Prevalence of frequent headache in a population sample

Ann I. Scher, Walter F. Stewart, Joshua Liberman, Richard B. Lipton

Research output: Contribution to journalArticle

481 Citations (Scopus)

Abstract

Purpose.-Patients with daily or near-daily headaches are commonly seen in neurology practices and in headache subspecialty centers, but there is little information on the prevalence of this condition in the general population. We present the first US-based study describing the prevalence and characteristics of frequent headache in the general population. Methods.-In Baltimore County, Maryland, 13343 individuals 18 to 65 years of age were selected by random-digit dialing and interviewed by telephone about their headaches. Subjects reporting 180 or more headaches per year were classified as having frequent headache. Three mutually exclusive subtypes of frequent headache were identified: frequent headache with migrainous features, chronic tension-type headache, and unclassified frequent headache. Results.-The overall prevalence of frequent headache was 4.1% (5.0% female, 2.8% male; 1:8:1 female to male ratio). Frequent headache was 33% more common in Caucasians (4.4%) than in African Americans (3.3%). In both males and females, prevalence was highest in the lowest educational category. Among frequent headache sufferers, more than half (52% female, 56% male) met criteria for chronic tension-type headache, almost one third (33%, female, 25% male) met criteria for frequent headache with migrainous features, and the remainder (15% female, 19% male) were unclassified. Overall, 30% of female and 25% of male frequent headache sufferers met International Headache Society (IHS) criteria for migraine (with or without aura). Conclusions.- Frequent headache is common in the general population and is more prevalent in Caucasians and in those with less than a high school education. Chronic tension-type headache is more common than frequent headache with migrainous features, though the latter is more disabling. Although more common in females than males, the female preponderance of frequent headache is less marked than in migraine. The sex ratio varies by frequent headache subtype.

Original languageEnglish (US)
Pages (from-to)497-506
Number of pages10
JournalHeadache
Volume38
Issue number7
StatePublished - Jul 1998

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Headache
Population
Tension-Type Headache
Headache Disorders
Migraine without Aura
Migraine with Aura
Baltimore
Sex Ratio
Neurology
Migraine Disorders
Telephone
African Americans

Keywords

  • Headache, migraine, prevalence, epidemiology

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

Scher, A. I., Stewart, W. F., Liberman, J., & Lipton, R. B. (1998). Prevalence of frequent headache in a population sample. Headache, 38(7), 497-506.

Prevalence of frequent headache in a population sample. / Scher, Ann I.; Stewart, Walter F.; Liberman, Joshua; Lipton, Richard B.

In: Headache, Vol. 38, No. 7, 07.1998, p. 497-506.

Research output: Contribution to journalArticle

Scher, AI, Stewart, WF, Liberman, J & Lipton, RB 1998, 'Prevalence of frequent headache in a population sample', Headache, vol. 38, no. 7, pp. 497-506.
Scher AI, Stewart WF, Liberman J, Lipton RB. Prevalence of frequent headache in a population sample. Headache. 1998 Jul;38(7):497-506.
Scher, Ann I. ; Stewart, Walter F. ; Liberman, Joshua ; Lipton, Richard B. / Prevalence of frequent headache in a population sample. In: Headache. 1998 ; Vol. 38, No. 7. pp. 497-506.
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