학술논문

Menstrual-Related Headaches Among a Cohort of African Adolescent Girls
Document Type
Academic Journal
Source
Journal of Pain Research. January, 2020, Vol. 13, p143, 8 p.
Subject
Nigeria
Language
English
ISSN
1178-7090
Abstract
Introduction: Migraine attacks associated with menstruation are generally perceived as more severe than attacks outside this period. Aim and Objective: The study aimed at determining the frequency of menstrual-related headaches among a cohort of senior secondary school girls in Abeokuta, Nigeria. We also determined its burden among these school girls. Methodology: This study was cross-sectional using a validated adolescent headache survey questionnaire. A self-administration of the instrument was done during a school visit. A headache was classified using the ICHD-II criteria. Results: Of the 183 students interviewed, 123(67.2%) had recurrent headaches. Mean age [+ or -]SD, 16.18[+ or -]1.55 (range 12-19). The prevalence of definite migraine was 17.5% while the prevalence of probable migraine was 6.0%. The prevalence of tension-type headache was 41.0%. Migraine was significantly menstrual-related (p=0.001, 95% CI=1.06-6.63). Median pain severity score was higher among MRH group (p=0.043). The median number of days of reduced productivity and missed social activities was significantly higher in the MRH group; p= 0.001 and p=0.03, respectively. Subjects with MRH were more incapacitated by their headaches (p= 0.003). Conclusion: Menstrually related headache is prevalent even among the adolescent and it has adversely affected their productivity and social life. Care of adolescent with headaches should be intensified. Keywords: headache, adolescence, migraine, menstruation, menstrually related
Introduction Over 37 million Nigerians are adolescents (between the ages of 10-19 years) and they constitute over 20% of the general population. Roughly half of these are females. (1) Adolescence [...]