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Epidemiology of headache

B K Rasmussen1

  • 1Glostrup Population Studies, Department of Internal Medicine C, Glostrup Hospital, University of Copenhagen, Denmark.

Cephalalgia : an International Journal of Headache
|February 1, 1995
PubMed
Summary

This study reveals migraine is a constitutional disorder, while tension-type headache is influenced by psychosocial factors. Few patients with these common headaches seek medical attention, impacting research bias.

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Epidemiology of headache.

Cephalalgia : an international journal of headache·2001

Area of Science:

  • Epidemiology of headache disorders
  • Neurology
  • Public Health

Background:

  • Headache disorders are prevalent globally.
  • Previous prevalence studies often lack representative sampling or standardized diagnostic criteria.
  • Understanding the epidemiology of specific headache entities is crucial for public health initiatives.

Purpose of the Study:

  • To determine the prevalence of specific headache entities in a general population.
  • To describe the symptomatology, impact, and associated factors of headache disorders.
  • To differentiate between migraine and tension-type headache and their subtypes.

Main Methods:

  • A population-based study of 1000 adults aged 25-64 using structured interviews and physician examinations.
  • Diagnosis based on internationally accepted operational diagnostic criteria.
  • Analysis of prevalence, symptomatology, healthcare utilization, and associated factors.

Main Results:

  • Migraine and tension-type headache are distinct, sex- and age-dependent disorders with female preponderance.
  • Migraine appears constitutional, while tension-type headache is linked to psychosocial factors.
  • Low consultation rates for both migraine and tension-type headache indicate potential selection bias in clinic-based studies.

Conclusions:

  • Migraine and tension-type headache are separate clinical entities with different etiological underpinnings.
  • Female hormones may influence the higher prevalence of these headaches in women.
  • Future research should focus on longitudinal studies to identify risk factors for headache disorders.

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