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头痛障碍的流行病学:对 HUNT4 参与者的面对面访谈。

The epidemiology of headache disorders: a face-to-face interview of participants in HUNT4.

机构信息

Department of Neuromedicine and Movement science, Faculty of Medicine and Health Science, Norwegian University of Science and Technology, 7489, Trondheim, Norway.

Norwegian Advisory Unit on Headaches, St. Olavs University Hospital, Trondheim, Norway.

出版信息

J Headache Pain. 2018 Mar 20;19(1):25. doi: 10.1186/s10194-018-0854-2.

Abstract

BACKGROUND

The primary aim of this cross-sectional population-based study was to evaluate the 1-year prevalence of common headache disorders by a face-to-face interview.

METHODS

The fourth wave of Nord-Trøndelag Health Survey (HUNT4) started in September 2017. The study was undertaken as part of a project mainly focusing on sleep disorders, where a total of 232 (19.3%) out of 1200 invited HUNT4 participants underwent a face-to-face headache interview.

RESULTS

The mean age of the 232 participants was 58.4 years (range 22-89). There were 71.6% (95% CI 65.7-77.4) who reported headache during the last year, and 18.5% (95% CI 13.5-23.6) had suffered from headache in the same period. The 1-year prevalence of tension-type headache (TTH) was 43.1% (95% CI 36.7-49.5), of idiopathic stabbing headache 34.1% (27.9-40.2), and of definite migraine 18.1% (95% CI 13.1-23.1). A total of 7.6% (95% CI 4.0-10.7%) had migraine with coexisting TTH. Lifetime prevalence of migraine was 32.8% (95% CI 26.7-38.8). Headache yesterday was reported by 12.1% (95% CI 7.9-16.3), and 5.6% (95% CI 2.6-8.6) had headache during the interview.

CONCLUSION

In this population-based cross-sectional headache study performed by a face-to-face interview, the 1-year prevalence of TTH was 43.1% and of idiopathic stabbing headache 34.1%. A total of 18.1% had active migraine (18.1%), whereas the lifetime prevalence of migraine was 32.8%.

摘要

背景

本横断面基于人群的研究旨在通过面对面访谈评估常见头痛障碍的 1 年患病率。

方法

北特伦德拉格健康调查(HUNT4)的第四波于 2017 年 9 月开始。该研究是一个主要关注睡眠障碍项目的一部分,其中共有 232 名(19.3%)受邀参加 HUNT4 的参与者接受了面对面的头痛访谈。

结果

232 名参与者的平均年龄为 58.4 岁(范围 22-89)。在过去一年中,有 71.6%(95%CI 65.7-77.4)报告有头痛,18.5%(95%CI 13.5-23.6)在同一时期有头痛。紧张型头痛(TTH)的 1 年患病率为 43.1%(95%CI 36.7-49.5),特发性刺痛性头痛为 34.1%(27.9-40.2),明确偏头痛为 18.1%(95%CI 13.1-23.1)。共有 7.6%(95%CI 4.0-10.7%)的偏头痛患者同时患有 TTH。偏头痛的终身患病率为 32.8%(95%CI 26.7-38.8)。有 12.1%(95%CI 7.9-16.3)的人报告昨天有头痛,有 5.6%(95%CI 2.6-8.6)的人在访谈期间有头痛。

结论

在这项通过面对面访谈进行的基于人群的横断面头痛研究中,TTH 的 1 年患病率为 43.1%,特发性刺痛性头痛的患病率为 34.1%。共有 18.1%的人患有活动性偏头痛(18.1%),而偏头痛的终身患病率为 32.8%。

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