目的：研究中国福建畲族人群紧张型头痛（ TTH）的流行病学特点。方法采取横断面、多阶段，年龄和性别分层抽样的方法，抽取福建地区30个村年龄≥15岁的畲族人群进行流行病学调查。结果本次共调查5519人，TTH患病率为12．28％（男性和女性分别为8．45％、15．18％）；患病高峰期在40～49岁年龄段，不同年龄段患病率差异有统计学意义（P＝0.000）；低家庭收入、农民和睡眠障碍的人群TTH患病率较高（P＝0.048， P＝0.000，P＝0.000）；不同受教育程度人群患病率差异无统计学意义。头痛发作时61．36％患者需要休息。每年因头痛无法工作的时间是（7．56±8．50）d。结论在我国福建畲族人群TTH患病率较高，应重视TTH的预防及治疗。同时应扶持畲族地区经济发展，提高居民经济收入，从而提高生活质量，减轻工作压力，以降低TTH患病率。%Objective To investigate the epidemiological characteristics of tension-type headache ( TTH) in the She population of Fujian .Methods An epidemiological survey was conducted in She population older than 15 years from 30 villages in Fujian , with the use of cross-sectional , multi-stage cluster sampling based on age and gender . Results Among 5519 participants recruited in this survey , the morbidity rate of TTH is 12.28%(8.45%for male and 15.18%for female).The highest morbidity rate was observed in age group of 40~49 years and the significant differences were noticed at different age groups ( P=0.000 ) .The morbidity rate of TTH was higher in low-income families, farmers and participants with insomnia (P=0.048, P=0.000, P=0.000).There was no significant difference for participants with different education level .The survey showed that 61.36% of participants needed a break when headache attacked .It was estimated that the absence from work due to headache was (7.56 ±8.50) d per year.Conclusion The morbidity rate of TTH is high in the She population of Fujian in our country , much more attention should be paid to the prevention and treatment .In order to decrease TTH morbidity rate , we should also support the economic development in She minority regions to increase income , improve life quality and reduce stress at work.
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