Prevalence and risk factors of migraine headache among university students: A cross-sectional study in Lebanon

Georges Hatem, Reva Mosleh, Mathijs Goossens, D. Khachman, A. Al-hajje, S. Awada
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Abstract

Background Migraine constitutes a major public health concern since it negatively affects both the quality of life and the productivity of patients. Migraine among students can cause impaired academic performance and limit their daily activities. Objective This study aims to assess the prevalence of migraine among university students using the ID Migraine screening tool and to evaluate risk factors associated with migraine. Methods A cross-sectional study was performed over a period of six months targeting 1144 university students recruited from the different faculties. Results Migraine was suggested in 35.8% of subjects based on ID-Migraine. Migraine prevalence was significantly higher among women (42% versus 23.3% of men). After adjusting for covariates, women, daily coffee consumption, having unorganized meals, eating fast food and fasting were the main predictors of migraine.  Almost 41% of migraine students had a family history of migraine and only 26.7% sought medical help. Interestingly, most of the migraine students (84.8%) took headache medications without referring them to their doctor. Conclusion Recognizing headache risk factors among migraine students and adopting lifestyle changes accordingly can be an effective strategy to prevent the chronification of the attacks, decrease headache frequency and improve patients’ quality of life.
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黎巴嫩大学生偏头痛患病率及危险因素的横断面研究
背景:偏头痛是一个主要的公共卫生问题,因为它对患者的生活质量和生产力都有负面影响。学生的偏头痛会导致学习成绩下降,并限制他们的日常活动。目的利用ID偏头痛筛查工具评估大学生偏头痛的患病率,并评价与偏头痛相关的危险因素。方法采用横断面研究方法,从不同院系招募1144名大学生,历时6个月。结果根据id型偏头痛诊断,35.8%的受试者存在偏头痛。女性偏头痛患病率明显高于男性(42%对23.3%)。在调整协变量后,女性、每天喝咖啡、饮食杂乱无章、吃快餐和禁食是偏头痛的主要预测因素。近41%的偏头痛学生有偏头痛家族史,只有26.7%的人寻求过医疗帮助。有趣的是,大多数偏头痛学生(84.8%)在没有咨询医生的情况下服用了头痛药物。结论认识偏头痛学生的头痛危险因素,并采取相应的生活方式改变,可有效预防偏头痛发作的慢性化,减少头痛的发生频率,提高患者的生活质量。
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