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[Prevalence of primary headaches in a rural population in Cuba].
Rev Neurol. 2009 Aug 1-15; 49(3):131-5.RN

Abstract

AIM

To determine the prevalence and the clinical-epidemiological and therapeutic characteristics of primary headaches in a rural population in Cuba.

SUBJECTS AND METHODS

A cross-sectional study was conducted in a rural population of the Policlinica Mabay in the province of Granma, Cuba. The second International Headache Society classification was used. Sample size, which was calculated by means of the program EpiInfo 2002, was 360 adult workers over 18 years of age, who were selected by simple random sampling.

RESULTS

The prevalence of primary headaches was 44.72%. There was a predominance of females (71.4%). 31.1% of cases were between 50 and 59 years old. 36.6% had a family history of headaches. Onset of headaches occurred before the age of 15 years in 44.1% of patients. The most frequent location was occipital (45.3% of cases). The most frequent precipitating factors were stress (27.9%) and menstruation (27.3%). The predominant accompanying symptom was dizziness (26.1%). Tension-type headache was the most prevalent, with 92 patients (25.56%), followed by migraine, with 61 diagnoses (16.94%). 78.3% of the patients with tension-type headache and 70.5% of those with migraine tried self-medication with dipyrone and paracetamol. Patients with migraine made more frequent use of prophylactic treatment than those who suffered from tension-type headache (32.8% versus 16.3%; p = 0.01).

CONCLUSIONS

The prevalence of primary headaches is high in the rural population under study; the high rate of prescription drug abuse (mainly painkillers and non-steroidal anti-inflammatory drugs) has led to a significant number of headaches becoming chronic. This health problem is also seen to have an important effect on occupational affairs.

Authors+Show Affiliations

Servicio de Medicina Interna, Hospital General Universitario Carlos Manuel de Cespedes, Bayamo, Cuba. aquesadav.grm@infomed.sld.cuNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

spa

PubMed ID

19621307

Citation

Quesada-Vázquez, A J., et al. "[Prevalence of Primary Headaches in a Rural Population in Cuba]." Revista De Neurologia, vol. 49, no. 3, 2009, pp. 131-5.
Quesada-Vázquez AJ, Contreras-Maure LJ, Alvarez-Aliaga A, et al. [Prevalence of primary headaches in a rural population in Cuba]. Rev Neurol. 2009;49(3):131-5.
Quesada-Vázquez, A. J., Contreras-Maure, L. J., Alvarez-Aliaga, A., & Traba-Tamayo, E. R. (2009). [Prevalence of primary headaches in a rural population in Cuba]. Revista De Neurologia, 49(3), 131-5.
Quesada-Vázquez AJ, et al. [Prevalence of Primary Headaches in a Rural Population in Cuba]. Rev Neurol. 2009 Aug 1-15;49(3):131-5. PubMed PMID: 19621307.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Prevalence of primary headaches in a rural population in Cuba]. AU - Quesada-Vázquez,A J, AU - Contreras-Maure,L J, AU - Alvarez-Aliaga,A, AU - Traba-Tamayo,E R, PY - 2009/7/22/entrez PY - 2009/7/22/pubmed PY - 2009/11/18/medline SP - 131 EP - 5 JF - Revista de neurologia JO - Rev Neurol VL - 49 IS - 3 N2 - AIM: To determine the prevalence and the clinical-epidemiological and therapeutic characteristics of primary headaches in a rural population in Cuba. SUBJECTS AND METHODS: A cross-sectional study was conducted in a rural population of the Policlinica Mabay in the province of Granma, Cuba. The second International Headache Society classification was used. Sample size, which was calculated by means of the program EpiInfo 2002, was 360 adult workers over 18 years of age, who were selected by simple random sampling. RESULTS: The prevalence of primary headaches was 44.72%. There was a predominance of females (71.4%). 31.1% of cases were between 50 and 59 years old. 36.6% had a family history of headaches. Onset of headaches occurred before the age of 15 years in 44.1% of patients. The most frequent location was occipital (45.3% of cases). The most frequent precipitating factors were stress (27.9%) and menstruation (27.3%). The predominant accompanying symptom was dizziness (26.1%). Tension-type headache was the most prevalent, with 92 patients (25.56%), followed by migraine, with 61 diagnoses (16.94%). 78.3% of the patients with tension-type headache and 70.5% of those with migraine tried self-medication with dipyrone and paracetamol. Patients with migraine made more frequent use of prophylactic treatment than those who suffered from tension-type headache (32.8% versus 16.3%; p = 0.01). CONCLUSIONS: The prevalence of primary headaches is high in the rural population under study; the high rate of prescription drug abuse (mainly painkillers and non-steroidal anti-inflammatory drugs) has led to a significant number of headaches becoming chronic. This health problem is also seen to have an important effect on occupational affairs. SN - 1576-6578 UR - https://www.unboundmedicine.com/medline/citation/19621307/[Prevalence_of_primary_headaches_in_a_rural_population_in_Cuba]_ L2 - http://www.revneurol.com/LinkOut/formMedLine.asp?Refer=2008651&Revista=RevNeurol DB - PRIME DP - Unbound Medicine ER -