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. 1994 Sep 24;309(6957):765–769. doi: 10.1136/bmj.309.6957.765

Prevalence of headache and migraine in schoolchildren.

I Abu-Arefeh 1, G Russell 1
PMCID: PMC2541010  PMID: 7950559

Abstract

OBJECTIVES--To determine the prevalence rates of the various causes of severe headache in schoolchildren, with special emphasis on migraine and its impact on school attendance. DESIGN--Population based study in two stages, comprising an initial screening questionnaire followed by clinical interviews and examination of children with symptoms and a control group of asymptomatic children matched for age and sex. SETTING--67 primary and secondary schools in the city of Aberdeen. SUBJECTS--2165 children, representing a random sample of 10% of schoolchildren in Aberdeen aged 5-15 years. MAIN OUTCOME MEASURES--(a) the prevalence of migraine (International Headache Society criteria) and of other types of headache; (b) the impact of migraine on school attendance. RESULTS--The estimated prevalence rates of migraine and tension headache were 10.6% (95% confidence interval 9.1 to 12.3) and 0.9% (0.5 to 1.5) respectively. The estimated prevalence rates for migraine without aura and migraine with aura were 7.8% (95% confidence interval 6.5 to 9.3) and 2.8% (2.0 to 3.8) respectively. In addition, 10 children (0.7%) had headaches which, though lasting less than two hours, also fulfilled the International Headache Society criteria for migraine, 14 (0.9%) had tension headaches, and 20 (1.3%) had non-specific recurrent headache. The prevalence of migraine increased with age, with male preponderance in children under 12 and female preponderance thereafter. Children with migraine lost a mean of 7.8 school days a year due to all illnesses (2.8 days (range 0-80) due to headache) as compared with a mean of 3.7 days lost by controls. CONCLUSIONS--Migraine is a common cause of headache in children and causes significantly reduced school attendance.

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Selected References

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  1. BILLE B. S. Migraine in school children. A study of the incidence and short-term prognosis, and a clinical, psychological and electroencephalographic comparison between children with migraine and matched controls. Acta Paediatr Suppl. 1962 May;136:1–151. [PubMed] [Google Scholar]
  2. Chen T. C., Leviton A. Asthma and eczema in children born to women with migraine. Arch Neurol. 1990 Nov;47(11):1227–1230. doi: 10.1001/archneur.1990.00530110087022. [DOI] [PubMed] [Google Scholar]
  3. Dalsgaard-Nielsen T., Engberg-Pedersen H., Holm H. E. Clinical and statistical investigations of the epidemiology of migraine. Dan Med Bull. 1970 May;17(5):138–148. [PubMed] [Google Scholar]
  4. Deubner D. C. An epidemiologic study of migraine and headache in 10-20 year olds. Headache. 1977 Sep;17(4):173–180. doi: 10.1111/j.1526-4610.1977.hed1704173.x. [DOI] [PubMed] [Google Scholar]
  5. Henry P., Michel P., Brochet B., Dartigues J. F., Tison S., Salamon R. A nationwide survey of migraine in France: prevalence and clinical features in adults. GRIM. Cephalalgia. 1992 Aug;12(4):229–186. doi: 10.1046/j.1468-2982.1992.1204229.x. [DOI] [PubMed] [Google Scholar]
  6. Mortimer M. J., Kay J., Jaron A. Epidemiology of headache and childhood migraine in an urban general practice using Ad Hoc, Vahlquist and IHS criteria. Dev Med Child Neurol. 1992 Dec;34(12):1095–1101. doi: 10.1111/j.1469-8749.1992.tb11423.x. [DOI] [PubMed] [Google Scholar]
  7. Ninan T. K., Russell G. Respiratory symptoms and atopy in Aberdeen schoolchildren: evidence from two surveys 25 years apart. BMJ. 1992 Apr 4;304(6831):873–875. doi: 10.1136/bmj.304.6831.873. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Rasmussen B. K., Jensen R., Schroll M., Olesen J. Epidemiology of headache in a general population--a prevalence study. J Clin Epidemiol. 1991;44(11):1147–1157. doi: 10.1016/0895-4356(91)90147-2. [DOI] [PubMed] [Google Scholar]
  9. Rasmussen B. K., Olesen J. Migraine with aura and migraine without aura: an epidemiological study. Cephalalgia. 1992 Aug;12(4):221–186. doi: 10.1046/j.1468-2982.1992.1204221.x. [DOI] [PubMed] [Google Scholar]
  10. Rossi L. N., Cortinovis I., Bellettini G., Brunelli G., Bossi A. Diagnostic criteria for migraine and psychogenic headache in children. Dev Med Child Neurol. 1992 Jun;34(6):516–523. doi: 10.1111/j.1469-8749.1992.tb11472.x. [DOI] [PubMed] [Google Scholar]
  11. Sillanpä M. Changes in the prevalence of migraine and other headaches during the first seven school years. Headache. 1983 Jan;23(1):15–19. doi: 10.1111/j.1526-4610.1983.hed2301015.x. [DOI] [PubMed] [Google Scholar]
  12. Sparks J. P. The incidence of migraine in schoolchildren. A survey by the Medical Officers of Schools Association. Practitioner. 1978 Sep;221(1323):407–411. [PubMed] [Google Scholar]
  13. Stewart W. F., Lipton R. B., Celentano D. D., Reed M. L. Prevalence of migraine headache in the United States. Relation to age, income, race, and other sociodemographic factors. JAMA. 1992 Jan 1;267(1):64–69. [PubMed] [Google Scholar]

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