Prevalence of Migraine in Japan

This study presents the first nationwide survey of migraine in Japan. A representative sample of 4029 subjects aged 15 years or older was selected from the Japanese population according to the quota method. A combination of telephone interview and mailed questionnaire methods was used. Diagnosis of migraine was based on the International Headache Society (IHS) Classification. The overall prevalence of migraine in the past year was 8.4%; 5.8% was migraine without aura and 2.6% was migraine with aura. Significant correlation was found between the prevalence of migraine and such variables as gender, age and district of residence. Doctor attendance rate was very low and 69.4% with migraine had never consulted a physician for headache. Yet, 74.2% complained that migraine headache impaired their daily activity significantly. Only 11.6% were aware that their headache was migraine and 56.9% were using only the over-the-counter drugs. The study revealed a comparably high prevalence of migraine in the general population of Japan compared with other countries. A genetic factor was speculated as the cause of regional difference in migraine prevalence.

[1]  J. W. Hall.  Japan, From Prehistory To Modern Times , 1970 .

[2]  J. Olesen,et al.  Migraine With Aura and Migraine Without Aura: An Epidemiological Study , 1992, Cephalalgia : an international journal of headache.

[3]  Giuseppe Orefice,et al.  Flunarizine in Prophylaxis of Childhood Migraine: A Double-Blind, Placebo-Controlled, Crossover Study , 1988, Cephalalgia : an international journal of headache.

[4]  B. Rasmussen.  Migraine and tension-type headache in a general population: precipitating factors, female hormones, sleep pattern and relation to lifestyle , 1993, Pain.

[5]  R. Lipton,et al.  Migraine heterogeneity. Disability, pain intensity, and attack frequency and duration. , 1994, Neurology.

[6]  H. Göbel,et al.  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 , 1994, Cephalalgia : an international journal of headache.

[7]  R. Lipton,et al.  Migraine headache: Epidemiology and health care utilization , 1993, Cephalalgia : an international journal of headache.

[8]  J. Dartigues,et al.  A Nationwide Survey of Migraine in France: Prevalence and Clinical Features in Adults , 1992, Cephalalgia : an international journal of headache.

[9]  B. Rasmussen,et al.  Questionnaire Versus Clinical Interview in the Diagnosis of Headache , 1991, Headache.

[10]  J. Kaprio,et al.  A Population‐Based Survey of Headache and Migraine in 22,809 Adults , 1993, Headache.

[11]  B. Rasmussen.  Epidemiology of Headache , 1995, Cephalalgia : an international journal of headache.

[12]  W. Stewart,et al.  Medication Use and Disability Among Migraineurs: A National Probability Sample Survey , 1992, Headache.

[13]  R. F. Nelson,et al.  A Canadian Population Survey on the Clinical, Epidemiologic and Societal Impact of Migraine and Tension-Type Headache , 1992, Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques.

[14]  S. Silberstein,et al.  An Update on the Epidemiology of Migraine , 1994, Headache.

[15]  W F Stewart,et al.  Prevalence of migraine headache in the United States. Relation to age, income, race, and other sociodemographic factors. , 1992, JAMA.

[16]  J. Olesen,et al.  Epidemiology of headache in a general population--a prevalence study. , 1991, Journal of clinical epidemiology.

[17]  R. F. Nelson,et al.  Impact of Migraine and Tension-Type Headache on Life-Style, Consulting Behaviour, and Medication Use: A Canadian Population Survey , 1993, Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques.

[18]  M. Hammer,et al.  Y chromosomal DNA variation and the peopling of Japan. , 1995, American journal of human genetics.

[19]  B. Rasmussen,et al.  Migraine prevalence. A review of population-based studies. , 1994, Neurology.

[20]  B. Rasmussen.  Migraine and tension-type headache in a general population: psychosocial factors. , 1992, International journal of epidemiology.