Prevalence of headaches in a Chinese elderly population in Kinmen: Age and gender effect and cross-cultural comparisons

S. J. Wang*, H. C. Liu, J. L. Fuh, C. Y. Liu, K. P. Lin, H. M. Chen, C. H. Lin, P. N. Wang, L. C. Hsu, H. C. Wang, K. N. Lin

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

61 Scopus citations

Abstract

Objective: To investigate the prevalence of headaches in a Chinese elderly population. Background: There are few headache surveys in the elderly. Previous studies have shown a low headache prevalence in Chinese. Methods: Target population: eligible registered residents >65 years old (N = 2,003) in two townships of Kinmen Island on August 1, 1993. All participants completed a headache questionnaire and underwent clinical evaluation and examination by a neurologist. Headache diagnoses were made according to the International Headache Society, 1988. Results: 1,533 persons (77%) participated in the study, of whom 584 (38%) had at least one episode of headache in the previous year. One-year prevalence of migraine was 3.0%, and tension-type headache, 35%. The prevalence of migraine, but not tension-type headaches, continued to decline with age in the elderly. Life-time prevalence of 'incapacitating headache' was 10%, and that of migraine, 5.2%. Forty-two percent of migraineurs stopped having migraine before this survey. In comparison with '10 years ago,' 8% participants felt their current headaches were worse, 25% better, and 67%, no change, with a net improvement of 17%. Conclusions: We have reported the highest headache prevalence among different Chinese elderly populations, but these were still lower than those reported from Western series. More than half of the elderly life-time migraineurs still had attacks of migraine. Severe headaches, including migraine but not tension-type headaches, declined with age.

Original languageEnglish
Pages (from-to)195-200
Number of pages6
JournalNeurology
Volume49
Issue number1
DOIs
StatePublished - Jul 1997

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