Headaches and family planning: insights from a Japanese school-based survey.

IF 7.9 1区医学 Q1 CLINICAL NEUROLOGY

Journal of Headache and Pain Pub Date : 2025-07-15 DOI:10.1186/s10194-025-02102-3

Masahito Katsuki, Naomichi Wada, Keiko Iijima, Noriyuki Yoshizawa, Yoshizumi Toya, Yasuko Hanaoka, Kazuma Kaneko, Shoji Kajikawa

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引用次数: 0

Abstract

Objective: To investigate the effect of headaches on women's pregnancy plans and fertility intentions.

Methods: We prospectively performed a school-based online survey for students' parents in Suwa city, Japan, in 2023. We asked their age, sex, the number of children, the presence of headache attacks, the use of acute and prophylactic medications, monthly headache days (MHD), monthly acute medication intake days (AMD), headache impact test-6 (HIT-6), and whether or not headaches worsen during menstruation. We also examined headache's effect on pregnancy plans and asked about how headaches would affect pregnancy, the ability to raise a child, and the child's health.Of 5558 students' households, we retrieved 1142 (20.1%) answers, and 717 (12.9%) responses from parents with headaches.

Results: Of 5558 students' households, we retrieved 1142 (20.1%) answers, and 717 (12.9%) responses from parents with headaches were finally analyzed. The median (first quartile-third quartile) age was 43 (37-46) years, and 653 (91.1%) were female. Median MHD, AMD, and HIT-6 were 3 (1-6), 3 (1.5-6), and 62 (58-65), respectively. Twenty-four (3.3%) used prophylactic medications and 562 (78.4%) used acute medications for headache attacks. The median number of children was 2 (1-2). Avoid pregnancy group consisted of 39/717 (5.4%) respondents. They were younger (median 39 years; first quartile-third quartile 33-42 years), with more respondents with headaches worsening during menstruation (28/35; 80.0%), with acute medication use (36/39; 92.3%), and had more MHD (5; 3-10), more AMD (5; 2-11), and high HIT-6 score (66; 60-67), compared to the no impact group. They tended to think that headaches would be worse during pregnancy (16/39; 41.0%) and that headaches negatively affect pregnancy (28/39; 71.8%), raising a child (20/39; 51.3%), and the child's development (31/39; 79.5%) and risk of having a headache (28/39; 71.8%) compared to the no impact group.

Conclusions: Some of the respondents avoided pregnancy because of their headaches. Those in avoid pregnancy group had severe headaches and felt that headaches negatively affected family planning.

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头痛和计划生育：来自日本学校调查的见解。

目的：探讨头痛对女性妊娠计划和生育意愿的影响。方法：我们于2023年对日本水和市的学生家长进行了前瞻性的基于学校的在线调查。我们询问了他们的年龄、性别、子女数量、头痛发作的情况、急性和预防性药物的使用、每月头痛天数（MHD）、每月急性药物摄入天数（AMD）、头痛影响测试-6 (HIT-6)，以及头痛是否在月经期间加重。我们还调查了头痛对怀孕计划的影响，并询问头痛如何影响怀孕、抚养孩子的能力和孩子的健康。在5558个学生家庭中，我们检索了1142个（20.1%）回答，717个（12.9%）回答来自头痛的家长。结果：在5558个学生家庭中，我们检索了1142份（20.1%）的回答，最终分析了717份（12.9%）来自头痛家长的回答。年龄中位数（第一四分位数-第三四分位数）为43（37-46）岁，其中653（91.1%）为女性。中位MHD、AMD和HIT-6分别为3（1-6）、3（1.5-6）和62（58-65）。24人（3.3%）使用预防性药物，562人（78.4%）使用急性头痛药物。儿童人数中位数为2（1-2）。避免妊娠组为39/717（5.4%）。他们更年轻(中位数39岁；第一四分位数-第三四分位数33-42岁)，更多的受访者在月经期间头痛加重(28/35；80.0%)，急性用药(36/39；92.3%)， MHD患者较多(5；3-10)，更多AMD (5；2-11)， HIT-6得分高(66；60-67)，与无影响组相比。他们倾向于认为头痛在怀孕期间会更严重(16/39；41.0%)，头痛对妊娠有负面影响(28/39；71.8%)，抚养孩子(20/39；51.3%)，儿童发育(31/39；79.5%)和头痛的风险(28/39；71.8%)，与无影响组相比。结论：部分调查对象因头痛而避免怀孕。避免怀孕组有严重的头痛，并认为头痛对计划生育有负面影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Headache and Pain 医学-临床神经学

CiteScore

11.80

自引率

13.50%

发文量

143

审稿时长

6-12 weeks

期刊介绍： The Journal of Headache and Pain, a peer-reviewed open-access journal published under the BMC brand, a part of Springer Nature, is dedicated to researchers engaged in all facets of headache and related pain syndromes. It encompasses epidemiology, public health, basic science, translational medicine, clinical trials, and real-world data. With a multidisciplinary approach, The Journal of Headache and Pain addresses headache medicine and related pain syndromes across all medical disciplines. It particularly encourages submissions in clinical, translational, and basic science fields, focusing on pain management, genetics, neurology, and internal medicine. The journal publishes research articles, reviews, letters to the Editor, as well as consensus articles and guidelines, aimed at promoting best practices in managing patients with headaches and related pain.