Birru Eshetie Melese, Abay Zenahebezu, Abdelwuhab Mohammedbrhan, Basazn Abebe, Sirak Betelhem, Teni Fitsum Sebsibe
Department of Pharmacology, College of Medicine and Health Sciences, University of Gondar, PO Box: 196, Chechela Street, Lideta subcity Kebele 16, Gondar, Ethiopia.
Department of internal Medicine, College of Medicine and Health Sciences, University of Gondar, Chechela street, Lideta subcity kebele 16, Gondar, Ethiopia.
J Headache Pain. 2016;17:56. doi: 10.1186/s10194-016-0647-4. Epub 2016 May 23.
The headache disorders, namely, migraine and tension type headache and the associated analgesic consumption is badly underestimated and thus makes a major current public health problem. The objective of this study was to determine the prevalence of migraine and tension type headaches and the associated management options used among undergraduate students of College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Institution based cross sectional study was conducted among 720 students in May, 2014. Pretested and structured self-administered questionnaires were used as data collecting tool followed by short interview to diagnose the type of headache based on the International Headache Society diagnostic criteria. SPSS version 20 was also used to analyse the data descriptively as well as inferentially using logistic regression models to investigate factors associated with presence of headache and analgesic use.
The prevalence of lifetime headache and headache in the last 12 months was 81.11 and 67.22 %, respectively. Migraine and tension type headache were having 94 (13.06 %) and 481 (66.81 %) prevalence, respectively. Prevalence of life time headache was significant among females, students with family history of headache and lack of adequate vacation time. Similarly, lifetime prevalence of analgesic use for headache was 72.45 % and it had statistical association with sex, age, type of headache, lack of adequate vacation time and family history of headache. Majority of the students, migraineurs (54.65 %) and the tension type headache sufferers (66.17 %) commonly used paracetamol.
High prevalence without adequate medical care seeking behaviour and the associated significant analgesic consumption necessitate the designing of all rounded strategies to improve the quality of life of individuals with such neurologic disorders.
头痛疾病，即偏头痛和紧张型头痛以及相关的止痛药物消费被严重低估，因此成为当前一个重大的公共卫生问题。本研究的目的是确定埃塞俄比亚贡德尔大学医学与健康科学学院本科生中偏头痛和紧张型头痛的患病率以及所采用的相关治疗方法。
2014年5月，在720名学生中开展了基于机构的横断面研究。采用预先测试并结构化的自填问卷作为数据收集工具，随后进行简短访谈，根据国际头痛协会的诊断标准诊断头痛类型。还使用SPSS 20版对数据进行描述性分析以及使用逻辑回归模型进行推断性分析，以调查与头痛和止痛药物使用相关的因素。
终生头痛的患病率以及过去12个月内头痛的患病率分别为81.11%和67.22%。偏头痛和紧张型头痛的患病率分别为94例（13.06%）和481例（66.81%）。女性、有头痛家族史和缺乏足够休假时间的学生中终生头痛的患病率较高。同样，终生因头痛使用止痛药物的患病率为72.45%，且与性别、年龄、头痛类型、缺乏足够休假时间和头痛家族史存在统计学关联。大多数学生，偏头痛患者（54.65%）和紧张型头痛患者（66.17%）通常使用对乙酰氨基酚。
高患病率且缺乏足够的就医行为以及相关的大量止痛药物消费，有必要制定全面的策略来改善患有此类神经系统疾病个体的生活质量。
