The characteristics and subtypes of headache in relation to age and gender in a rural community in Eastern Turkey

Objectives: Headache is a frequent and widespread symptom constituting a major health problem for all age groups, though vast differences are present according to age and gender, as well as population characteristics. In this hospital-based study, we investigated the characteristics and subtypes of headache in relation to age and gender in a rural community in the eastern part of Turkey. Methods: A total of 11549 subjects were evaluated, and 4951 patients (42.8%) reported headaches. The 1-year headache prevalence was 38.6% in children, 47.0% in adults, and 23.3% in the elderly (p< 0.001). The female to male ratio was higher in adults (p< 0.001) and elderly headache patients (p< 0.001), but not in children (p= 0.654). Results: The most common diagnosis was frequent episodic tension-type headache in all age groups. Headaches attributed to epileptic seizure and rhinosinusitis were about three times more common in children, while chronic tension-type headache was about three times more common in adults and the elderly. While 60% of patients with migraine were male among the group of children, about 80% of patients were females among the adults. Conclusion: The understanding of the epidemiology of headache and subtypes is important as it constitutes a major health problem due to its high prevalence in all age groups.