Almomani Miral A, Almomani Basima A, Al-Sawalha Nour A, Alqudah Ahmad A
Department of Pediatrics and Neonatology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan.
J Pain Res. 2025 Apr 16;18:2093-2104. doi: 10.2147/JPR.S504602. eCollection 2025.
Headache is a common complaint in medical practice that affects daily activity and quality of life. University students, especially, face psychological and academic stressors that may trigger migraine, leading to functional impairment. This can hinder concentration, studying, and academic performance, resulting in disability, reduced productivity, and absenteeism. Understanding the factors contributing to headache-related disability in Jordanian students is essential for improving mental health and guiding policies to promote academic success and overall well-being.
The purpose of this study was to investigate the prevalence, features, and determinants of migraine headache-related disability among university students in Jordan.
A cross-sectional survey was conducted among university students in Jordan. An online questionnaire was distributed using social media. A convenient sample of students from different universities across geographical areas in Jordan was invited to participate in the study.
Out of 1276 recruited participants, 64.97% of them have a history of headache in the previous 3 months. Of those, 80.22% probably have a diagnosis of migraine headache and 46% of them have an aura. Photophobia was the most common associated symptom (~90%) and sleep disturbance was the most reported factor trigger migraine attacks (83%). Most of the participants (82%) used analgesic medications, mainly OTC drugs (66.8%). Students with severe migraine intensity were more likely to have moderate-severe disability than those with mild/moderate intensity (OR = 1.69, 95 CI% = 1.23-2.34, p value = 0.001). In addition, the presence of an aura was associated with moderate-severe disability (OR = 1.57, 95 CI% = 1.14-2.16, p value = 0.006).
This study highlights the high prevalence of migraine headache among university students in Jordan, with photophobia and sleep disturbances identified as common triggers. The findings suggest that students with severe migraine intensity and those experiencing aura are more likely to face moderate-to-severe disability. The widespread use of analgesic medications, particularly over-the-counter drugs, underscores the need for targeted interventions to manage migraine symptoms and enhance the quality of life for affected students.
头痛是医疗实践中常见的主诉，会影响日常活动和生活质量。尤其是大学生，面临可能引发偏头痛的心理和学业压力源，导致功能障碍。这会妨碍注意力集中、学习和学业表现，导致残疾、生产力下降和旷课。了解约旦学生中与头痛相关残疾的影响因素对于改善心理健康以及指导促进学业成功和整体幸福感的政策至关重要。
本研究的目的是调查约旦大学生中偏头痛相关残疾的患病率、特征和决定因素。
在约旦的大学生中进行了一项横断面调查。通过社交媒体分发在线问卷。邀请了来自约旦不同地理区域不同大学的学生作为方便样本参与研究。
在1276名招募的参与者中，64.97%的人在过去3个月中有头痛史。其中，80.22%的人可能被诊断为偏头痛，46%的人有先兆。畏光是最常见的相关症状（约90%），睡眠障碍是最常报告的引发偏头痛发作的因素（83%）。大多数参与者（82%）使用止痛药物，主要是非处方药（66.8%）。偏头痛强度严重的学生比轻度/中度强度的学生更有可能出现中度至重度残疾（OR = 1.69，95%置信区间 = 1.23 - 2.34，p值 = 0.001）。此外，先兆的存在与中度至重度残疾相关（OR = 1.57，95%置信区间 = 1.14 - 2.16，p值 = 0.006）。
本研究强调了约旦大学生中偏头痛的高患病率，畏光和睡眠障碍被确定为常见触发因素。研究结果表明，偏头痛强度严重的学生和有先兆的学生更有可能面临中度至重度残疾。止痛药物的广泛使用，特别是非处方药，凸显了需要有针对性的干预措施来管理偏头痛症状并提高受影响学生的生活质量。
