The first prevalence study of primary headaches in adults in a post-conflict area of Serbia

Cephalalgia. 2021 Aug;41(9):959-967. doi: 10.1177/03331024211006043. Epub 2021 May 2.

Abstract

Aim: The aim of the present study was to establish annual prevalence of primary headaches, migraine, and tension-type headache among adults in a post-conflict area of Serbia.

Methods: The data for this cross-sectional study was obtained via face-to-face interviews using questionnaires specifically designed for this purpose, in line with the available guidelines. The study sample included adults aged 18-65 years whose native language is Serbian with residence in six predominantly Serbian communities in Kosovo and Metohija. Relevant diagnoses were established according to the diagnostic criteria of the International Classification of Headache Disorders, 3rd edition.

Results: The study included 1062 adults. Analyses indicated 47.7% prevalence of primary headaches. The 1-year prevalence of migraine (with aura and without aura) and tension-type headache was established at 15.2% (3.3% and 11.9%), and 32.2%, respectively. One-year prevalence of chronic headache was calculated at 3.5%, while the prevalence of medication overuse headache was slightly lower at 2.9%. Primary headaches were more prevalent among women, participants residing south of the river Ibar, married or cohabiting individuals, as well as among interviewees (persons) who reported feeling unsafe in Kosovo and Metohija. This is the first study of the prevalence of primary headache disorders in Serbia. The obtained data is comparable to the data available for other countries, especially those in the Balkan region.

Keywords: Primary headaches; Serbia; post-conflict area; prevalence.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Female
  • Headache
  • Headache Disorders / epidemiology
  • Headache Disorders, Primary / epidemiology*
  • Humans
  • Migraine Disorders / epidemiology
  • Prevalence
  • Serbia / epidemiology
  • Tension-Type Headache / epidemiology*