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The Journal of Headache and Pain logoLink to The Journal of Headache and Pain
. 2008 Oct 11;9(6):339–347. doi: 10.1007/s10194-008-0077-z

A cross-sectional population-based survey of migraine and headache in 21,177 Norwegians: the Akershus sleep apnea project

Michael Bjørn Russell 1,2,3,, Håvard Anton Kristiansen 1,2, Jūratė Šaltytė-Benth 2,4, Kari Jorunn Kværner 1,2,5
PMCID: PMC3452083  PMID: 18850259

Abstract

The objective was to investigate the prevalence and interrelation of migraine and headache in the general population. Forty thousand men and women aged 20–80 years from the Norwegian general population received a mailed questionnaire with questions about migraine and headache. The questionnaire response rate was 54.5%. The lifetime prevalence of migraine was 26.5% (95% CI 25.9–27.1%), i.e., 18.1% (95% CI 17.3–18.9%) in men and 34.1% (95% CI 33.2–35.0%) in women. The prevalence of migraine decreased slightly in both men and women after an age of 45. The 1 year prevalence of headache was 77.2%, i.e., 69.6% (95% CI 68.7–70.6%) in men and 84.0% (95% CI 83.3–84.7%) in women. The frequency of headache decreased with age, but some of the elders aged 70 or above experienced more frequent headache. The prevalence of being headache free increased from 19.1% (95% CI 14.2–25.6%) to 74.7% (95% CI 70.0–78.8%) in 20 and 80 years old men without co-occurrence of migraine, and from 5.1% (95% CI 2.9–8.8%) to 61.4% (95% CI 54.9–67.6%) in 20 and 80 years old women without co-occurrence of migraine. Co-occurrence of migraine significantly increased the frequency of headache and decreased the prevalence of being headache free.

Keywords: Headache, Migraine, Epidemiology, Prevalence, Age, General population

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Acknowledgments

This study was supported by a grant from East Norway Regional Health Authority. The Faculty Division Akershus University Hospital kindly provided technical support (Anita Fjellum and Gunn Seim Ekeland). Thanks to Akershus University Hospital for providing research facilities.

Conflict of interest

None.

References

  • 1.Headache Classification Subcommittee of the International Headache Society The international classification of headache disorders. Cephalalgia. 2004;24:1–160. [Google Scholar]
  • 2.Rasmussen BK, Jensen R, Olesen J. Impact of headache on sickness absence and utilisation of medical services. A Danish population study. J Epidemiol Community Health. 1992;46:443–446. doi: 10.1136/jech.46.4.443. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 3.Stewart WF, Celentano DD, Linet MS. Disability, physician consultation, and use of prescription medications in a population-based study of headache. Biomed Pharmacother. 1989;43:711–718. doi: 10.1016/0753-3322(89)90159-5. [DOI] [PubMed] [Google Scholar]
  • 4.Stovner LJ, Hagen K, Jensen R, Katsarava Z, Lipton R, Scher A, Steiner T, Zwart JA. The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia. 2007;27:193–210. doi: 10.1111/j.1468-2982.2007.01288.x. [DOI] [PubMed] [Google Scholar]
  • 5.URL: http://statbank.ssb.no/statistikkbanken
  • 6.URL: http://faculty.vassar.edu/lowry/VassarStats.html
  • 7.Russell MB, Rasmussen BK, Thorvaldsen P, Olesen J. Prevalence and sex-ratio of the subtypes of migraine. Int J Epidemiol. 1995;24:612–618. doi: 10.1093/ije/24.3.612. [DOI] [PubMed] [Google Scholar]
  • 8.Rasmussen BK, Jensen R, Olesen J. Questionnaire versus clinical interview in the diagnosis of headache. Headache. 1991;31:290–295. doi: 10.1111/j.1526-4610.1991.hed3105290.x. [DOI] [PubMed] [Google Scholar]
  • 9.Russell MB, Levi N, Saltyte-Benth J, Fenger K. Tension-type headache in adolescents and adults: a population based study of 33, 764 twins. Eur J Epidemiol. 2006;21:153–160. doi: 10.1007/s10654-005-6031-3. [DOI] [PubMed] [Google Scholar]
  • 10.Göbel H, Petersen-Braun M, Soyka D. The epidemiology of headache in Germany: a nationwide survey of a representative sample on the basis of the headache classification of the International Headache Society. Cephalalgia. 1994;14:97–106. doi: 10.1046/j.1468-2982.1994.1402097.x. [DOI] [PubMed] [Google Scholar]
  • 11.O’Brien B, Goeree R, Streiner D. Prevalence of migraine headache in Canada: a population-based survey. Int J Epidemiol. 1994;23:1020–1026. doi: 10.1093/ije/23.5.1020. [DOI] [PubMed] [Google Scholar]
  • 12.Launer LJ, Terwindt GM, Ferrari MD. The prevalence and characteristics of migraine in a population-based cohort: the GEM study. Neurology. 1999;53:537–542. doi: 10.1212/wnl.53.3.537. [DOI] [PubMed] [Google Scholar]
  • 13.Mattsson P, Svärdsudd K, Lundberg PO, Westerberg CE. The prevalence of migraine in women aged 40–74 years: a population-based study. Cephalalgia. 2000;20:893–899. doi: 10.1046/j.1468-2982.2000.00133.x. [DOI] [PubMed] [Google Scholar]
  • 14.Zivadinov R, Willheim K, Jurjevic A, Sepic-Grahovac D, Bucuk M, Zorzon M. Prevalence of migraine in Croatia: a population-based survey. Headache. 2001;41:805–812. doi: 10.1046/j.1526-4610.2001.01147.x. [DOI] [PubMed] [Google Scholar]
  • 15.Cologno D, Manzoni GC, Drion Medical Association An epidemiological study of migraine with aura in the San Severo general population: a pilot research project of cooperation between neurologists and general practitioners. Eur Neurol. 2003;50:195–199. doi: 10.1159/000073859. [DOI] [PubMed] [Google Scholar]
  • 16.Rasmussen BK, Jensen R, Schroll M, Olesen J. Epidemiology of headache in a general population: a prevalence study. J Clin Epidemiol. 1991;44:1147–1157. doi: 10.1016/0895-4356(91)90147-2. [DOI] [PubMed] [Google Scholar]
  • 17.Nikiforow R. Headaache in a random sample of 200 persons: a clinical study of a population in northern Finland. Cehalalgia. 1981;1:99–107. doi: 10.1111/j.1468-2982.1981.tb00016.x. [DOI] [PubMed] [Google Scholar]
  • 18.Dahlöf C, Linde M. One-year prevalence of migraine in Sweden: a population-based study in adults. Cephalalgia. 2001;21:664–671. doi: 10.1046/j.1468-2982.2001.00218.x. [DOI] [PubMed] [Google Scholar]
  • 19.Hagen K, Zwart J-A, Vatten L, Stovner LJ, Bovim G. Prevalence of migraine and non-migraineous headache—head-Hunt, a large population-based study. Cephalalgia. 2000;20:900–906. doi: 10.1046/j.1468-2982.2000.00145.x. [DOI] [PubMed] [Google Scholar]
  • 20.Hagen K, Zwart JA, Vatten L, Stovner LJ, Bovim G. Head-HUNT: validity and reliability of a headache questionnaire in a large population-based study in Norway. Cephalalgia. 2000;20:244–251. doi: 10.1046/j.1468-2982.2000.00049.x. [DOI] [PubMed] [Google Scholar]
  • 21.Ulrich V, Russell MB, Jensen R, Olesen J. A comparison of tension-type headache in migraineurs and in non-migraineurs: a population-based study. Pain. 1996;67:501–506. doi: 10.1016/0304-3959(96)03164-8. [DOI] [PubMed] [Google Scholar]
  • 22.Russell MB. Tension-type headache in 40-year-olds: a Danish population-based sample of 4000. J Headache Pain. 2005;6:441–447. doi: 10.1007/s10194-005-0253-3. [DOI] [PMC free article] [PubMed] [Google Scholar]

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