越南医学生头痛障碍患病率的横断面研究。

The prevalence of headache disorders among medical students in Vietnam: a cross-sectional study.

机构信息

Department of Neurology, Hanoi Medical University, Hanoi, Vietnam.

Neurology Center, Bach Mai Hospital, Hanoi, Vietnam.

出版信息

J Headache Pain. 2024 Nov 18;25(1):199. doi: 10.1186/s10194-024-01912-1.

DOI:10.1186/s10194-024-01912-1

PMID:39558238

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11572064/

Abstract

BACKGROUND

Headache disorders are among the leading causes of disability worldwide, especially in young adults. However, no data on the burden of these disorders in Vietnam have been published to date. This study is the first to assess the prevalence of headache disorders among Vietnamese medical students.

METHODS

This study was conducted in accordance with the recommended methodology of the Global Campaign. Data were collected through interviews using the HARDSHIP structured questionnaire, translated into Vietnamese, with diagnostic assessments based on ICHD-3 criteria. Participants were recruited from two medical universities in Vietnam. The 1-year prevalence rates of headache disorders of public health significance (migraine, tension-type headache [TTH], and probable medication-overuse headache [pMOH]) were estimated. Logistic regression analyses were performed to evaluate the associations between headache disorders and sociodemographic/anthropometric variables.

RESULTS

A total of 1,362 participants (42.7% males and 57.3% females) with a mean age of 21.1 ± 1.6 years were included. The overall 1-year prevalence of any headache was 82.6% [95% CI: 80.5-84.6], with a prevalence of 74.7% [71.0-78.2] among males and 88.5% [86.0-90.6] among females. The 1-year prevalences for specific headache types were as follows: migraine 21.8% [19.6-24.1], TTH 54.0% [51.3-56.7], pMOH 0.4% [0.2-1.0], and other headaches on ≥ 15 days/month 3.7% [2.7-4.8]. The one-day prevalence of any headache was 12.1%. Female gender (adjusted OR = 1.77 [1.32-2.36]; p < 0.001) was independently associated with a higher prevalence of migraine, while older age (aOR = 0.84 [0.77-0.91] per year increase) was associated with a lower prevalence. In contrast, TTH was more common among older participants (aOR = 1.07 [1.005-1.15] per year increase).

CONCLUSIONS

This study highlights the high prevalence of headache disorders, particularly migraine and TTH, among medical students in Vietnam. These findings underscore the critical need for public health initiatives to improve early diagnosis and effective management of headache disorders within this population.

摘要

背景

头痛障碍是全球导致残疾的主要原因之一，尤其是在年轻人中。然而，迄今为止，越南还没有关于这些疾病负担的相关数据。本研究首次评估了越南医学生头痛障碍的患病率。

方法

本研究按照全球运动推荐的方法进行。通过使用 HARDSHIP 结构化问卷进行访谈收集数据，问卷被翻译成越南语，并根据 ICHD-3 标准进行诊断评估。参与者来自越南的两所医科大学。估计了具有公共卫生意义的头痛障碍（偏头痛、紧张型头痛[TTH]和可能的药物过度使用性头痛[pMOH]）的 1 年患病率。进行了逻辑回归分析以评估头痛障碍与社会人口统计学/人体测量学变量之间的关联。

结果

共纳入 1362 名参与者（42.7%为男性，57.3%为女性），平均年龄为 21.1±1.6 岁。任何头痛的总体 1 年患病率为 82.6%[95%置信区间：80.5-84.6%]，男性患病率为 74.7%[71.0-78.2%]，女性患病率为 88.5%[86.0-90.6%]。特定头痛类型的 1 年患病率如下：偏头痛 21.8%[19.6-24.1%]、TTH 54.0%[51.3-56.7%]、pMOH 0.4%[0.2-1.0%]和其他头痛每月≥15 天 3.7%[2.7-4.8%]。任何头痛的一日患病率为 12.1%。女性（调整后的 OR=1.77[1.32-2.36]；p<0.001）与偏头痛的患病率较高独立相关，而年龄较大（每年增加 0.84[0.77-0.91]）与患病率较低相关。相反，TTH 在年龄较大的参与者中更为常见（每年增加 1.07[1.005-1.15]）。