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The Journal of Headache and Pain

, Volume 8, Issue 2, pp 77–82 | Cite as

A pilot methodological validation study for a population-based survey of the prevalences of migraine, tension-type headache and chronic daily headache in the country of Georgia

  • Zaza KatsaravaEmail author
  • Maka Kukava
  • Ekaterine Mirvelashvili
  • Alexander Tavadze
  • Anna Dzagnidze
  • Mamuka Djibuti
  • Timothy J. Steiner
Open Access
Original

Abstract

We report the methodology of an epidemiological survey of the prevalences of migraine, tension-type headache and chronic daily headache in Georgia. Medical residents visited adjacent households in Tbilisi to interview a pre-defined target of 100 biologically unrelated subjects. All respondents reporting headache in the previous year, as well as random 20 non-headache controls, were examined by a neurologist. The response rate was 70%. Of 156 respondents, 93 were biologically unrelated and 45 (48%) reported headache in the previous year. Eight subjects fulfilled all IHS criteria for migraine (1-year prevalence 8.6% [95% CI: 2.9–14.3%]), and 13 had probable migraine, meeting all but the criterion for duration. Nineteen had tension-type headache (20.4% [95% CI: 12.2–28.6%]) and five had chronic daily headache (5.4% [95% CI: 1–10.0%]). In comparisons of diagnoses by questionnaire and neurologist (considered the gold standard), sensitivities for the questionnaire of 89% for migraine and 67% for tension-type headache were calculated (overall kappa=0.74).

Keywords

Epidemiology Headache disorders Migraine Prevalence Country of Georgia Willingness to pay 

Copyright information

© Springer-Verlag Italia 2007

Authors and Affiliations

  • Zaza Katsarava
    • 1
    Email author
  • Maka Kukava
    • 2
  • Ekaterine Mirvelashvili
    • 3
  • Alexander Tavadze
    • 4
  • Anna Dzagnidze
    • 2
  • Mamuka Djibuti
    • 3
    • 4
  • Timothy J. Steiner
    • 5
  1. 1.Department of NeurologyUniversity of EssenEssenGermany
  2. 2.Department of NeurologyTbilisi Medical UniversityTbilisiGeorgia
  3. 3.Department of Public HealthTbilisi Medical UniversityTbilisiGeorgia
  4. 4.Partnership in Research and Action for HealthTbilisiGeorgia
  5. 5.Division of Neuroscience and Mental HealthImperial CollegeLondonUK

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