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Published on: June 2, 2014
Prevalence and characteristics of headache in Khoramabad, Iran
Parviz Bahrami1, Hatam Zebardast, Mohammad Zibaei
1Neurology Department, Khoramabad University of Medical Sciences, Lorestan, Iran. drbahrami2003@yahoo.com
Insights
Headache prevalence is high, especially migraine and tension-type headaches, more common in women. Socioeconomic factors and medication overuse influence headache distribution.
Area of Science:
- Neurology
- Epidemiology
Background:
- Headache is a widespread, disabling condition impacting global health and economies.
- Prevalence and associated factors require further investigation.
Purpose of the Study:
- To evaluate headache prevalence and characteristics.
- To identify probable associated factors in neurology clinic patients.
Main Methods:
- Cross-sectional study of 1000 headache patients in Khoramabad.
- Data collected via structured questionnaires on demographics, headache details, medical history, oral contraceptive pill (OCP) use, and nonsteroidal anti-inflammatory drug (NSAID) overuse.
Main Results:
- Primary headaches affected 78.2% of patients, with migraine (41.6%) and tension-type headache (31.6%) being most common.
- Primary headaches were more prevalent in women and younger individuals, linked to lower economic status, higher education, occupation, OCP use, and NSAID overuse.
- Secondary headaches (20.1%) were more common in older individuals and higher economic levels, and less common with higher education.
Conclusions:
- Socioeconomic factors significantly impact headache epidemiology in developing nations.
- Oral contraceptive pill (OCP) and nonsteroidal anti-inflammatory drug (NSAID) overuse may influence primary headache distribution.
- Further multicenter studies are recommended for national headache epidemiology.
Background:
Headache is a prevalent and disabling condition affecting people in all age groups worldwide, leading to low job performance and quality of life with a significant economic burden on societies.
Objective:
We evaluated headache prevalence and characteristics and some probable associated factors in patients referring to neurology specialist clinics.
Study Design:
Cross sectional study
Setting:
Clinics of Khoramabad and also those referring to the emergency department of Khoramabad University Hospital.
Methods:
One thousand patients with a chief concern of headache were assigned to the study. All patients filled out a structured questionnaire to gather demographic information and data on headache characteristics and associated factors, including past medical and psychiatric history, history of oral contraceptive pill (OCP) use, nonsteroidal anti-inflammatory drug (NSAID) overuse, and menstruation.
Results:
The total prevalence of primary headaches was 78.2%, with migraine (with and without aura) being the most prevalent type with a prevalence of 41.6% followed by tension type headache found in 31.6% of the study population. Primary headaches were significantly more common in women and younger age groups. Factors found associated with a significantly higher prevalence of primary headaches were lower economic level, higher educational level, occupation, OCP use and NSAIDs overuse. Secondary headaches, with a total prevalence of 20.1%, significantly increased in older age groups and higher economic levels and were significantly less prevalent in higher educational levels.
Limitations:
The study population is not quite representative of the general population of Iran.
Conclusion:
Results highlight the impact of socioeconomic factors on headache epidemiology in a developing country and demonstrate that OCPs and NSAIDs overuse might have an effect on the distribution of primary headaches. Further multicenter studies are needed to evaluate headache epidemiology in the whole country.
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