دورية أكاديمية
أعرض في EDS

The burden attributable to primary headache disorders in children and adolescents in Ethiopia: estimates from a national schools-based study.

التفاصيل البيبلوغرافية
العنوان: The burden attributable to primary headache disorders in children and adolescents in Ethiopia: estimates from a national schools-based study.
المؤلفون: Zewde YZ; Department of Neurology, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia. yared.zenebe@aau.edu.et., Zebenigus M; Department of Neurology, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia., Demissie H; Department of Neurology, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia., Tekle-Haimanot R; Department of Internal Medicine, School of Medicine, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia., Uluduz D; Neurology Department, Cerrahpaşa School of Medicine, Istanbul University, Istanbul, Turkey., Şaşmaz T; Public Health Department, School of Medicine, Mersin University, Mersin, Turkey., Bozdag F; Siirt Kurtalan District Health Directorate, Kurtulan, Turkey., Steiner TJ; NorHEAD, Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim, Norway.; Department of Neurology, University of Copenhagen, Copenhagen, Denmark.; Division of Brain Sciences, Imperial College London, London, UK.
المصدر: The journal of headache and pain [J Headache Pain] 2024 Apr 02; Vol. 25 (1), pp. 47. Date of Electronic Publication: 2024 Apr 02.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100940562 Publication Model: Electronic Cited Medium: Internet ISSN: 1129-2377 (Electronic) Linking ISSN: 11292369 NLM ISO Abbreviation: J Headache Pain Subsets: MEDLINE
أسماء مطبوعة: Publication: [2018]- : [London, United Kingdom] : BioMed Central
Original Publication: Milano : Springer Verlag Italia, c2000-c2017.
مواضيع طبية MeSH: Headache Disorders*/epidemiology , Headache Disorders*/psychology , Tension-Type Headache*/epidemiology , Migraine Disorders*/epidemiology , Headache Disorders, Primary*/diagnosis, Male ; Female ; Child ; Humans ; Adolescent ; Ethiopia/epidemiology ; Cross-Sectional Studies ; Headache/epidemiology ; Surveys and Questionnaires ; Schools ; Prevalence
مستخلص: Background: We previously reported high prevalences of headache disorders among children (6-11 years) and adolescents (12-17 years) in Ethiopia. Here we provide data on headache-attributed burden collected contemporaneously from the same study participants. Part of the global schools-based programme within the Global Campaign against Headache, the study is the first to present such data from sub-Saharan Africa.
Methods: A cross-sectional survey following the generic protocol for the global study was conducted in six schools (urban and rural), in Addis Ababa city and three regions of Ethiopia. The child or adolescent versions of the Headache-Attributed Restriction, Disability, Social Handicap and Impaired Participation (HARDSHIP) structured questionnaires were self-completed under supervision by pupils in class. Headache diagnostic questions were based on ICHD-3 beta but for the inclusion of undifferentiated headache (UdH).
Results: Of 2,349 eligible participants, 2,344 completed the questionnaires (1,011 children [43.1%], 1,333 adolescents [56.9%]; 1,157 males [49.4%], 1,187 females [50.6%]; participating proportion 99.8%). Gender- and age-adjusted 1-year prevalence of headache, reported previously, was 72.8% (migraine: 38.6%; tension-type headache [TTH]: 19.9%; UdH: 12.3%; headache on ≥ 15 days/month (H15+): 1.2%). Mean headache frequency was 2.6 days/4 weeks but, with mean duration of 2.7 h, mean proportion of time with headache was only 1.0% (migraine: 1.4%; TTH: 0.7%; H15+: 9.1%). Mean intensity was 1.8 on a scale of 1-3. Symptomatic medication was consumed on about one third of headache days across headache types. Lost school time reportedly averaged 0.7 days over the preceding 4 weeks, representing 3.5% of school time, but was 2.4 days/4 weeks (12.0%) in the important small minority with H15+. However, actual absences with headache the day before indicated averages overall of 9.7% of school time lost, and 13.3% among those with migraine. Emotional impact and quality-of-life scores reflected other measures of burden, with clear adverse impact gradients (H15 + > migraine > TTH > UdH).
Conclusions: The high prevalence of headache among children and adolescents in Ethiopia, who represent half its population, is associated with substantial burden. Lost school time is probably the most important consequence. Estimates suggest a quite deleterious effect, likely to be reflected in both individual prospects and the prosperity of society.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: Burden of disease; Child and adolescent headache; Epidemiology; Ethiopia; Global campaign against headache; Medication-overuse headache; Migraine; Schools-based study; Sub-Saharan Africa; Tension-type headache; Undifferentiated headache
تواريخ الأحداث: Date Created: 20240402 Date Completed: 20240403 Latest Revision: 20240404
رمز التحديث: 20240404
مُعرف محوري في PubMed: PMC10986066
DOI: 10.1186/s10194-024-01743-0
PMID: 38561646
قاعدة البيانات: MEDLINE
الوصف
تدمد:1129-2377
DOI:10.1186/s10194-024-01743-0