Abstract
The aim of this study was to evaluate the effect of the screening question phrasing on the 1-year prevalence figures of headache disorders, including migraine. Of a random sample of 563 invited participants in the Nord-Trøndelag Health Survey 2006–2008 in Norway, 297 (53%) met to a face-to-face interview. There were 74.1% that reported having had headache during the last year, whereas only 31.0% stated that they had suffered from headache in the same period. The 1-year prevalence of migraine was 17.2% and of tension-type headache (TTH) 51.9%. Migraine was ten times more likely (OR = 9.96, 95% CI 4.75–20.91) among those who stated that they were headache sufferers than among those who were not. Only headache sufferers had chronic TTH or medication-overuse headache. Thus “Have you suffered from headache?” can be a useful screening question in population-based questionnaire studies if the goal is to identify most migraineurs and almost all individuals with chronic headache.
Keywords: Screening, Question, Headache, Migraine, Prevalence
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Acknowledgments
The Nord-Trøndelag Health Study (The HUNT study) is a collaboration between The HUNT Research Centre, Faculty of Medicine, The Norwegian University of Science and Technology (NTNU), and the Nord-Trøndelag County Council.
References
- 1.Russell MB, Aaseth K, Grande RB, Gulbrandsen P, Lundqvist C. Which strategy should be applied? Design of a Norwegian epidemiological survey on chronic headache. Acta Neurol Scand. 2007;115(187):59–63. doi: 10.1111/j.1600-0404.2007.00849.x. [DOI] [PubMed] [Google Scholar]
- 2.D’Alessandro R, Benassi G, Lenzi PL, Gamberini G, Sacquegna T, Carolis P, Lugraesi E. Epidemiology of headache in the republic of San Marino. J Neurol Neurosurg Psychiatry. 1988;51:21–27. doi: 10.1136/jnnp.51.1.21. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3.Henry P, Michel P, Brochet B, Dartigues JF, Tison S, Salamon R, et al. A nationwide survey of migraine in France: prevalence and clinical features in adult. Cephalalgia. 1992;12:229–237. doi: 10.1046/j.1468-2982.1992.1204229.x. [DOI] [PubMed] [Google Scholar]
- 4.Stewart WF, Lipton RB, Celentano DD, Reed ML. Prevalence of migraine headache in the United States. Relation to age, race, and other sociodemographic factors. JAMA. 1992;267:64–69. doi: 10.1001/jama.267.1.64. [DOI] [PubMed] [Google Scholar]
- 5.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]
- 6.Mitsikostas DD, Tsaklakidou D, Athanasiadis N, Thomas A. The prevalence of headache in Greece: correlations to Latitude and climatological factors. Headache. 1996;36:168–173. doi: 10.1046/j.1526-4610.1996.3603168.x. [DOI] [PubMed] [Google Scholar]
- 7.Castillo J, Muñoz P, Guitera V, Pascual J. Epidemiology of chronic daily headache in the general population. Headache. 1999;39:190–196. doi: 10.1046/j.1526-4610.1999.3903190.x. [DOI] [PubMed] [Google Scholar]
- 8.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]
- 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.Grande RB, Aaseth K, Gulbransen P, Lundquist C, Russell MB. Prevalence of primary chronic headache in a population-based sample of 30- to 44-year-old persons. The Akershus study of chronic headache. Neuroepidemiology. 2008;30:76–83. doi: 10.1159/000116244. [DOI] [PubMed] [Google Scholar]
- 11.Nikiforow R. Headache in a random sample of 200 persons: a clinical study of a population in northern Finland. Cephalalgia. 1981;1:99–107. doi: 10.1111/j.1468-2982.1981.tb00016.x. [DOI] [PubMed] [Google Scholar]
- 12.Hagen K, Zwart JA, Vatten L, Stovner LJ, Bovim G. Prevalence of migraine and non-migrainous 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]
- 13.Hagen K, Stovner LJ, Zwart JA. Potentials and pitfalls in analytical headache epidemiological studies: lessons to be learned from the Head-HUNT Study. Cephalalgia. 2007;27:403–413. doi: 10.1111/j.1468-2982.2007.01302.x. [DOI] [PubMed] [Google Scholar]
- 14.Holmen J, Midthjell K, Krüger Ø, Langhammer A, Holmen TL, Bratberg GH, Vatten L, Lund-Larsen PG. The Nord-Trøndelag Health study 1995–1997 (HUNT 2): objectives, contents, methods and participation. Nor J Epidemiol. 2003;13:19–32. [Google Scholar]
- 15.Headache classification committee of international headache society The international classification of headache disorders. 2nd edn. Cephalalgia. 2004;24(1):88–101. [Google Scholar]
- 16.Olesen J, Bousser MG, Diener HC, Dodck D, First M, Goadsby PJ, Göbel H, Lainez MJA, Lance JW, Lipton RB, Nappi G, Sakai F, Schoenen J, Silbertstein SD, Steiner TJ. New appendix criteria open for a broader concept of chronic migraine. Cephalalgia. 2006;26:742–746. doi: 10.1111/j.1468-2982.2006.01172.x. [DOI] [PubMed] [Google Scholar]
- 17.Rasmussen BK, Jensen R, Schroll M, Olesen J. Epidemiology of headache in a general population: a prevalence study. J Clin Epideiol. 1991;44:1147–1157. doi: 10.1016/0895-4356(91)90147-2. [DOI] [PubMed] [Google Scholar]
- 18.Lyngberg AC, Rasmussen BK, Jorgensen T, Jensen R. Has the prevalence of migraine and tension-type headache changed over a 12-year period? A Danish population survey. Eur J Epidemiol. 2005;20:243–249. doi: 10.1007/s10654-004-6519-2. [DOI] [PubMed] [Google Scholar]
- 19.The Vågå study, epidemiology of headache (2001) The prevalence of ultrashort paroxysms. Cephalalgia 21:207–215 [DOI] [PubMed]
- 20.Aaseth K, Grande RB, Kværner KJ, Gulbransen P, Lundquist C, Russell MB. Prevalence of secondary chronic headache in a population-based sample of 30- to 44-year-old persons. The Akershus study of chronic headache. Cephalalgia. 2008;28:705–713. doi: 10.1111/j.1468-2982.2008.01577.x. [DOI] [PubMed] [Google Scholar]
- 21.Mitchell AJ (2008) Are one or two simple questions sufficient to detect depression in cancer and palliative care? A Bayesian meta-analysis. Br J Cancer (in press) [DOI] [PMC free article] [PubMed]
- 22.Jinks C, Lewis M, Ong BN, Croft P. A brief screening tool for knee pain in primary care. 1. Validity and reliability. Rheumatology. 2001;40:528–536. doi: 10.1093/rheumatology/40.5.528. [DOI] [PubMed] [Google Scholar]
- 23.Stovner LJ, Zwart JA, Hagen K, Terwindt GM, Pascual J. Epidemiology of headache in Europe. Eur J Neurol. 2006;13:333–345. doi: 10.1111/j.1468-1331.2006.01184.x. [DOI] [PubMed] [Google Scholar]
- 24.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]