Russell M B, Rasmussen B K, Thorvaldsen P, Olesen J
Neurologisk afdeling og befolkningsundersøgelserne, Amtssygehuset i Glostrup.
Ugeskr Laeger. 1996 Mar 4;158(10):1369-72.
The aim of this study was to provide prevalence and sex-ratio of subtypes of migraine diagnosed by neurological interview according to the criteria of the International Headache Society. In all, 3000 males and 1000 females aged 40 years were randomly selected from the Danish population. They received a mailed questionnaire regarding migraine. The questionnaire response rate was 87%. People with self-reported migraine and a random sample of those reporting no migraine were invited to a headache interview, and a physical and a neurological examination. Those not reacting to the invitation were interviewed by telephone. Participation in the interview was 87%. Kappa was 0.77 validating self-reported migraine in the questionnaire against the diagnosis of the clinical interview. Lifetime prevalences of migraine without aura, migraine with aura, migraine aura without headache, and migrainous disorder were 8%, 4%, 1% and 1% in males and 16%, 7%, 3% and 2% in females. Overall lifetime prevalence of any type of migraine was 18%, 12% in males and 24% in females. This is lower than the sum of the prevalences since migraine diagnoses are not mutually exclusive. The male:female ratios of migraine without aura, migraine with aura, migraine aura without headache, and migrainous disorder were approximately 1:2.
本研究的目的是根据国际头痛协会的标准，提供通过神经科问诊诊断的偏头痛亚型的患病率及性别比例。从丹麦人群中随机选取了3000名40岁男性和1000名40岁女性。他们收到了一份关于偏头痛的邮寄问卷。问卷回复率为87%。自我报告有偏头痛的人和随机抽取的报告无偏头痛的人被邀请参加头痛问诊、体格检查和神经科检查。未对邀请做出回应的人通过电话进行访谈。访谈参与率为87%。Kappa值为0.77，用于验证问卷中自我报告的偏头痛与临床访谈诊断结果的一致性。男性中无先兆偏头痛、有先兆偏头痛、无头痛性偏头痛先兆和偏头痛性疾病的终生患病率分别为8%、4%、1%和1%，女性分别为16%、7%、3%和2%。任何类型偏头痛的总体终生患病率男性为18%，女性为24%。由于偏头痛诊断并非相互排斥，所以该患病率低于各亚型患病率之和。无先兆偏头痛、有先兆偏头痛、无头痛性偏头痛先兆和偏头痛性疾病的男女比例约为1:2。
