Prevalence of migraine and tension headaches and related factors, 2014


  • Ghasem Fattahzadeh-Ardalani Department of Medicine, Ardabil University of Medical Science, Ardabil, Iran
  • Saeid Sadeghieh Ahari Social Determinants of Health (SDH) Research Center, Ardabil, Iran
  • Firouz Amani Department of Medicine, Ardabil University of Medical Science, Ardabil, Iran
  • Vahid Moghaddamnia Department of Medicine, Ardabil University of Medical Science, Ardabil, Iran



Epidemiology, Migraine headache, Prevalence, Tension headache


Background: Migraine and tension type headache (TTH) due to their effect on life and reducing efficacy are two major problems in human life. This study aimed to investigate the prevalence of migraine and tension headaches and factors affecting their occurrence in Ardabil, Iran.

Methods: In this cross sectional descriptive study, 900 cases were selected randomly from referral outpatients to neurology clinic of Ardabil, Iran during 2014. Diagnosis of headache type was confirmed by a neurologist and required information was obtained by general and neurological examinations of patients and recorded in a checklist and then analyzed by statistical methods in SPSS.19.

Results: Of all referral cases, 767 (85.2%) have headache which from them 27.9% have migraine and 48.2% have TTH. Among migraine patients, 15.4% was male and 84.6% was female, and among TH patients 38.1% were male and 61.9% were female. Most location of headache in migraine and TH patients was frontal and temporal with 37.8% and 28.9%, respectively. Frequency of headache attacks in migraine patients was often weekly or monthly (74.3%) and in TH patients was often daily or weekly (85.7%). The prevalence of headache history among migraine patients was significantly more than TH patients (43.5% versus 34.1%).

Conclusions: Results showed that the prevalence of migraine and TH was high in our society and most of headache attacks were weekly or daily. Because of headache causes to private and social dysfunctions, doing studies to determine risk factors in incidence of migraine and tension headaches for early detection of them is essential.


Shahbeigi S, Fereshtehnejad S-M, Mohammadi N, Golmakani MM, Tadayyon S, Jalilzadeh G, et al. Epidemiology of headaches in Tehran urban area: a population-based cross-sectional study in district 8, year 2010. Neurological Sciences. 2013;34(7):1157-66.

Ayatollahi SM, Sahebi L, Borhani HA. Epidemiologic and characteristics of migraine and tension type headache among hospital stuff of Shiraz (Iran). Acta Media Iranica. 2009;47(2):115-20.

Ayatollahi SM, Cheraghian B. An epidemiologic model for risk factors of migraine and Tension Type Headaches among primary schools teachers of Shiraz, 2003. J Kerman Univ Med Sci. 2005;12(2):85-92.

Robert BF, Gerald Mf, Joseph JA, John MA. Bradley’s neurology in clinical practice, 6th ed. :2010;1:1715-30.

Fallahzadeh H, Alihaydari M. Prevalence of migraine and tension-type headache among school children in Yazd, Iran. J Pediatr Neurosci. 2011;6(2):106-9.

Momayyezi M, Fallahzadeh H, Momayyezi M. Prevalence of migraine and tension-type headache in Yazd (Iran). Zahedan J Res Med Sci. 2015;17(4):1-7.

Khazaei T. Prevalence of migraine and tension headaches between Birj and medical students in 2010. The national congress of youths health promotion, Kermanshah, Iran, 2011.

Goldman MB, Troisi R, Rexrode KM. Epidemiology of Headaches of women: emphasis on migraine. In: Goldman MB, Hatch MC, eds. Women and Health. 2nd ed. Academic Press; 2012:1341-53.

Pahim LS, Menezes AM, Lima R. Prevalence and factors associated to migraine in adult population, southern Brazil. Revsaude Publica. 2006:40(4):692-8.

Modara F. Prevalence of tension and migraine headachesamong the students of ILAM Medical University. J ILAM Univ Med Sci. 2008;15(4):13-21.

Yousefi M. Prevalence of Migraine between medical students and Zanjan medical doctors. J Zanjan Univ Med Sci Health Services. 2000;8(30):18-22.

Sadreddini SA, Pashapour A, Talebi M, Sadati B. Assessment of prevalence and type of headache in medical students. Med J Tabriz Univ Med Sci Health Services. 2006;28(3):73-80.

Kurt S, Kaplan Y. Epidemiological and clinical characteristics of headache in university students. Clin Neurol Neurosurg. 2008;110(1):46-50.

Ashjazadeh N, Jowkar H. The prevalence of migraine and tension types of headache among epileptic patients. Caspian J Neurol Sci. 2015;1(3):41-6.

Behrouz B, Amini K, Shakhniya F, Abedi A, Ghasemi N. The epidemiology and clinical characteristics of migraine and tension headaches among the patients referred to Farabi Hospital in Kermanshah city in year 2011. Iranian J Epidemiol. 2013;9(1):58-65.

Sweileh WM, Sawalha AF, Zyoud SH, Al-Jabi SW, Shamseh FF, Khalaf HS. Epidemiological, clinical and pharmacological aspects of headache in a university undergraduate population in Palestine. Cephalalgia. 2010;30(4):439-46.

Deleu D, Khan MA, Humaidan H, Al Mantheri Z, Al Hashami S. Prevalence and clinical characteristics of headache in medical students in Oman. Headache. 2001;41(8):798-804.

Adoukonou T, Houinato D, Kankouan J, Makoutode M, Paraiso M, Tehindrazanarivelo A, et al. Migraine among university students in Cotonou (Benin). Headache. 2009;49(6):887-93.

Mahdinejad KM, Khodaee A. Effects of combined low estrogen oral contraceptive pills on migraine and tension headaches. J Gorgan Univ Med Sci. 2011;12(4):51-4.

Rosenberg MJ, Waugh MS. Oral contraceptive discontinuation: a prospective evaluation of frequency and reasons. Am J Obstet Gynecol. 1998;179(3):577-82.

Petitti DB. Clinical practice: Combination estrogen-progestin oral contraceptives. N Engl J Med. 2003;349(15):1443-50.

Loder EW, Buse DC, Golub JR. Headache as a side effect of combination estrogen-progestin oral contraceptives: a systematic review. Am J Obstet Gynecol. 2005;193(3 Pt 1):636-49.




How to Cite

Fattahzadeh-Ardalani, G., Ahari, S. S., Amani, F., & Moghaddamnia, V. (2017). Prevalence of migraine and tension headaches and related factors, 2014. International Journal of Research in Medical Sciences, 5(5), 2016–2020.



Original Research Articles