Epidemiology of Migraine: A Survey in 21 Provinces of the People's Republic of China, 1985

Zhao, Faqiong; Tsay, Jia-Yeong; Cheng, Xue-ming; Wong, Wu-ji; Li, Shichuo; Yao, Shui-xiang; Chang, S. M.; Schoenberg, Bruce S.

doi:10.1111/j.1526-4610.1988.hed2808558.x

Cited by 58 publications

(73 citation statements)

References 4 publications

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“…This has been confirmed by almost all epidemiologic studies [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17]. Despite this trend, after the age of 65 years, more than 13% of women and 7% of men continue to complain of headache [18].…”

Section: Introductionmentioning

confidence: 61%

Headache in the elderly: a clinical study

et al. 2004

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IntroductionHeadache prevalence is age-dependent, declining progressively, especially after 55-60 years of age. This has been confirmed by almost all epidemiologic studies [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17]. Despite this trend, after the age of 65 years, more than 13% of women and 7% of men continue to complain of headache [18]. Chronic tension-type headache, instead, does not seem to decrease with increasing age [18,19]. The etiology of headache is also age-dependent. The incidence of primary headaches declines, while that of secondary headaches tends to become higher with increasing age [20][21][22][23]. Some headaches, such as that secondary to giant cell arteritis, appear in almost all cases after age of 60 years [23]. Among primary headaches, hypnic headache presents an onset prevalently in the elderly [24][25][26]. Elderly patients more often have comorbidity with other disorders [27][28][29][30]. Although the prevalence of headache in the elderly is relevant, few clinical and epidemiologic studies have been conducted until now in patients aged over 65 years. In some studies of the general adult population, only subjects up to 65 years of age have been studied [9,10,31]. We report the prevalence of headache in a population of subjects over 65 years of age seen at our centre. Materials and methodsWe retrospectively analyzed the clinical charts of 4417 consecutive patients ≥18 years of age referred to our Headache Centre Abstract Although the prevalence of headache in the elderly is relevant, until now few studies have been conducted in patients over the age of 65 years. We analyzed the clinical charts of 4,417 consecutive patients referred to our Headache Centre from 1995 to 2002. There were 282 patients over 65 years of age at the first visit, corresponding to 6.4% of the study population. Primary headaches were diagnosed in 81.6% of the cases, while secondary headaches and non-classifiable headaches represented, respectively, 14.9% and 3.5% of the cases. Among primary headaches, the prevalence was almost the same for migraine without aura (27.8%), transformed migraine (26.1%) and chronic tension-type headache (25.7%). The most frequent secondary headaches were trigeminal neuralgia and headache associated with cervical spine disorder.

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Section: Introductionmentioning

confidence: 61%

Headache in the elderly: a clinical study

et al. 2004

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“…The prevalence of tension-type headache peaked in the 35-44 age group, while those aged 25-34 years top ped the prevalence of the unclassified head ache. The prevalence of migraine based on the questionnaire survey was 1%, much lower than that in Western countries but higher than that found in a large scale prevalence study in China (0.69%) [7,8], After adjusting for misclassification of patients with unclas sified headache and non-response, the esti mated prevalence was 1.5%, still well below the prevalence found in most Western coun tries [1-6].…”

Section: Age-and Sex-specific Prevalence Rates Occupations Predispomentioning

confidence: 92%

“…As in the two studies in China, mental stress, physical stress and menstruation top ped our list of precipitating and aggravating factors in migraine, tension-type and unclas sified headache [7,8], Food as a predisposing or aggravating factor was much less common ly reported. In the absence of similar data among a control group, the relative risk of these 'risk factors' cannot be assessed.…”

Section: Age-and Sex-specific Prevalence Rates Occupations Predispomentioning

confidence: 99%

“…7) 100) dence peated observations and clinical examina tions but do not provide prevalence data. Patients from clinic-based studies, moreover, are highly selected.…”

Section: Representativeness O F Study Samplementioning

confidence: 99%

“…Data from the 1989 National Health Inter view Survey in the United States showed a prevalence of 4% [2]. In a large scale study of 246,812 people in 21 provinces in China in 1985, the point prevalence rate of migraine was 0.69%, while in a study involving 63,195 people in six cities in China, the prevalence was 0.63% [7,8]. In Hong Kong, the preva lence of migraine has not been studied.…”

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confidence: 99%

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Prevalence of Migraine and Other Headaches in Hong Kong

Wong¹,

Wong

Yu³

et al. 1995

Neuroepidemiology

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From July 1992 to March 1993, we conducted a community-based prevalence survey of migraine and other types of recurrent headache by a telephone interview of 2,240 households with 7,356 persons aged 15 and above. 311 patients with recurrent headache were successfully interviewed. Of these, 101 were clinically validated. The overall prevalence rates were 1% for migraine, 2% for tension-type headache and 1% for unclassified headache. Adjusted for misclassification and non-response, the estimated prevalence rates for the three categories were 1.5, 3 and 0.4%, respectively. Agreement between clinical method and questionnaire interview was good for migraine, fair for tension-type headache and poor for unclassified headache. For all three types of recurrent headache, there was a female preponderance with a peak in the 25–44 age group. The prevalence of migraine was much lower than in Western communities but higher than that found in mainland China [1–8]. Common predisposing and aggravating factors for all three types of headaches as reported by the patients were mental stress, physical exertion and menstruation among females. Despite the low prevalence, the overall socioeconomic impact to a populous community is considerable.

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Psychophysiological Disorders

Molton¹,

Raichle²

2009

Diagnostic Interviewing

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Epidemiology of Migraine: A Survey in 21 Provinces of the People's Republic of China, 1985

Cited by 58 publications

References 4 publications

Headache in the elderly: a clinical study

Headache in the elderly: a clinical study

Prevalence of Migraine and Other Headaches in Hong Kong

Psychophysiological Disorders

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