| Prevalence and Epidemiologic Charicteristics of Chronic Recurrent Headache in Primary School Children |
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Young-Il Rho1, Young-Bong Park1, Eun Seok Yang1, Sang Kee Park1, Eun Youngn Kim1, Jong Park2, Kyung-Rye Moon1 |
1Department of Pediatrics, College of Medicine, Chosun University, Gwangju, Korea
2Department of Preventive Medicine, College of Medicine, Chosun University, Gwangju, Korea |
| 초등학교 아동에서 만성 두통의 유병률과 역학적 특성 |
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노영일1, 박영봉1, 양은석1, 박상기1, 김은영1, 박 종2, 문경래1 |
1조선대학교 의과대학 소아과학교실
2조선대학교 의과대학 예방의학교실 |
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| Abstract |
Purpose
: The purpose of the study was to determine the prevalence of chronic recurrent headache and the factors associated with it among primary school children.
Methods
: The survey was performed by a special questionnaire on one thousand and eleven children in grades 4 to 6 at primary schools from 1 to 30 June 1999 in Gwangju city.
Results
: Prevalence of chronic recurrent headaches was 17.5%(17.1% among males, 18% among girls). Over forty two point seven percent(42.7%) of the children had headache 4-6 times a month. Age at onset of headache was more predominant at 7-10 years of age. Headache most frequently occured before school(30.7%), during school(29%), and before awaking in the morning(16.5%). The highest incidence rate of chronic recurrent headache was observed on Monday(23.5%), and the lowest on Saturday(5.3%). Risk factors of chronic recurrent headaches were stress(26.1%), fatigue, poor sleep(25.1%), weather change(18.3%) and anxiety(18.2%). Of 177 cases with chronic recurrent headaches, 62 cases(35%) had family history. Among them, 50.0% of the patients had history in their mothers, 24.2% in the fathers, 17.7% in the brothers and sisters. Of 177 cases with chronic recurrent headaches, 122 cases(69%) were treated at the pharmacy(35%), hospital(23%), and herb medicine(11%).
Conclusion
: This study finds a high overall prevalence(17.5%) of chronic recurrent headache on primary school children. And among many causative factors, stress schools is most common. In conclusion, while evaluating chronic headache in children, environmental and emotional factors associated with school should be considered as well as organic causes. |
| Key Words:
Chronic recurrent headache, Primary school children |
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