who suffered from frequent headaches also reported having significantly more other somatic complaints than adolescents without headaches. Girls had more somatic complaints then boys in the two ethnic groups.
背景
头痛是儿童和青少年慢性或复发性疼痛的最常见原因。慢性疼痛可能对青少年有长期影响。它可能导致功能受限，例如缺课，并且可能对健康社交关系的发展产生不利影响。我们研究的目的是检查在以色列北部非临床青少年样本中头痛的跨民族差异，并了解其与其他躯体抱怨的关系。
方法
向 2088 名以色列北部 19 所高中的十年级学生（两个区所有公立高中）提供了一份自我管理的匿名问卷。参与者是犹太人和阿拉伯人，后者包括穆斯林、基督徒和德鲁兹人，年龄在 15 至 16 岁之间。所有参与者的父母和学生都同意参加。该研究得到了我们机构的 IRB 的批准。
结果
尽管只使用了 2019 份可分析的问卷，但所有 2088 份问卷都已退回。阿拉伯青少年占分析样本的 55%（1117 人），犹太裔占 45%（902 人），56%的参与者为女性。在阿拉伯参与者中，18.6%报告经常头痛（女孩 25.3%，男孩 9.1%，P<0.0001），远低于他们的犹太同龄人（P<0.0001），其中 27.9%报告经常头痛（女孩 35.6%，男孩 19%，P<0.0001）。其他躯体抱怨，如腹痛、心悸、睡眠紊乱和疲劳，在头痛的青少年（犹太人和阿拉伯人，女孩和男孩）中比在没有头痛报告的同龄人中更为常见（P<0.0001），在犹太人和阿拉伯组中观察到相同的模式。
结论
头痛是以色列北部青少年的常见主诉。犹太青少年报告头痛比他们的阿拉伯同龄人更频繁。那些经常头痛的人也比没有头痛的青少年报告有更多的其他躯体抱怨。在两个种族群体中，女孩的躯体抱怨比男孩多。
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