Prevalence of Headache in 11 to 18-Year-Old Students in Isfahan, Iran

Document Type : Original Article (s)

Authors

1 Assistant Professor, Department of Pediatrics, School of Medicine, Child Health Promotion Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

2 Associate Professor, Department of Pediatrics, School of Medicine, Child Health Promotion Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

3 Student of Medicine, Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Headache is one of the most common complaints in childhood and adolescence. However, few studies have been conducted concerning different types of headaches and their importance, particularly among Iranian students. The present study aimed to determine the prevalence of various types of headaches and their related factors among 11 to 18-year-old students of Isfahan, Iran.Methods: This cross-sectional study was performed on 4096 students who aged 11 to 18 years old during 2006-09. Stratified, cluster random sampling was used to select student from junior high schools, high schools, and pre-university schools in Isfahan. Required data including types of headaches, comorbid symptoms, and factors related to headaches were collected by referring to a physician through interviewing and completing a questionnaire.Findings: Out of 4096 subjects, 2047 (49.9%) had headaches. The frequency of total headaches, migraine headaches, and tension headaches were significantly higher among girls compared to boys (60.4% vs. 39.4%;   P < 0.01; 27% vs. 11.5%; P < 0.01; and 33.2% vs. 27.1%; P < 0.01, respectively). On the other hand, cluster headache was more common in male students than in females (39% vs. 0%; P = 0.01). In both sexes, the frequency of headache significantly increased with increasing age. While in most of female students (80%), the incidence of headache was not associated with a certain season, in male students, the incidence of headache was higher in winter (37.1%). There was a significant difference between female and male students in some factors related to the incidence of headache (P < 0.05). Conclusion: Approximately half of 11 to 18-year-old students of Isfahan suffer from one of the types of headaches among which migraine and tension headaches had a high prevalence. Enhancing the awareness and knowledge of the students and teachers through holding educational programs about how to treat and prevent headache attacks is recommended.

Keywords

References

  1. Kernick D, Campbell J. Measuring the impact of headache in children: a critical review of the literature. Cephalalgia 2009; 29(1): 3-16.
  2. Ofovwe GE, Ofili AN. Prevalence and impact of headache and migraine among secondary school students in Nigeria. Headache 2010; 50(10): 1570-5.
  3. Fuh JL, Wang SJ, Lu SR, Liao YC, Chen SP, Yang CY. Headache disability among adolescents: a student population-based study. Headache 2010; 50(2): 210-8.
  4. Fuh JL, Wang SJ, Juang KD, Lu SR, Liao YC, Chen SP. Relationship between childhood physical maltreatment and migraine in adolescents. Headache 2010; 50(5): 761-8.
  5. Unalp A, Dirik E, Kurul S. Prevalence and clinical findings of migraine and tension-type headache in adolescents. Pediatr Int 2007; 49(6): 943-9.
  6. Karli N, Akis N, Zarifoglu M, Akgoz S, Irgil E, Ayvacioglu U, et al. Headache prevalence in adolescents aged 12 to 17: a student-based epidemiological study in Bursa. Headache 2006; 46(4): 649-55.
  7. Fendrich K, Vennemann M, Pfaffenrath V, Evers S, May A, Berger K, et al. Headache prevalence among adolescents--the German DMKG headache study. Cephalalgia 2007; 27(4): 347-54.
  8. Mateen FJ, Dua T, Steiner T, Saxena S. Headache disorders in developing countries: research over the past decade. Cephalalgia 2008; 28(11): 1107-14.
  9. Ayatollahi SM, Khosravi A. Prevalence of migraine and tension-type headache in primary-school children in Shiraz. East Mediterr Health J 2006; 12(6): 809-17.
  10. Ayatollahi SM, Moradi F, Ayatollahi SA. Prevalences of migraine and tension-type headache in adolescent girls of Shiraz (Southern Iran). Headache 2002; 42(4): 287-90.
  11. Ghayeghran AR, Fath Sami Sh. Survey on prevalence of Migraine in high school students of Rasht city. J Guilan Univ Med Sci 2004; 50(13): 22-6.
  12. Mirzaei MG. A review of cammon migraine in girls high school and related fall in education in Shahrekord region. J Shahrekord Univ Med Sci 2004; 5(4): 55-62.
  13. Bahrami P. Incidence of migraine in high school students in Khorramabad. Yafte-e 2005; 7(1): 55-60.
  14. Bigal ME, Lipton RB, Winner P, Reed ML, Diamond S, Stewart WF. Migraine in adolescents: association with socioeconomic status and family history. Neurology 2007; 69(1): 16-25.
  15. Zwart JA, Dyb G, Holmen TL, Stovner LJ, Sand T. The prevalence of migraine and tension-type headaches among adolescents in Norway. The Nord-Trondelag Health Study (Head-HUNT-Youth), a large population-based epidemiological study. Cephalalgia 2004; 24(5): 373-9.
  16. Ghayeghran AR, Dehnadi Moghadam A, Sedighi Moghadam P. Survey of Teachers' Knowledge about Migraine in Rasht in 2005. J Guilan Univ Med Sci 2007; 61(16): 51-9.
  17. Ayatollahi SMT, Cheraghian B. An epidemiologic model for risk factors of Migraine and tension type headaches among primary schools teachers of Shiraz, 2003. J Kerman Univ Med Sci 2005; 12(2): 1-9.
Journal of Isfahan Medical School
Volume 29, Issue 149 - Serial Number 149
July and August 2011
Pages 1046-1054

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History

  • Receive Date: 11 September 2011
  • Revise Date: 01 June 2024
  • Accept Date: 06 April 2022

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