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印度中部500名学龄儿童原发性头痛疾病相关的各种社会和人口统计学变量研究。

Study of various social and demographic variables associated with primary headache disorders in 500 school-going children of central India.

作者信息

Mehta Sudhir

机构信息

Department of Pediatrics, Sri Aurobindo Medical College and PG Institute, Indore, Madhya Pradesh, India.

出版信息

J Pediatr Neurosci. 2015 Jan-Mar;10(1):13-7. doi: 10.4103/1817-1745.154319.

Abstract

OBJECTIVES

This study was performed to know the prevalence of primary headache disorders in school going children of central India and to elucidate the effects of various sociodemographic variables like personality or behavior traits, hobbies like TV watching, school life or study pressure in form of school tests, family history of headache, age, sex, body habitus etc., on prevalence of primary headaches in school going children of central India.

MATERIALS AND METHODS

A cross-sectional school-based study was performed on 500 school children (aged 7-14 years) for the duration of 1 year. Potential triggering and aggravating demographic and social variables were investigated based on a diagnosis of International Classification of Headache Disorder-II headache.

RESULTS

The prevalence of recurrent headache was found to be 25.5% in Indore. Of the studied population, 15.5% had migraine, 5% had tension-type headache migraine, and 5% had mixed-type headache symptoms suggesting both of above. Overall headaches were found to be more common among girls, but tension-type was more common in boys. Using regression analysis, we found that sensitive personality traits (especially vulnerable children), increasing age, female gender and family history of headache had a statistically significant effect on headaches in children. In addition, mathematic or science test dates and post weekend days in school were found to increase the occurrence of headache in school-going children. Hobbies were found to have a significant effects on headaches.

CONCLUSION

As a common healthcare problem, headache is prevalent among school children. Various sociodemographic factors are known to trigger or aggravate primary headache disorders of school children. Lifestyle-coping strategies are essential for school children.

摘要

目的

本研究旨在了解印度中部学龄儿童原发性头痛疾病的患病率,并阐明各种社会人口统计学变量,如性格或行为特征、看电视等爱好、学校生活或学校考试形式的学习压力、头痛家族史、年龄、性别、体型等,对印度中部学龄儿童原发性头痛患病率的影响。

材料与方法

对500名7至14岁的学龄儿童进行了为期1年的基于学校的横断面研究。基于国际头痛疾病分类-II头痛的诊断,调查了潜在的触发和加重人口统计学和社会变量。

结果

在印多尔,复发性头痛的患病率为25.5%。在研究人群中,15.5%患有偏头痛,5%患有紧张型头痛性偏头痛,5%有混合型头痛症状,提示上述两种情况。总体而言,头痛在女孩中更为常见,但紧张型头痛在男孩中更为常见。通过回归分析,我们发现敏感的性格特征(尤其是易受伤害的儿童)、年龄增长、女性性别和头痛家族史对儿童头痛有统计学显著影响。此外,发现数学或科学考试日期以及学校周末后的日子会增加学龄儿童头痛的发生率。发现爱好对头痛有显著影响。

结论

作为一个常见的医疗保健问题,头痛在学龄儿童中很普遍。已知各种社会人口统计学因素会引发或加重学龄儿童的原发性头痛疾病。生活方式应对策略对学龄儿童至关重要。

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本文引用的文献

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Sleep loss as risk factor for neurologic disorders: a review.睡眠缺失作为神经障碍的风险因素:综述。
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Prevalence of headache among children and adolescents in Shanghai, China.中国上海儿童和青少年头痛的患病率。
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Migraine: maladaptive brain responses to stress.偏头痛:大脑对压力的适应不良反应。
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Migraine and behavior in children: influence of maternal headache frequency.儿童偏头痛与行为:母亲头痛频率的影响。
J Headache Pain. 2012 Jul;13(5):395-400. doi: 10.1007/s10194-012-0441-x. Epub 2012 Mar 30.

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