Hasvold T, Johnsen R, Førde O H
Institute of Community Medicine, University of Tromsø, Norway.
Scand J Prim Health Care. 1996 Jun;14(2):92-9. doi: 10.3109/02813439608997077.
To study the pattern of association of background factors with reported migraine, non-migrainous headache, and neck or shoulder pain.
In a cross-sectional survey the population of the municipality of Tromsø between 20 and 56 years of age was screened for risk factors of different diseases. Everybody attending the screening was given a questionnaire on psychosocial, lifestyle, and health factors. The odds ratios of reporting migraine, non-migrainous headache, and neck or shoulder pain were estimated by logistic regression for several background factors.
A population-based study conducted in the municipality of Tromsø, northern Norway.
In a survey of risk factors for diseases in 1987/86, all the subjects between 20 and 56 years of age in the municipality of Tromsø were invited. The attenders were given a questionnaire about lifestyle, health, and psychosocial factors. Of the 18105 people who were given a questionnaire, 8537 men and 9162 women (97.7%) answered the questions about "non-migrainous headache", 8533 men and 9117 women (97.5%) answered the questions about neck or shoulder pain, and 8024 men and 7690 women (86.8%) the questions about migraine.
"Self estimated health" had the strongest association with all three target conditions although the strength of the association between headache and neck or shoulder pain was far higher than that of migraine. The reporting of headache and neck or shoulder pain was associated with psychosocial factors, in contrast to migraine. The less educated women were prone to both headache and neck or shoulder pain, while there was no association between migraine and length of education. The explored lifestyle factors were not associated with any of the target conditions.
Our findings underscore that migraine is reported by people with psychosocial backgrounds other than those of people who report chronic headache and neck or shoulder pain.
研究背景因素与报告的偏头痛、非偏头痛性头痛以及颈部或肩部疼痛之间的关联模式。
在一项横断面调查中，对特罗姆瑟市20至56岁的人群进行不同疾病危险因素的筛查。每位参加筛查的人都收到一份关于心理社会、生活方式和健康因素的问卷。通过逻辑回归分析几种背景因素，估计报告偏头痛、非偏头痛性头痛以及颈部或肩部疼痛的比值比。
在挪威北部特罗姆瑟市进行的一项基于人群的研究。
在1986/1987年对疾病危险因素的调查中，邀请了特罗姆瑟市所有20至56岁的受试者。参加者收到一份关于生活方式、健康和心理社会因素的问卷。在收到问卷的18105人中，8537名男性和9162名女性（97.7%）回答了关于“非偏头痛性头痛”的问题，8533名男性和9117名女性（97.5%）回答了关于颈部或肩部疼痛的问题，8024名男性和7690名女性（86.8%）回答了关于偏头痛的问题。
“自我评估健康状况”与所有三种目标疾病的关联最强，尽管头痛与颈部或肩部疼痛之间的关联强度远高于偏头痛。与偏头痛不同，头痛和颈部或肩部疼痛的报告与心理社会因素有关。受教育程度较低的女性更容易出现头痛和颈部或肩部疼痛，而偏头痛与受教育年限之间没有关联。所探讨的生活方式因素与任何一种目标疾病均无关联。
我们的研究结果强调，报告偏头痛的人与报告慢性头痛和颈部或肩部疼痛的人具有不同的心理社会背景。
