Prevalence and clinical characteristics of headache in dental students of a tertiary care teaching dental hospital in Northern India
Keywords:
Headache, Migraine, PrevalenceAbstract
Background: Chronic headache is as much as a problem in India as elsewhere in the world with a rising trend in young adults which negatively affects the quality of life of the affected person. In current scenario of increasing prevalence of headache in students, most of them have been found to practice self medication leading to inappropriate management and sometimes analgesic overuse causing treatment refractoriness.
Methods: A questionnaire based survey was done on undergraduate dental students at a tertiary care dental teaching hospital in Northern India. Severity of headache was assessed by Numeric Rating Scale. Data collected was analyzed to assess the prevalence, pattern & triggering factors of headache along with awareness of dental students regarding treatment. Prevalence and characteristics of migraine were also assessed along with the therapeutic strategies opted by students.
Results: Our study (n=186) demonstrated headache prevalence of 63.9% which was higher in females (74.3%) as compared to males (32.6%). Headache experienced by majority of student population was bilateral (36.13%), sharp stabbing (38.65%) and of moderate intensity (57.98%). Common associated symptoms were nausea/ vomiting (24.36%) and scalp tenderness (22.68%). Stress (82.3%) &irregular sleep (81.5%) were the most common triggering factors. Prevalence of migraine was 13.44% with female preponderance (87.5%). Practice of self medication was reported by 88.2% of students. Most commonly used drugs were paracetamol (36.76%), aspirin (26.47%) and combination of ibuprofen and paracetamol (25%). Specific medication use in migraineurs was found to be low (25%) showing inadequate management of migraine headache in our study population.
Conclusions: The results in this study demonstrate high headache prevalence in dental students with self medication being practiced by the majority.
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References
Ojini FI, Okubadejo NU, Danesi MA. Prevalence and Clinical Characteristics of Headache in Medical Students of the University of Lagos, Nigeria. Cephalalgia 2009;29:472-7.
Fendrich K, Vennemann M, Pfaffenrath V, Evers S, May A, Berger K , et al. Headache prevalence among adolescents – the German DMKG headache study. Cephalalgia 2007;27:347-54.
Ravishankar K. Headache in India. ACNR 2007;7:26-7.
Stovner LJ, Hagen K, Jensen R, Katsarava Z, Lipton RB, Scher AI, et al. The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia 2007;27:193-210.
Wang SJ. Epidemiology of Migraine and Other Types of Headache in Asia. Curr Neurol Neurosci Rep 2003;3:104-8.
Gupta R, Bhatia MS, Dahiya D, Sharma S, Sapra R, Semalti K, et al. Recurrent Headache in Indian Adolescents. Indian J Pediatr 2009;76:733-7.
Ferreira-Valente MA, Pais-Ribeiro JL, Jensen MP. Validity of four pain intensity rating scales. Pain 2011;152:2399-404.
Headache Classification Subcommittee of the International Headache Society. The International Classification of Headache Disorders. Cephalalgia 2004;24:9-160.
Amayo EO, Jowi JO, Njeru EK. Migraine headaches in a group of medical students at the Kenyatta National Hospital, Nairobi. East Afr Med J 1996;73:594-7.
Ferri-de-Barros JE, Jose de Alencar M, Berchielli LF, Castelhano Junior LC. Headache among medical and psychology students. Arq Neuropsiquiatr 2011;69:502-8.
Deleu D, Khan MA, Humaidan H, Al Mantheri Z, Al Hashami S. Prevalence and clinical characteristics of headache in medical students in oman. Headache 2001;41:798-804.
Galinovic I, Vukovic V, Troselj M, Antic S, Demarin V. Migraine and tension-type headache in medical students: a questionnaire study. Coll Antropol 2009;33:169-73.
Mitsikostas DD, Gatzonis S, Thomas A, Kalfakis N, IIias A, Papageoergiou C. An epidemiological study of headaches among medical students in Athens. Headache 1996;36:561-4.
Sanvito WL, Monzillo PH, PeresMFP, Martinelli MO, Fera MP, Gouveia DAdC, et al.The Epidemiology of Migraine in Medical Students. Headache 1996;36:316-9.
Tahir MU, Naeem NIK, Usman A, Iqbal H, Navied U, Erum S .Headache Prevalence, Patterns and Symptoms Amongst Medical Students at Fatima Memorial College, Lahore. Pak J Med Health Sci 2010;4:542-3.
Ogunyemi AO.Prevalence of Headache Among Nigerian University Students. Headache 1984;24:27-30.
Shahrakai MR , Mirshekari H, Ghanbari AT, Shahraki AR, Shahraki E. Prevalence of Migraine Among Medical Students in Zahedan Faculty of Medicine (Southeast of Iran). Basic Clin Neuroscience 2011;2:20-5.
Lopez-Mesonero L, Marquez S, Parra P, Gamez-Leyva G, Munoz P, Pascual J. Smoking as a precipitating factor for migraine: a survey in medical students. J Headache Pain 2009;10:101-3.
Al-Tulaihi BA, Al-Jumah MA. Prevalence of migraine and non-migraine headache among high school students at the National Guard Housing in Riyadh, Saudi Arabia. Saudi Med J 2009;30:120-4.
Taghi ASM, Leyla S, Afshin BH. Epidemiologic and Clinical Characteristics of Migraine and Tension-Type Headaches among Hospitals Staffs of Shiraz (Iran). Acta Medica Iranica 2009;47:115-20.
