Prevalence of Chronic Pain and High-Impact Chronic Pain Among Adults — United States, 2016

Published on Sep 14, 2018in Morbidity and Mortality Weekly Report13.606
· DOI :10.15585/MMWR.MM6736A2
James M. Dahlhamer17
Estimated H-index: 17
,
Jacqueline W Lucas4
Estimated H-index: 4
+ 7 AuthorsCharles G. Helmick71
Estimated H-index: 71
Sources
Abstract
: Chronic pain, one of the most common reasons adults seek medical care (1), has been linked to restrictions in mobility and daily activities (2,3), dependence on opioids (4), anxiety and depression (2), and poor perceived health or reduced quality of life (2,3). Population-based estimates of chronic pain among U.S. adults range from 11% to 40% (5), with considerable population subgroup variation. As a result, the 2016 National Pain Strategy called for more precise prevalence estimates of chronic pain and high-impact chronic pain (i.e., chronic pain that frequently limits life or work activities) to reliably establish the prevalence of chronic pain and aid in the development and implementation of population-wide pain interventions (5). National estimates of high-impact chronic pain can help differentiate persons with limitations in major life domains, including work, social, recreational, and self-care activities from those who maintain normal life activities despite chronic pain, providing a better understanding of the population in need of pain services. To estimate the prevalence of chronic pain and high-impact chronic pain in the United States, CDC analyzed 2016 National Health Interview Survey (NHIS) data. An estimated 20.4% (50.0 million) of U.S. adults had chronic pain and 8.0% of U.S. adults (19.6 million) had high-impact chronic pain, with higher prevalences of both chronic pain and high-impact chronic pain reported among women, older adults, previously but not currently employed adults, adults living in poverty, adults with public health insurance, and rural residents. These findings could be used to target pain management interventions.
Download
📖 Papers frequently viewed together
1,056 Citations
199845.54JAMA
4 Authors (Oye Gureje, ..., Richard Gater)
1,041 Citations
20162.50BMJ Open
5 Authors (Alan Fayaz, ..., Graeme Jones)
344 Citations
References6
Newest
#1Michael Von Korff (Group Health Research Institute)H-Index: 30
#1Michael Von Korff (Group Health Research Institute)H-Index: 130
Last. Sean Mackey (Stanford University)H-Index: 60
view all 13 authors...
Abstract National Pain Strategy population research objectives include: estimating chronic pain prevalence, studying pain treatment with electronic health care data, and developing metrics to assess progress in reducing chronic pain impact. In this article, the National Pain Strategy Population Research Workgroup reviews concepts relevant to achieving these aims. High-impact chronic pain was defined as persistent pain with substantial restriction of life activities lasting 6 months or more. In p...
66 CitationsSource
#1Blair H. Smith (Aberd.: University of Aberdeen)H-Index: 77
#2Alison M Elliott (Aberd.: University of Aberdeen)H-Index: 25
Last. Kay I PennyH-Index: 15
view all 6 authors...
Results. Of the sample, 14.1% reported ‘significant chronic pain’, and this was more prevalent among women and older age groups. A total of 6.3% reported ‘severe chronic pain’, and this was more common in older age groups. On multiple logistic regression modelling, female gender, housing tenure, employment category and educational attainment were found to be independently associated with both ‘significant’ and ‘severe’ chronic pain. The presence of ‘any’, ‘significant’ and ‘severe’ chronic pain ...
551 CitationsSource
#1Fiona M. Blyth (RNSH: Royal North Shore Hospital)H-Index: 66
#2Lyn March (RNSH: Royal North Shore Hospital)H-Index: 132
Last. Michael J. Cousins (RNSH: Royal North Shore Hospital)H-Index: 68
view all 6 authors...
This study reports chronic pain prevalence in a randomly selected sample of the adult Australian population. Data were collected by Computer-Assisted Telephone Interview (CATI) using randomly generated telephone numbers and a two-stage stratified sample design. Chronic pain was defined as pain experienced every day for three months in the six months prior to interview. There were 17,543 completed interviews (response rate=70.8%). Chronic pain was reported by 17.1% of males and 20.0% of females. ...
1,345 CitationsSource
#1Oye Gureje (University College Hospital, Ibadan)H-Index: 96
#2M. Von KorffH-Index: 1
Last. Richard GaterH-Index: 21
view all 4 authors...
Context.—There is little information on the extent of persistent pain across cultures. Even though pain is a common reason for seeking health care, information on the frequency and impacts of persistent pain among primary care patients is inadequate.Objective.—To assess the prevalence and impact of persistent pain among primary care patients.Design and Setting.—Survey data were collected from representative samples of primary care patients as part of the World Health Organization Collaborative S...
1,041 CitationsSource
#1Susan M. Schappert (HHS: United States Department of Health and Human Services)H-Index: 2
OBJECTIVE: This report describes ambulatory care visits in the United States across three ambulatory care settings--physician offices, hospital outpatient departments, and hospital emergency departments. Statistics are presented on selected patient and visit characteristics for all ambulatory care visits and separately for each setting. METHODS: The data presented in this report are from the 1997 National Ambulatory Medical Care Survey (NAMCS) and the 1997 National Hospital Ambulatory Medical Ca...
697 Citations
Cited By415
Newest
#1Divya Bhansali (Columbia University)
#2Shavonne Teng (Columbia University)H-Index: 1
Last. Kam W. Leong (Columbia University)H-Index: 121
view all 0 authors...
Abstract null null Pain is one of the most common medical conditions and affects more Americans than diabetes, heart disease, and cancer combined. Current pain treatments mainly rely on opioid analgesics and remain unsatisfactory. The life-threatening side effects and addictive properties of opioids demand new therapeutic approaches. Nanomedicine may be able to address these challenges as it allows for sensitive and targeted treatments without some of the burdens associated with current clinical...
Source
#1Staja Q. Booker (UF: University of Florida)H-Index: 8
#2Emily J. Bartley (UF: University of Florida)H-Index: 25
Last. Roger B. Fillingim (UF: University of Florida)H-Index: 102
view all 0 authors...
Abstract null null Racial equity is imperative to the future and integrity of scientific inquiry. In 2020, citizens of the United States (and globally) witnessed one of the most vile and egregious experiences of police brutality and systemic racism in recent history, the public execution of a Black American man. While some may isolate this and other similar events from influencing the scientific endeavors of pain researchers, events such as this can have a direct impact on the study, lived exper...
Source
#1Joana Barroso (NU: Northwestern University)H-Index: 2
#2Paulo Branco (NU: Northwestern University)H-Index: 5
Last. Apkar Vania ApkarianH-Index: 15
view all 0 authors...
Chronic pain is a leading cause of disability worldwide and its prevalence is likely to increase over the next decades. Treatment for chronic pain remains insufficient and therapeutical advances have not made comparable progress with that for many chronic disorders, thus amplifying the concern on the future burden of the disease. At the same time, and even after decades of intense research, the underlying pathophysiology of chronic pain remains minimally understood. We believe advancing our curr...
Source
#1Rui Li (URMC: University of Rochester Medical Center)H-Index: 5
#2Robert H. Dworkin (URMC: University of Rochester Medical Center)H-Index: 96
Last. Christopher L. Seplaki (URMC: University of Rochester Medical Center)H-Index: 23
view all 0 authors...
Abstract null null Despite extensive research on the development and risk factors of chronic pain, the process of recovery from chronic pain in later life has been rarely studied. We estimated the recovery rate of moderate to severe chronic pain (chronic pain of moderate or severe severity or interfering with usual activities) among older adults and investigated predictors of recovery. Leveraging the longitudinal Health and Retirement Study 2006–2016 data (6 waves), we estimated the biennial nat...
Source
#1Thomas A. Szabo-Pardi (UTD: University of Texas at Dallas)H-Index: 6
#2Luz R. Barron (UTD: University of Texas at Dallas)H-Index: 1
Last. Michael D. Burton (UTD: University of Texas at Dallas)H-Index: 17
view all 0 authors...
Abstract null null Recent studies have brought to light the necessity to discern sex-specific differences in various pain states and different cell-types that mediate these differences. These studies have uncovered the role of neuroimmune interactions to mediate pain states in a sex-specific fashion. While investigating immune function in pain development, we discovered that females utilize immune components of sensory neurons to mediate neuropathic pain development. We utilized two novel transg...
Source
#1Lise Dassieu (UdeM: Université de Montréal)H-Index: 3
#2M. Gabrielle Pagé (UdeM: Université de Montréal)H-Index: 14
Last. James M. Thompson (Queen's University)H-Index: 4
view all 0 authors...
Background null Chronic pain affects about 20 % of the Canadian population and can lead to physical, psychological and social vulnerabilities. However, this condition remains poorly recognized and undertreated. During 2020, as the COVID-19 pandemic disrupted daily living and health care systems, the situation of people with chronic pain has drawn little public attention. null Methods null This qualitative study was part of a pan-Canadian mixed-methods project and aimed to understand the experien...
Source
#1Anabela Santos (Felician College)
#2Melanie Percy (RU: Rutgers University)
Last. David Rabinowitsch (Felician College)H-Index: 1
view all 0 authors...
Purpose of Study: The purpose of the study was to evaluate the usefulness of the aromatherapy (AT) recommendation in the American Holistic Nurses Association's (AHNA's) Holistic Nurses' Pain Relief Tools for Patients and Self-Care (Pain Tool). Methodology: An observational survey design was used and a purposeful sample of 55 nurses were invited to a two-part, 15-question survey administered via SurveyMonkey. The demographic data were analyzed with quantitative analysis and the open-ended questio...
Source
#1Adrianne Frech (MU: University of Missouri)H-Index: 11
#2Jason N. Houle (Dartmouth College)H-Index: 15
Last. Dmitry Tumin (ECU: East Carolina University)H-Index: 5
view all 0 authors...
Abstract null null Background null Unsecured debt — debt not tied to an asset — is a financial stressor that undermines health, but prior research has not investigated relationships between group-based trajectories of unsecured debt and pain and disability at midlife. null null null Methods null US respondents of the National Longitudinal Study of Youth-1979 cohort reported unsecured debt and income between ages 28–40. We used these measures to identify group-based trajectories of unsecured debt...
Source
BACKGROUND Increasing evidence has demonstrated that childhood adversity was a predictor of pain and hypothalamic-pituitary-adrenal (HPA) axis genetic variation is associated with pain risk. This study aims to explore possible effects of prolonged childhood separation from parents and HPA polygenic risk score (PRS) on pain among adolescents in rural China. METHOD We used data from 219 adolescents in rural area of Fuyang city, Anhui province, China. Parent-child separation was collected through i...
Source
#1Jingjing Wang (ZJU: Zhejiang University)H-Index: 11
#2Cheng Wu (ZJU: Zhejiang University)H-Index: 2
Last. Li X (ZJU: Zhejiang University)H-Index: 1
view all 0 authors...
Nerve injury in the somatosensory pathway may induce maladaptive changes in the transcriptional or protein levels that contribute to the development and maintenance of neuropathic pain. The retrosplenial cortex (RSC) processes nociceptive information, and it presents structural and molecular changes after nerve injury, in contrast, the detailed transcriptional changes in the RSC were unknown. Here we first confirm the involvements of RSC in the regulation of pain sensation and observe that the s...
Source