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April 21, 1989, Vol 261, No. 15 >
ARTICLE | April 21, 1989

An Epidemiologic Study of Headache Among Adolescents and Young Adults FREE

Martha S. Linet, MD; Walter F. Stewart, PhD; David D. Celentano, ScD; Dewey Ziegler, MD; Martha Sprecher, RN
[+] Author Affiliations

Reprint requests to the Analytic Studies Section, Biostatistics Branch, Epidemiology and Biostatistics Program, Division of Cancer Etiology, National Cancer Institute, Executive Plaza N, Room 415B, Bethesda, MD 20892 (Dr Linet).


JAMA. 1989;261(15):2211-2216. doi:10.1001/jama.1989.03420150061038
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References

Despite extensive description of headache among patients in specialty clinics and general practices in the United States, there have been few community-wide investigations. In a population-based telephone interview study of 10 169 Washington County, Maryland, residents who were 12 through 29 years old, 57.1% of males and 76.5% of females reported that their most recent headache occurred within the previous 4 weeks. Four or more headaches in the preceding month were reported by 6.1% of males and 14.0% of females. The average duration of the subjects' most recent headache was 5.9 hours for males and 8.2 hours for females; 7.9% and 13.9%, respectively, missed part of a day or more of school or work because of that headache. Within the month before interview, 3.0% of males and 7.4% of females had suffered from a migraine headache. Consultations with a physician, by specialty, for headache-related problems are described by sex and age of subjects, as is the use of specific prescription and nonprescription medications.

(JAMA. 1989;261:2211-2216)

REFERENCES

1 +
Ries PW. Current Estimates From the National Health Interview Survey, United States, 1984 . National Center for Health Statistics; 1986;. Vital and Health Statistics, Series 10, No. (156) . Dept of Health and Human Services publication (PHS)86-1584.
2 +
Saper JR.  Migraine, II: treatment . JAMA . 1978;;239:2480-2484.
3 +
Waters WE, O'Connor PJ.  Epidemiology of headache and migraine in women . J Neurol Neurosurg Psychiatry . 1971;;34:148-153.
4 +
Dalsgaard-Nielsen T, Engberg-Peterson H, Holm HE.  Clinical and statistical investigation of the epidemiology of migraine . Dan Med Bull. 1970;;17:138-148.
5 +
Markush RE, Karp HR, Heyman A, O'Fallon WM.  Epidemiologic study of migraine symptoms in young women . Neurology (NY) . 1975;;25:430-435.
6 +
Schnarch DM, Hunter JE.  Migraine incidence in clinical vs. nonclinical populations . Psychosomatics . 1978;;21:314-325.
7 +
Ziegler DK, Hassanein RS, Couch JR.  Characteristics of the headache histories in a nonclinic population . Neurology (NY) . 1977;;27:265-269.
8 +
Waters WE.  Community studies of the prevalence of migraine . Headache. 1970;;9:178-186.
9 +
Waters WE.  The Pontypridd headache survey . Headache. 1974;;14:81-90.
10 +
Bille B.  Migraine in school children . Acta Paediatr Scand. 1962;;51( (suppl 136) ):3-51.
11 +
Ekbom K, Alhborg B, Schele R.  Prevalence of migraine and cluster headache in Swedish men of 18 . Headache. 1978;;18:9-19.
12 +
Abramson JH, Hopp C, Epstein LM.  Migraine and nonmigrainous headaches: a community survey in Jerusalem . J Epidemiol Community Health . 1980;;34:188-193.
13 +
Cheng X-M, Ziegler DK, Li S-C, Dai Q-S, Chandra V, Schoenberg BS.  A prevalence survey of incapacitating headache in the People's Republic of China . Neurology . 1986;;36:831-834.
14 +
Linet MS, Stewart WF.  The epidemiology of migraine headache . In: Blau JN, ed. Migraine: Clinical, Therapeutic, Conceptual, and Research Aspects . London, England: Chapman & Hall Ltd; 1987;:451-477.
15 +
Hill-Donnelly Cross Reference Directory for Washington County, Maryland, and Vicinity . Tampa, Fla: Hill-Donnelly Corp; 1985;.
16 +
Celentano DD, McQueen DV. The National Survey of Headache Medical Questionnaire . Baltimore, Md: The Johns Hopkins University School of Hygiene and Public Health; 1980;.
17 +
Ziegler DK, Hassanein RS, Couch JR.  Headache syndromes suggested by statistical analysis of headache symptoms . Cephalalgia. 1982;;2:125-134.
18 +
Diehr P, Diehr G, Koepsell T, et al.  Cluster analysis to determine headache types . J Chronic Dis. 1982;;35:623-633.
19 +
Kaganov JA, Bakal DA, Dunn BE.  The differential contribution of muscle contraction and migraine symptoms to problem headache in the general population . Headache. 1981;;21:157-163.
20 +
Thompson JK, Figueroa JL.  Dichotomous vs. interval rating of headache symptomatology: an investigation in the reliability of headache assessment . Headache. 1980;;20:261-265.
21 +
Bickerstaff ER.  Migraine variants and complications . In: Blau JN, ed. Migraine: Clinical, Therapeutic, Conceptual, and Research Aspects . London, England: Chapman & Hall Ltd; 1987;:55-75.
22 +
Headache Classification Committee of the International Headache Society.  Proposed classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain . Cephalagia. 1988;;8( (suppl 7) ):9-96.
23 +
Ad Hoc Committee on Classification of Headache.  Classification of headache . JAMA . 1962;;179: 127-128.
24 +
Sparks JP.  The incidence of migraine in school children: a survey by the medical officers of school association . Practitioner. 1978;;221:407-411.
25 +
Green JE.  A survey of migraine in England, 1975-76 . Headache. 1977;;17:67-68.
26 +
Bruyn GW.  Epidemiology of migraine: a personal view . Headache. 1983;;23:127-133.
27 +
Sillanpää M.  Changes in the prevalence of migraine and other headaches during the first seven school years . Headache. 1983;;23:15-19.

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1 +
Ries PW. Current Estimates From the National Health Interview Survey, United States, 1984 . National Center for Health Statistics; 1986;. Vital and Health Statistics, Series 10, No. (156) . Dept of Health and Human Services publication (PHS)86-1584.
2 +
Saper JR.  Migraine, II: treatment . JAMA . 1978;;239:2480-2484.
3 +
Waters WE, O'Connor PJ.  Epidemiology of headache and migraine in women . J Neurol Neurosurg Psychiatry . 1971;;34:148-153.
4 +
Dalsgaard-Nielsen T, Engberg-Peterson H, Holm HE.  Clinical and statistical investigation of the epidemiology of migraine . Dan Med Bull. 1970;;17:138-148.
5 +
Markush RE, Karp HR, Heyman A, O'Fallon WM.  Epidemiologic study of migraine symptoms in young women . Neurology (NY) . 1975;;25:430-435.
6 +
Schnarch DM, Hunter JE.  Migraine incidence in clinical vs. nonclinical populations . Psychosomatics . 1978;;21:314-325.
7 +
Ziegler DK, Hassanein RS, Couch JR.  Characteristics of the headache histories in a nonclinic population . Neurology (NY) . 1977;;27:265-269.
8 +
Waters WE.  Community studies of the prevalence of migraine . Headache. 1970;;9:178-186.
9 +
Waters WE.  The Pontypridd headache survey . Headache. 1974;;14:81-90.
10 +
Bille B.  Migraine in school children . Acta Paediatr Scand. 1962;;51( (suppl 136) ):3-51.
11 +
Ekbom K, Alhborg B, Schele R.  Prevalence of migraine and cluster headache in Swedish men of 18 . Headache. 1978;;18:9-19.
12 +
Abramson JH, Hopp C, Epstein LM.  Migraine and nonmigrainous headaches: a community survey in Jerusalem . J Epidemiol Community Health . 1980;;34:188-193.
13 +
Cheng X-M, Ziegler DK, Li S-C, Dai Q-S, Chandra V, Schoenberg BS.  A prevalence survey of incapacitating headache in the People's Republic of China . Neurology . 1986;;36:831-834.
14 +
Linet MS, Stewart WF.  The epidemiology of migraine headache . In: Blau JN, ed. Migraine: Clinical, Therapeutic, Conceptual, and Research Aspects . London, England: Chapman & Hall Ltd; 1987;:451-477.
15 +
Hill-Donnelly Cross Reference Directory for Washington County, Maryland, and Vicinity . Tampa, Fla: Hill-Donnelly Corp; 1985;.
16 +
Celentano DD, McQueen DV. The National Survey of Headache Medical Questionnaire . Baltimore, Md: The Johns Hopkins University School of Hygiene and Public Health; 1980;.
17 +
Ziegler DK, Hassanein RS, Couch JR.  Headache syndromes suggested by statistical analysis of headache symptoms . Cephalalgia. 1982;;2:125-134.
18 +
Diehr P, Diehr G, Koepsell T, et al.  Cluster analysis to determine headache types . J Chronic Dis. 1982;;35:623-633.
19 +
Kaganov JA, Bakal DA, Dunn BE.  The differential contribution of muscle contraction and migraine symptoms to problem headache in the general population . Headache. 1981;;21:157-163.
20 +
Thompson JK, Figueroa JL.  Dichotomous vs. interval rating of headache symptomatology: an investigation in the reliability of headache assessment . Headache. 1980;;20:261-265.
21 +
Bickerstaff ER.  Migraine variants and complications . In: Blau JN, ed. Migraine: Clinical, Therapeutic, Conceptual, and Research Aspects . London, England: Chapman & Hall Ltd; 1987;:55-75.
22 +
Headache Classification Committee of the International Headache Society.  Proposed classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain . Cephalagia. 1988;;8( (suppl 7) ):9-96.
23 +
Ad Hoc Committee on Classification of Headache.  Classification of headache . JAMA . 1962;;179: 127-128.
24 +
Sparks JP.  The incidence of migraine in school children: a survey by the medical officers of school association . Practitioner. 1978;;221:407-411.
25 +
Green JE.  A survey of migraine in England, 1975-76 . Headache. 1977;;17:67-68.
26 +
Bruyn GW.  Epidemiology of migraine: a personal view . Headache. 1983;;23:127-133.
27 +
Sillanpää M.  Changes in the prevalence of migraine and other headaches during the first seven school years . Headache. 1983;;23:15-19.

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