The Prevalence Rate and clinical Presentation of Migraine and Tension-Type Headaches Among Students in a University

• Main Authors: Liaw, Yueh-Gan, 廖月甘
• Other Authors: Lan Thou-Jen, Tsai Jing-Jane
• Format: Others
• Language: zh-TW
• Published: 1997
• Online Access: http://ndltd.ncl.edu.tw/handle/58433882338794528680

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