Abstract
Many population-based studies have been performed to determine the prevalence of different types of headaches; however, none of them was performed in Tehran urban area as a huge and crowded metropolitan with multiple serious problematic crises. This study was performed to evaluate the prevalence rates of different types of headache among adult population of Tehran urban area in the year 2010. In this cross-sectional survey, a “face-to-face, in-door” structured interview was developed and used in district 8 of Tehran urban area as one representative region in the year 2010. A form concerning the prevalence of different types of headaches which also comprised the characteristics of the headaches and sociodemographic data was designed. After enrollment, participation rate of 91 % (3,655 out of 4,000) was achieved. Of 3,655 recruited individuals, 2,778 (76 %) people have experienced headache within last year. Tension-type headache and migraine were the most common types with the prevalence of 48.6 % (n = 1,777) and 18.2 % (n = 665), while, chronic daily, medication overuse headache and cluster headaches were presented in 7.0 % (n = 255), 4.9 % (n = 180) and 0.1 % (n = 3), respectively. The prevalence of primary headaches in a sample of Tehran adult population is considerable. This high prevalence of headaches necessitates further evaluation of possible risk factors derived from leaving in such a crowded metropolitan area.
Similar content being viewed by others
References
Royal College of General Practitioners. Office of Population Censuses and Surveys, Department of Health (1995) Table 22: New and first ever episodes. In: Morbidity statistics from general practice Fourth national study, 1991–1992. HMSO, London, p 212
Patterson VH, Esmonde TF (1993) Comparison of the handling of neurological outpatient referrals by general physicians and a neurologist. J Neurol Neurosurg Psychiatry 56:830
World Health Organization (2004) Headache disorders. Factsheet No. 277, March 2004. Accessed 28 June 2007
Stovner LJ, Andree C (2010) Prevalence of headache in Europe: a review for the Eurolight project. J Headache Pain 11(4):289–299
Steiner TJ (2005) Lifting the burden: the global campaign to reduce the burden of headache worldwide. J Headache Pain 6:373–377
Rasmussen BK (2001) Epidemiology of headache. Cephalalgia 21:774–777
Naghavi M, Abolhassani F, Pourmalek F, Moradi Lakeh M, Jafari N, Vaseghi N, Mahdavi Hezaveh N, Kazemeini H (2009) The burden of disease and injury in Iran 2003. Population Health Metrics 7:9
Bhattacharya AK (2005) Evaluation of headache. J Indian Acad Clin Med 6:17–22
Szyszkowicz M (2008) Ambient air pollution and daily emergency department visits for headache in Ottawa, Canada. Headache 48(7):1076–1081
Longo BM, Yang W, Green JB, Crosby FL, Crosby VL (2010) Acute Health Effects Associated with Exposure to Volcanic Air Pollution (vog) from Increased Activity at Kilauea Volcano in 2008. J Toxicol Environ Health 73(20):1370–1381
Martin PR, Reece J, Forsyth M (2006) Noise as a trigger for headaches: relationship between exposure and sensitivity. Headache 46(6):962–972
Iran National Census 2006. Visited at http://amar.sci.org.ir. Accessed on 15 December 2009
Börü UT, Koçer A, Lüleci A, Sur H, Tutkan H, Atli H (2005) Prevalence and characteristics of migraine in women of reproductive age in Istanbul, Turkey: a population based survey. Tohoku J Exp Med 206(1):51–59
Ayatollahi SM, Moradi F, Ayatollahi SA (2002) Prevalences of migraine and tension-type headache in adolescent girls of Shiraz (southern Iran). Headache 42(4):287–290
Headache Classification Committee of the International Headache Society (2004) The internacional classification of headache disorders. 2nd Ed. Cephalalgia 24:1–160
Lipton RB, Bigal ME, Steiner TJ, Silberstein SD, Olesen J (2004) Classification of primary headaches. Neurology 63:427–435
Barea LM, Forcelini CM (2002) A epidemiologia das cefaléias primárias. In: Speciali JG, Silva WF (eds) cefaléias. Lemos Editorial, São Paulo, pp 51–61
Ayatollahi SMT, Sahebi L, Borhani Haghighi A (2009) Epidemiologic and clinical characteristics of migraine and tension-type headaches among hospitals staffs of Shiraz (Iran). Acta Medica Iranica 47(2):115–120
Yusefy M (1999) Prevalence of migraine among students of Zanjan University of Medical Science. J Zanjan Uni of Med Sci 8(30–31): 18–24. [Persian]
Ayatollahi SMT, Khosravi A (2006) Prevalence of migraine and tension-type headache in primary-school children in Shiraz. East Mediterr Health J 12(6):809–817
Queiroz LP, Barea LM, Blank N (2005) An epidemiological study of headache in Florianopolis, Brazil. Cephalalgia 26:122–127
Takele GM, Haimanot RT, Martelletti P (2008) Prevalence and burden of primary headache in Akaki textile mill workers, Ethiopia. J Headache Pain 9:119–128
Mitsikostas DD, Tsaklakidou D, Athanasiadis N, Thomas A (1996) The prevalence of headache in Greece: correlations to latitude and climatological factors. Headache 36(3):168–173
Katsarava Z, Dzagnidze A, Kukava M, Mirvelashvili E, Djibuti M, Janelidze M et al (2009) Primary headache disorders in the Republic of Georgia: prevalence and risk factors. Neurology 73(21):1796–1803
Boardman HF, Thomas E, Millson DS, Croft PR (2005) One-year follow-up of headache in an adult general population. Headache 45(4):337–345
Nikiforow R (1981) Headache in a random sample of 200 persons: a clinical study of a population in northern Finland. Cephalalgia 1(2):99–107
Russell MB, Kristiansen HA, Saltyte-Benth J, Kvaerner KJ (2008) A cross-sectional population-based survey of migraine and headache in 21,177 Norwegians: the Akershus sleep apnea project. J Headache Pain 9(6):339–347
Ayatollahi SMT, Darab Zand T, Bozorgi F, Sheibani Monfared F (1998) Prevalence of migraine and tension type headache among Shiraz University of Medical Science. Kerman Uni Med Sci 6(3):141–148 (Persian)
Ayatollahi SMT, Khosravi A (2004) The study of clinical characteristics of Shiraz school children suffering from migraine and tension type headache (2002–2003). J Kermanshah Uni Med Sci 8(3):25–32 (Persian)
Hamzei Moghadam A, Ghaffari Nejad AR, Bahram Pour B (1997) Prevalence of migraine and depression and together relation among students of Kerman University of Medical Sciences. J Kerman Uni Med Sci 4(2):85–90 (Persian)
Lyngberg AC, Rasmussen BK, Jorgensen T, Jensen R (2005) Has the prevalence of migraine and tension-type headache changed over a 12-year period? A Danish population survey. Eur J Epidemiol 20(3):243–249
Radtke A, Lempert T, Gresty MA, Brookes GB, Bronstein AM, Neuhauser H (2002) Migraine and Meniere’s disease: is there a link? Neurology 59(11):1700–1704
Stovner LJ, Hagen K, Jensen R, Katsarava Z, Lipton RB, Scher AI, Steiner TJ, Zwart JA (2007) The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia 27:193–210
Cheung Raymond TF (2000) Prevalence of migraine, tension type headache and other headaches in Hong Kong. Headache 40:473–479
Bank J, Marton S (2000) Hungarian migraine epidemiology. Headache 40:164–169
Lampl C, Buzath A, Baumhackl U, Klingler D (2003) One-year prevalence of migraine in Austria: a nation-wide survey. Cephalalgia 23(4):280–286
Hagen K, Zwart JA, Vatten L, Stovner LJ, Bovim G (2000) Prevalence of migraine and non-migrainous headache–head-HUNT, a large population-based study. Cephalalgia 20(10):900–906
Launer LJ, Terwindt GM, Ferrari MD (1999) The prevalence and characteristics of migraine in a population-based cohort: the GEM study. Neurology 53(3):537–542
Zivadinov R, Willheim K, Jurjevic A, Sepic-Grahovac D, Bucuk M, Zorzon M (2001) Prevalence of migraine in Croatia: a population-based survey. Headache 41(8):805–812
Russell MB, Levi N, Saltyte-Benth J, Fenger K (2006) Tension-type headache in adolescents and adults: a population based study of 33,764 twins. Eur J Epidemiol 21(2):153–160
Merikangas KR, Whitaker AE, Isler H, Angst J (1994) The Zurich Study: XXIII Epidemiology of headache syndromes in the Zurich cohort study of young adults. Eur Arch Psychiatry Clin Neurosci 244(3):145–152
Lanteri-Minet M, Valade D, Geraud G, Chautard MH, Lucas C (2005) Migraine and probable migraine–results of FRAMIG 3, a French nationwide survey carried out according to the 2004 HIS classification. Cephalalgia 25(12):1146–1158
Lipton RB, Stewart WF, Diamond S, Diamond ML, Reed M (2001) Prevalence and burden of migraine in the United States: data from the American Migraine Study II. Headache 41:646–657
Henry M, Auray JP, Gaudin AF, Dartigues JF, Duru G, Lantéri-Minet M, Lucas C, Pradalier A, Chazot G, El Hasnaoui A (2002) Prevalence and clinical characteristics of migraine in France. Neurology 59:232–237
Rasmussen BK, Olesen J (1992) Migraine with aura and migraine without aura: an epidemiological study. Cephalalgia 12:221–228
Bigal ME, Liberman JN, Lipton RB (2006) Age-dependent prevalence and clinical features of migraine. Neurology 67:246–251
Radtke A, Neuhauser H (2009) Prevalence and burden of headache and migraine in Germany. Headache 49(1):79–89
Rasmussen BK, Jensen R, Schroll M, Olesen J (1991) Epidemiology of headache in a general population-a prevalence study. J Clin Epidemiol 44(11):1147–1157
Castillo J, Munoz P, Guitera V, Pascual J (1993) Epidemiology of chronic daily headache in the general population. Headache 39:190–196
Wiendels NJ, van Haestregt A, Knuistingh Neven A, Spinhoven P, Zitman FG, Assendelft WJ, Ferrari MD (2006) Chronic frequent headache in the general population: comorbidity and quality of life. Cephalalgia 26(12):1443–1450
Grande RB, Aaseth K, Gulbrandsen P, Lundqvist C, Russell MB (2008) Prevalence of primary chronic headache in a population-based sample of 30- to 44-year-old persons. The Akershus study of chronic headache. Neuroepidemiology 30(2):76–83
Dyb G, Holmen TL, Zwart JA (2006) Analgesic overuse among adolescents with headache: the Head-HUNT-Youth Study. Neurology 66(2):198–201
Colas R, Munoz P, Temprano R, Gomez C, Pascual J (2004) Chronic daily headache with analgesic overuse: epidemiology and impact on quality of life. Neurology 62(8):1338–1342
Aaseth K, Grande RB, Kvaerner KJ, Gulbrandsen P, Lundqvist C, Russell MB (2008) Prevalence of secondary chronic headaches in a population-based sample of 30–44-year-old persons The Akershus study of chronic headache. Cephalalgia 28(7):705–713
Katsarava Z, Diener HC (2008) Medication overuse headache in Germany. Cephalalgia 28(11):1221–1222
Sjaastad O, Bakketeig LS (2003) Cluster headache prevalence Vaga study of headache epidemiology. Cephalalgia 23(7):528–533
Torelli P, Beghi E, Manzoni GC (2005) Cluster headache prevalence in the Italian general population. Neurology 64(3):469–474
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Shahbeigi, S., Fereshtehnejad, SM., Mohammadi, N. et al. Epidemiology of headaches in Tehran urban area: a population-based cross-sectional study in district 8, year 2010. Neurol Sci 34, 1157–1166 (2013). https://doi.org/10.1007/s10072-012-1200-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10072-012-1200-0