Okamura Mirna Namie, Goldbaum Moisés, Madeira Wilma, Cesar Chester Luiz Galvão
Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brazil.
Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
Rev Bras Epidemiol. 2020;23:e200067. doi: 10.1590/1980-549720200067. Epub 2020 Jul 8.
Cephalalgia is one of the most common somatic complaints related to health problems in childhood and adolescence.
To measure the cephalalgia prevalence in adolescents from the city of São Paulo, Brazil, and associated factors.
This is a cross-sectional population-based study, carried out in 2015, with 539 adolescents of both sexes, aged between 15 and 19 years. The information was collected in a household survey, and the participants were selected from probabilistic sampling. Frequencies, χ2 test and logistic regression analysis were used in the study, and significance level was 5%.
the estimated prevalence of cephalalgia was 38.2% (95%CI 33.8 - 42.7), and 7.8% (95%CI 5.6 - 10.7), migraine. The associated factors for cephalalgia were: female sex (OR = 2.2; 95%CI 1.4 - 3.4), Common Mental Disorder (OR = 2.8; 95%CI 1.7 - 4.9), vision impairment (OR = 2.6; 95%CI 1.6 - 4.2), besides back pain (OR = 2.2; 95%CI 1.3 - 3.5), sinusitis (OR = 2.0; 95%CI 1.2 - 3.4) and incomplete elementary education (OR = 3.0; 95%CI 1.6 - 5.6).
The prevalence of headache among adolescents in the city of São Paulo represented more than 1/3 (one third) of this population. The main associated factors were sex, low schooling and the following comorbidities: common mental disorder and vision impairment.
头痛是儿童和青少年时期与健康问题相关的最常见躯体不适之一。
测量巴西圣保罗市青少年的头痛患病率及相关因素。
这是一项基于人群的横断面研究，于2015年开展，研究对象为539名年龄在15至19岁之间的青少年。信息通过家庭调查收集，参与者采用概率抽样选取。研究中使用了频率、卡方检验和逻辑回归分析，显著性水平为5%。
头痛的估计患病率为38.2%（95%置信区间33.8 - 42.7），偏头痛患病率为7.8%（95%置信区间5.6 - 10.7）。头痛的相关因素包括：女性（比值比=2.2；95%置信区间1.4 - 3.4）、常见精神障碍（比值比=2.8；95%置信区间1.7 - 4.9）、视力障碍（比值比=2.6；95%置信区间1.6 - 4.2），此外还有背痛（比值比=2.2；95%置信区间1.3 - 3.5）、鼻窦炎（比值比=2.0；95%置信区间1.2 - 3.4）和小学教育未完成（比值比=3.0；95%置信区间1.6 - 5.6）。
圣保罗市青少年头痛患病率超过该人群的三分之一。主要相关因素为性别、低学历以及以下合并症：常见精神障碍和视力障碍。
