Prevalence of primary headache disorders among information technology staff in China: the negative effects of computer use and other correlative factors

BMC Public Health - Tập 20 - Trang 1-10 - 2020
Chunlin Li1, Lei Zhang1, Jin Zhou1, Zhiliang Fan2, Yan Wang1, Xiaolin Wang1, Weidong Wang3, Shengyuan Yu1
1Department of Neurology, Chinese PLA General Hospital, Beijing, China
2The third department of Neurology, Affiliated Xing Tai People’s Hospital of Hebei, Medical University, Xingtai, China
3Center of Medical Device and Clinical Evaluation, Chinese PLA General Hospital, Beijing, China

Tóm tắt

To date, there have been very few studies that have explored the relationship between headaches and computer use. The chief aim of this study is to investigate the prevalence of primary headache disorders among informational technology staff and identify the potential factors contributing to it. This is a cross-sectional study based on annual health checks of employees from the information technology industry. We identified 2216 information technology staff members from Beijing by stratified random sampling who met the inclusion criteria. All participants were initially required to have a physical examination, after which they complete a general situation questionnaire that included a headache screening question. Those who had suffered from headache within the previous year also completed the questionnaire developed by Lifting the Burden. The International Classification of Headache Disorders 3(ICHD-3) criteria was used for the diagnosis of headache. A total of 2012 valid questionnaires (males, 1544 [76.7%]; females, 468 [23.3%]) were obtained from 2216 participants for a response rate of 90.8%. A total of 619 participants were diagnosed with primary headache, the one-year prevalence of which was 30.8%. Regarding the classification of the primary headache, 152 participants suffered from migraine, with a one-year prevalence of 7.6%; 440 and 27 suffered from tension-type headache and unclassified headaches, with one-year prevalences of 21.9 and 1.3%, respectively. Multivariate regression analysis showed that female gender was a risk factor for migraine and tension-type headache (OR 3.21[95% CI 2.28–4.53] and 1.88[95% CI 1.47–2.40], respectively). Age was also related to migraine and tension-type headache. The 41–50 age group had 2.02 times the probability of migraine, and the 31–40 age group had 1.89 times the probability of tension-type headaches compared to the 18–30 age group. Obesity and excessive computer use (more than 12 h per day) were also factors contributing to tension-type headache (OR: 2.61[95% CI 1.91–3.56] and 1.63[95% CI 1.18–2.25], respectively). The one-year prevalence of primary headache in this population was 30.8%. The prevalence of tension-type headache in this population was higher than that in the general Chinese population. The occurrence of primary headache is correlated with many factors, among which excessive computer use significantly contributed to the risk of tension-type headache.

Tài liệu tham khảo

Stovner LJ, Hagen K, Jensen R, et al. The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia. 2007;27(3):193–210. Jensen R, Stovner LJ. Epidemiology and comorbidity of headache. Lancet Neurol. 2008;7(4):354. Global Burden of Disease Study 2013 Collaborators. Global, regional and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015;386(9995):743–800. Holroyd KA, Stensland M, Lipchik GL. Psychosocial correlates and impact of chronic tension-type headaches. Headache. 2000;40(1):3–16. Bigal ME, Bigal JM, Betti M. Evaluation of the impact of migraine and episodic tension-type headache on the quality of life and performance of a university student population. Headache. 2001;41(7):710–9. Yu S, Liu R, Zhao G, Yang X, Qiao X, Feng J, Fang Y, Cao X, He M, Steiner T. The prevalence and burden of primary headaches in China: a population-based door-to-door survey. Headache. 2012;52(4):582–91. Mateen FJ, Dua T, Steiner T, Saxena S. Headache disorders in developing countries: research over the past decade. Cephalalgia. 2008;28(11):1107–14. Yu LP. Research on the index system for the measurement of China's internet development level. China Business Market. 2005;19(12):32–4. Rutner P, Riemenschneider C, O'Learykelly A, et al. Work Exhaustion in Information Technology Professionals: The Impact of Emotion Labor. ACM SIGMIS Database. 2011;42(1):102–20. Alexander LM, Currie C. Young people’s computer use: implications for health education. Health Educ. 2004;104(4):254–61. Saueressig IB, Xavier MKA, Oliveira VMA. Primary headaches among adolescents and their association with excessive computer use. Rev Dor. 2015;16(4):244–8. Oksanen A, Metsähonkala L, Anttila P, et al. Leisure activities in adolescents with headache. Acta Paediatr. 2010;94(5):609–15. Bahrami P, Zebardast H, Zibaei M, Mohammadzadeh M, Zabandan N. Prevalence and characteristics of headache in Khoramabad, Iran. Pain Physician. 2012;15(4):327–32. Zwart JA, Dyb G, Holmen TL, et al. The prevalence of migraine and tension-type headaches among adolescents in Norway: the Nord-Trondelag health study (head-hunt). Cephalalgia. 2004;24:373–9. Rasmussen BK. Epidemiology of headache. Cephalalgia. 2001;21:774–7. Stovner LJ, Andree C. Prevalence of headache in Europe: a review for the Eurolight project. J Headache Pain. 2010;11:289–99. Brennan KC, Charles A. Sleep and headache. Semin nuurol. 2009;29(4):406–18. Alastaclhaug KB. Migraine and the hypothalamus. Cephalalgia. 2009;29(8):809–17. Gobel H, Petersen-Braun M, Soyka D. The epidemiology of headache in Germany: a nationwide survey of a representative sample on the basis of the headache classification of the international headache society. Cephalalgia. 1994;14:97–106. Yan W, Xie J, Yang F, et al. The prevalence of primary headache disorders and their associated factors among nursing staff in North China. J Headache Pain. 2015;16(1):1–7. Sakai F, Igarashi H. Prevalence of migraine in Japan: a nationwide survey. Cephalalgia. 1997;17:15–22. Takeshima T, Ishizaki K, Fukuhara Y, et al. Population-based door-to-door survey of migraine in Japan: the Daisen study. Headache. 2004;44:8–19. Alders EE, Hentzen A, Tan CT. A community-based prevalence study on headache in Malaysia. Headache. 1996;36:379–84. Quesada AJ, Contreras Maure LJ, Alvarez-Aliaga A, et al. Prevalence of primary headaches in a rural population in Cuba. Rev Neurol. 2009;49:131–5. Katsarava Z, Dzagnidze A, Kukava M, et al. Primary headache disorders in the republic of Georgia. Neurology. 2009;73:1796–803. Ferrante T, Manzoni GC, Russo M, et al. The PACE study: past-year prevalence of tension-type headache and its subtypes in Parma’s adult general population. Neurol Sci. 2015;36(1):35–42. Peng KP, Wang SJ. Epidemiology of headache disorders in the Asia-pacific region. Headache. 2014;54:610–8. Stovner LJ, Zwart JA, Hagen K, Terwindt GM, Pascual J. Epidemiology of headache in Europe. Eur J Neurol. 2006;13:333–45. Yu SY, Cao XT, Zhao G, et al. The burden of headache in China: validation of diagnostic questionnaire for a population-based survey. J Headache Pain. 2011;12:141–6. Zhang X, Smith DR, Zheng Y, Wang RS. Occupational stress and psychosomatic complaints among health staffs in Beijing, China. Work. 2011;40:239–45. Milde-Busch A, Straube A. Stress and primary headache in children and adolescents. MMW Fortschr Med. 2010;152:43–4. Sjosten N, Nabi H, Westerlund H, Singh-Manoux A, Dartigues JF, Goldberg M, Zins M, Oksanen T, Salo P, Pentti J, Kivimaki M, Vahtera J. Influence of retirement and work stress on headache prevalence: a longitudinal modelling study from the GAZEL cohort study. Cephalalgia. 2011;31:696–705. Zheng F, Gao P, He M, Li M, Tan J, Chen D, Zhou Z, Yu Z, Zhang L. Association between mobile phone use and self-reported well-being in children: a questionnaire-based cross-sectional study in Chongqing, China. BMJ Open. 2015;5(5). Lamech F. Self-reporting of symptom development from exposure to radiofrequency fields of wireless smart meters in Victoria, Australia: a case series. Altern Ther Health Med. 2014;20(6):28–39. Choi SB, Kwon MK, Chung JW, Park JS, Chung K, Kim DW. Effects of short-term radiation emitted by WCDMA mobile phones on teenagers and adults. BMC Public Health. 2014;14:438. Kim SK, Choi JL, Kwon MK, Choi JY, Kim DW. Effects of 60 Hz magnetic fields on teenagers and adults. Environ Health. 2013;12:42. Torsheim T, Eriksson L, Schnohr CW, et al. Screen-based activities and physical complaints among adolescents from the Nordic countries. BMC Public Health. 2010;10(1):324. Xavier MK, Pitangui AC, Silva GR, Oliveira VM, Beltrão NB, Araújo RC. Prevalence of headache in adolescents and association with use of computer and videogames. Cien Saude Colet. 2015;20(11):3477–86. Montagni I, Guichard E, Carpenet C, Tzourio C, Kurth T. Screen time exposure and reporting of headaches in young adults: a cross-sectional study. Cephalalgia. 2016;36(11):1020–7. LaBan MM, Meerschaert JR. Computer-generated headache. Brachiocephalgia at first byte. Am J Phys Med Rehabil. 1989;68(4):183–5. Walach H, Betz HD, Schweickhardt A. Sferics and headache: a prospective study. Cephalalgia. 2001;21(6):685–90. Stovner LJ, Al Jumah M, Birbeck GL, Gururaj G, Jensen R, Katsarava Z, et al. The methodology of population surveys of headache prevalence,burden and cost: Principles and recommendations from the Global Campaign against Headache. J Headache Pain. 2014;15(1):5. Russo AF, Recober A. Unanswered questions in headache: so what is photophobia, anyway? Headache. 2013;53(10):1679–80.