| Summary: | 碩士 === 高雄醫學院 === 公共衛生學研究所 === 85 === This study was designed to investigate the lifetime prevalence
rate and clinical manifestation of migraine and tension-type
headache in university students. The method of the study was via
questionnaire. The screening criteria for the migraine and
tension-type headaches were based on the definition from the
Headache Classification Committee of the International Headache
Society in 1988. The questionnaires were distributed to 6662
students, and 4110 questionnaires returned with a return rate of
61.7%. 2719 of the respondents were male, and 1391 female.
There were 62 cases of migrainers, with the lifetime prevalence
rate of 1.5%. The prevalence rate of the male student population
was 1%, and that of in the female student population was 2.5%.
There were 185 cases with tension-type headaches. The lifetime
prevalence rate of tension-type headaches was 4.5%. The
prevalence rate of the male population was 3.5%, and that is in
the female student population was 6.5%. There was a statistical
significant difference between male and female students in the
prevalenceof both migraine and tension type headaches (P<0.05).
The following are clinical presentation and relative significant
factors for migraine and tension-type headaches. The first
migraine occurred between the ages of 10 and 19, with the peak
incidence at age 13 for female students . The first tension-type
headache occurred between the ages of 15 and 16. Fatigue,
anxiety, intensive exercise, lack of sleep, problems with course
work and noise were the frequent precipitating factors for
migraine and tension-type headache. In the case of the migraine,
there were four factors with a statistical significant
difference between male and female students. These were anger,
heavy activity, lack of sleep, and dreaming all night. In
tension-type headache, problems with course work, anxiety,
drugs, fatigue, noise, insomnia or early wakening, dreaming all
night and lack of sleep were the statistically significant
precipitation factors (P<0.05).
There were no significant differences among male and female
students in their daily activity, school attendance, seeking of
medical attention, laboratory examination, diagnosis, and
management for those cases of migraine and tension-type
headaches.
Rest, sleep, medication, or medical attention were the most
frequent choices of management among students with migraine and
tension-type headaches. There was no statistical difference
between male and female students in this issue.
The student''s mother suffering migraine, brothers suffering
headaches, head injury, motion sickness and emotion-prone
personality were more commonly found among students with
migraine. In tension-type headaches, the correlated factors were
the student''s mother and sisters suffering headaches, head
injury, motion sickness, and emotion-prone personality.
In summary, this questionnaire study revealed the lifetime
prevalence rate of migraine at 1.5% and that of tension-type
headache at 4.5%. There was a statistical significant difference
between the male and female students in lifetime prevalence rate
of migraine and tension type headaches (P<0.05). This study
supported the lower lifetime prevalence rate of both migraine
and tension-type headaches in eastern countries in comparison
with that of in western countries. Menstruation played an
important role in migraine, but not in tension-type headaches
in female students. In migraine and tension-type headaches, the
individual past history and family showed a significant odd*s
ratio.
Key words: migraine, tension-type headache, prevalence
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