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KMID : 0911820110120010057
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Korean Journal of Headache
2011 Volume.12 No. 1 p.57 ~ p.60
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Influence of Education Level on Prevalence of Tension-type Headache in Korean Population
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Lee Dong-Won
Minn Yang-Ki
Chu Min-Kyung
Oh Kyung-Mi
Kim Byung-Kun
Lee Kwang-Soo
Cho Soo-Jin
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Abstract
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Object: Education reflects socioeconomic status and may influence pain modulation or thresholds in primary headache disorders. Tension-type headache (TTH) is the most common type of primary headache and the influence ofeducation on the prevalence of TTH has not been well evaluated. The aims of this study were to evaluate the associationbetween education level and the prevalence of TTH and the influence of other contributors.
Methods: For this study, a stratified random population sample of Koreans, over the age of 19, was selected and evaluated using a 12-item, semi-structured interview designed to identify headache type using ICHD-2 criteria. Educationlevels were classified into college, high school, and middle school or below. Household income and occupation wereevaluated as contributors.
Results: Among 1507 participants, 463 (30.7%) were diagnosed with TTH; 228 were frequent episodic TTH, 224 were infrequent episodic TTH, and 11 were chronic TTH. College level was associated with a lower prevalence of tension-type headache (25.8% vs 33.8% in high school, 32.9% in middle school or below, p=0.006). Prevalence of frequent episodic TTH was lower in college graduate (p=0.002). After adjusting age, gender, and income, education level is the
significant contributor for prevalence of TTH.
Conclusions: Among variables of socioeconomic status, education is the important modulator of TTH, especially in women.
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KEYWORD
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Tension-type headache, Educational status, Socioeconomic factors, Prevalence
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