UOC Neurologia, Salute Pubblica, Disabilità, Fondazione IRCCS Istituto Neurologico Carlo Besta, 20133 Milan, Italy.
UOC Neuroalgologia, Fondazione IRCCS Istituto Neurologico Carlo Besta, 20133 Milan, Italy.
Int J Environ Res Public Health. 2020 Dec 31;18(1):250. doi: 10.3390/ijerph18010250.
Headache disorders are prevalent and disabling conditions impacting on people of all ages, including children and adolescents with substantial impact on their school activities and leisure time. Our study aims to report specific information on headaches in children and adolescents based on the Global Burden of Disease (GBD) study, that provides estimates for incidence, prevalence, fatal and non-fatal outcomes. We relied on 2007 and 2017 GBD estimates for prevalence and Years Lived with Disability (YLDs) at the global level and in WHO regions. The results show that, migraine and tension-type headache (TTH) together account for 37.5% of all-cause prevalence and for 7% of all-cause YLDs. Over the past decade, prevalence rates showed a mild increase of TTH in all ages and of migraine alone for adolescents. The YLDs increased among females of all ages with some regional differences that might be connected to the unequal availability of effective acute and prophylactic treatments across world regions. GBD data support the need to promote public health policies and strategies including diagnosis, pharmacological and non-pharmacological treatments that are expected to help reduce the disability and burden associated to migraine and TTH among children and adolescents.
头痛障碍是一种普遍存在且使人丧失能力的疾病，影响着各个年龄段的人群，包括儿童和青少年，对他们的学校活动和休闲时间产生了重大影响。我们的研究旨在根据全球疾病负担（GBD）研究报告特定的儿童和青少年头痛信息，该研究提供了发病率、患病率、死亡率和非死亡率结果的估计。我们依赖于 2007 年和 2017 年全球和世界卫生组织（WHO）区域的 GBD 患病率和残疾生活年（YLDs）的估计值。结果表明，偏头痛和紧张型头痛（TTH）合计占所有病因患病率的 37.5%，占所有病因 YLDs 的 7%。在过去十年中，TTH 在所有年龄段的患病率略有增加，青少年的偏头痛单独患病率也有所增加。所有年龄段女性的 YLDs 都有所增加，这可能与世界各地偏头痛和 TTH 的有效急性和预防性治疗的可用性不均有关。GBD 数据支持需要促进公共卫生政策和战略，包括诊断、药物和非药物治疗，预计这将有助于减少儿童和青少年偏头痛和 TTH 相关的残疾和负担。
