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[Headache in the population of schoolchildren: prevalence, pattern, risk factors]

I G Izmaĭlova, V V Belopasov, V S Korol'kova

    Gigiena I Sanitariia
    |January 19, 2012
    PubMed

    Insights

    Childhood headache, particularly exercise-induced and migraine, affects over 40% of students. Risk factors include family history and school stress, highlighting the need for accurate diagnosis and targeted interventions.

    Area of Science:

    • Pediatric Neurology
    • Epidemiology
    • Psychosomatic Medicine

    Context:

    • Childhood headache (HA) is a common neurological disorder with significant impact on quality of life.
    • Understanding its prevalence, patterns, and risk factors is crucial for effective management in school-aged populations.

    Purpose:

    • To investigate the prevalence, clinical patterns, and associated risk factors of childhood headache in a general educational school setting.
    • To identify demographic and psychosocial factors contributing to chronic headache conditions in children and adolescents.

    Summary:

    • Questionnaire data from 1074 pupils revealed a 42.1% prevalence of periodic headache.
    • Exercise-induced headache (30.6%) and migraine (7.8%) were most common, with higher rates in female adolescents.
    • Chronic HA was linked to poor family history (psychogenias, pain history, low socioeconomic status) and school stress.
    • High comorbidity with psychosomatic disorders, especially autonomic and emotional disorders, was observed.

    Impact:

    • Findings underscore the importance of considering clinical presentation, comorbidities, and predictive factors for childhood headache prevention and treatment.
    • Emphasizes the critical role of international diagnostic criteria for improving childhood headache diagnosis and management.

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