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Headache, stomachache, backache, and morning fatigue among adolescent girls in the United States: associations with behavioral, sociodemographic, and environmental factors.
Arch Pediatr Adolesc Med. 2004 Aug; 158(8):797-803.AP

Abstract

BACKGROUND

Data on the prevalence and co-occurrence of multiple somatic symptoms among US adolescent females as they are influenced by sociodemographic, behavioral, and environmental factors is limited.

OBJECTIVES

To describe the health status of adolescent US females measured by the prevalence, frequency, and co-occurrence of headache, stomachache, backache, and morning fatigue and to investigate associations between selected risk and protective factors.

DESIGN, SETTING, AND PARTICIPANTS

School-based, cross-sectional, nationally representative survey of adolescents in the 6th through 10th grades in the US. Data collected between 1997 and 1998.

MAIN OUTCOME MEASURES

Prevalence of headache, stomachache, backache, and morning fatigue.

RESULTS

Among US adolescent girls, 29.1% experience headaches, 20.7% report stomachaches, 23.6% experience back pain, and 30.6% report morning fatigue at the rate of more than once a week. Co-occurrence of somatic complaints is common. Among girls who experienced headaches more than once a week, 3.2 million (53.3%) also reported stomach pain more than once a week and 4.1 million (74.3%) reported morning fatigue more than once a week. Heavy alcohol use, high caffeine intake, and smoking cigarettes every day were strongly associated with all symptoms, while parent and teacher support served as protective factors.

CONCLUSIONS

Somatic complaints of headache, stomachache, backache, and morning fatigue are common among US adolescent girls and co-occur often. Effective clinical treatment of this population requires comprehensive assessment of all female adolescents presenting with seemingly isolated somatic complaints.

Authors+Show Affiliations

Office of Women's Health, Maternal and Child Health Bureau, Health Resources and Services Administration, Rockville, MD 20857, USA. Rghandour@hrsa.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15289254

Citation

Ghandour, Reem M., et al. "Headache, Stomachache, Backache, and Morning Fatigue Among Adolescent Girls in the United States: Associations With Behavioral, Sociodemographic, and Environmental Factors." Archives of Pediatrics & Adolescent Medicine, vol. 158, no. 8, 2004, pp. 797-803.
Ghandour RM, Overpeck MD, Huang ZJ, et al. Headache, stomachache, backache, and morning fatigue among adolescent girls in the United States: associations with behavioral, sociodemographic, and environmental factors. Arch Pediatr Adolesc Med. 2004;158(8):797-803.
Ghandour, R. M., Overpeck, M. D., Huang, Z. J., Kogan, M. D., & Scheidt, P. C. (2004). Headache, stomachache, backache, and morning fatigue among adolescent girls in the United States: associations with behavioral, sociodemographic, and environmental factors. Archives of Pediatrics & Adolescent Medicine, 158(8), 797-803.
Ghandour RM, et al. Headache, Stomachache, Backache, and Morning Fatigue Among Adolescent Girls in the United States: Associations With Behavioral, Sociodemographic, and Environmental Factors. Arch Pediatr Adolesc Med. 2004;158(8):797-803. PubMed PMID: 15289254.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Headache, stomachache, backache, and morning fatigue among adolescent girls in the United States: associations with behavioral, sociodemographic, and environmental factors. AU - Ghandour,Reem M, AU - Overpeck,Mary D, AU - Huang,Zhihuan J, AU - Kogan,Michael D, AU - Scheidt,Peter C, PY - 2004/8/4/pubmed PY - 2004/9/1/medline PY - 2004/8/4/entrez SP - 797 EP - 803 JF - Archives of pediatrics & adolescent medicine JO - Arch Pediatr Adolesc Med VL - 158 IS - 8 N2 - BACKGROUND: Data on the prevalence and co-occurrence of multiple somatic symptoms among US adolescent females as they are influenced by sociodemographic, behavioral, and environmental factors is limited. OBJECTIVES: To describe the health status of adolescent US females measured by the prevalence, frequency, and co-occurrence of headache, stomachache, backache, and morning fatigue and to investigate associations between selected risk and protective factors. DESIGN, SETTING, AND PARTICIPANTS: School-based, cross-sectional, nationally representative survey of adolescents in the 6th through 10th grades in the US. Data collected between 1997 and 1998. MAIN OUTCOME MEASURES: Prevalence of headache, stomachache, backache, and morning fatigue. RESULTS: Among US adolescent girls, 29.1% experience headaches, 20.7% report stomachaches, 23.6% experience back pain, and 30.6% report morning fatigue at the rate of more than once a week. Co-occurrence of somatic complaints is common. Among girls who experienced headaches more than once a week, 3.2 million (53.3%) also reported stomach pain more than once a week and 4.1 million (74.3%) reported morning fatigue more than once a week. Heavy alcohol use, high caffeine intake, and smoking cigarettes every day were strongly associated with all symptoms, while parent and teacher support served as protective factors. CONCLUSIONS: Somatic complaints of headache, stomachache, backache, and morning fatigue are common among US adolescent girls and co-occur often. Effective clinical treatment of this population requires comprehensive assessment of all female adolescents presenting with seemingly isolated somatic complaints. SN - 1072-4710 UR - https://www.unboundmedicine.com/medline/citation/15289254/Headache_stomachache_backache_and_morning_fatigue_among_adolescent_girls_in_the_United_States:_associations_with_behavioral_sociodemographic_and_environmental_factors_ DB - PRIME DP - Unbound Medicine ER -