Headache in School Children

Straube, Andreas; Heinen, Florian; Ebinger, Friedrich; Kries, Rüdiger von

doi:10.3238/arztebl.2013.0811

Cited by 54 publications

(35 citation statements)

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“…Furthermore, in this study, as students become older and older there was a relative increase in prevalence of headache even if it is not yet statistically associated which may be due to narrow age gaps within the samples. This agrees with other reports [ 3 , 35 , 36 ] which stated that the prevalence of headache rises from school age upwards.…”

Section: Discussionsupporting

confidence: 93%

Management of headache and associated factors among undergraduate medicine and health science students of University of Gondar, North West Ethiopia

et al. 2016

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BackgroundThe headache disorders, namely, migraine and tension type headache and the associated analgesic consumption is badly underestimated and thus makes a major current public health problem. The objective of this study was to determine the prevalence of migraine and tension type headaches and the associated management options used among undergraduate students of College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.MethodInstitution based cross sectional study was conducted among 720 students in May, 2014. Pretested and structured self-administered questionnaires were used as data collecting tool followed by short interview to diagnose the type of headache based on the International Headache Society diagnostic criteria. SPSS version 20 was also used to analyse the data descriptively as well as inferentially using logistic regression models to investigate factors associated with presence of headache and analgesic use.ResultThe prevalence of lifetime headache and headache in the last 12 months was 81.11 and 67.22 %, respectively. Migraine and tension type headache were having 94 (13.06 %) and 481 (66.81 %) prevalence, respectively. Prevalence of life time headache was significant among females, students with family history of headache and lack of adequate vacation time. Similarly, lifetime prevalence of analgesic use for headache was 72.45 % and it had statistical association with sex, age, type of headache, lack of adequate vacation time and family history of headache. Majority of the students, migraineurs (54.65 %) and the tension type headache sufferers (66.17 %) commonly used paracetamol.ConclusionHigh prevalence without adequate medical care seeking behaviour and the associated significant analgesic consumption necessitate the designing of all rounded strategies to improve the quality of life of individuals with such neurologic disorders.

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Section: Discussionsupporting

confidence: 93%

Management of headache and associated factors among undergraduate medicine and health science students of University of Gondar, North West Ethiopia

et al. 2016

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“…No distinction between tension‐type headaches and migraine could be made in the current study. It is known that tension‐type headaches are more common in younger children as compared to migraine and a study in adults showed that emotional abuse was associated with migraine but not with tension‐type headaches . The distinction between headache types is important and future studies need to examine the impact of ACEs on distinct headache types in children.…”

Section: Discussionmentioning

confidence: 99%

“…Demographics and Covariate Definitions.-We also examined several covariates, including age (<12 vs ≥12 years), gender (male or female), race (White, Black, Other), and ethnicity (Hispanic or Non-Hispanic), depression, anxiety, epilepsy, brain injury, or concussion, weight, and average amount of sleep. 21 Depression, anxiety, epilepsy, and brain injury were defined by parent report as having history of the condition diagnosed by medical provider. Average amount of sleep and weight were categorized by the NSCH as adequate or inadequate for age.…”

Section: Study Population and Datamentioning

confidence: 99%

Adverse Childhood Experiences (ACEs) and Headaches Among Children: A Cross‐Sectional Analysis

et al. 2020

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Objectives This cross‐sectional study examined the association between adverse childhood experiences (ACEs) and history of frequent headaches (including migraine) among children 3‐17 years old using data from the 2016 and 2017 U.S. National Survey of Children’s Health (NSCH). Background ACEs include abuse (physical, emotional, or sexual), parental divorce, death, mental illness, or addiction, and are linked to higher morbidity and mortality in adulthood. A relationship between ACEs and headaches exists among adults, but studies examining the relationship among children are lacking. To our knowledge, no studies have examined the link among children using NSCH data. Methods The NSCH is a nationally representative survey of U.S. children’s physical and emotional well‐being aimed at understanding their health needs. Parental‐reported information was collected on child history of headaches and 9 ACEs for the selected child. The survey collected information on 71,881 children in 2016 and 2017 out of which 61,565 were eligible for the study (age ≥3 years and not missing data on history headaches). Children with missing values for headache, ACEs, or covariates (n = 58,958) were excluded from the final analysis. We used multivariable logistic regression with survey weighting and adjusted for demographics and comorbidities (anxiety, depression, epilepsy, and brain injury) to examine the association between ACEs and headaches overall and stratified by gender. We further assessed the independent relationship between each ACE and headaches. Results In the current study, out of 61,656 children, 26,884 (48.6%) experienced at least 1 ACE and 3426 (6.5%) experienced 4+ ACEs. Overall, compared with children with no ACEs, the adjusted odds of headache were 1.34 times higher among children with 1 reported ACE (95% CI: 1.07, 1.68), 2.15 times higher among children with 2 ACEs (95% CI: 1.66, 2.80), 1.89 times higher among children with 3 ACEs (95% CI: 1.40, 2.53), and 3.40 times higher among children with 4+ ACEs (95% CI: 2.61, 4.43). Females with 3 and 4+ ACEs were somewhat more likely to report headaches compared to males with the same number of ACEs. Individually, no ACE was independently associated with history of headaches except for difficulty due to family’s income (aOR = 2.46, 95% CI: 1.98, 3.06). Conclusion Experiencing one or more ACEs vs none was associated with higher risk of headaches in children, and difficulty due to family’s income was the only ACE independently associated with headaches. Our findings support results of other studies on ACEs and headache in young adults and suggest that adverse ACE‐related health outcomes begin earlier than previously recognized. Additionally, struggling due to low income may represent a constellation of chronic stressors that independently contribute to poor health outcomes in childhood as compared to other individual ACEs. Future research should examine the importance of specific ACE clusters and stressors during childhood.

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“…Über die letzten Jahrzehnte nahm die Prävalenz chronischer Schmerzen bei Kindern und Jugendlichen zu [38]. So stieg inFinnland die Halbjahresprävalenz häufiger rezidivierender Kopfschmerzen bei Einschülern von 5 % in 1974 auf 19 % in 2002 [1].…”

Section: Hintergrundunclassified

Schmerzmedizinische Versorgung chronisch schmerzkranker Kinder und Jugendlicher in Deutschland

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Headache in School Children

Abstract: Headaches are becoming more common among children and adolescents. They are often associated with other physical and emotional complaints.

Cited by 54 publications

References 80 publications

Management of headache and associated factors among undergraduate medicine and health science students of University of Gondar, North West Ethiopia

Management of headache and associated factors among undergraduate medicine and health science students of University of Gondar, North West Ethiopia

Adverse Childhood Experiences (ACEs) and Headaches Among Children: A Cross‐Sectional Analysis

Schmerzmedizinische Versorgung chronisch schmerzkranker Kinder und Jugendlicher in Deutschland

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