Prevalence of Persistent Pain in the U.S. Adult Population: New Data From the 2010 National Health Interview Survey

Kennedy, Jae; Roll, John M.; Schraudner, Taylor; Murphy, Sean; McPherson, Sterling

doi:10.1016/j.jpain.2014.05.009

Cited by 253 publications

(203 citation statements)

References 21 publications

Supporting

Mentioning

185

Contrasting

Unclassified

Order By: Relevance

“…The associations between chronic pain and older age, 27 depression and anxiety 28 and increased healthcare utilization 29 have been well described. While the association between pain and unemployment, less education and race is not clear, 30 these characteristics are associated with lower socioeconomic status, which has been associated with increased prevalence and severity of chronic pain.…”

Section: Discussionmentioning

confidence: 99%

“…31 While our study found a higher prevalence of chronic pain in Hispanic participants, this is counter to a large U.S. epidemiologic study that found significantly less chronic pain in Hispanics compared to Non-Hispanics. 27 However, Hispanics are at higher risk for painful conditions given their lower overall socioeconomic status and higher rates of obesity. 1 Hispanics of Puerto Rican decent have been shown to have higher rates of chronic back and neck pain.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Primary Care Patients with Drug Use Report Chronic Pain and Self-Medicate with Alcohol and Other Drugs

et al. 2016

View full text Add to dashboard Cite

BACKGROUND: Chronic pain is common among patients with drug use disorders. The prevalence of chronic pain and its consequences in primary care patients who use drugs is unknown. OBJECTIVES: To examine: 1) the prevalence of chronic pain and pain-related dysfunction among primary care patients who screen positive for drug use, and 2) the prevalence of substance use to self-medicate chronic pain in this population. DESIGN: This was a cross-sectional analysis. PARTICIPANTS: This study included 589 adult patients who screened positive for any illicit drug use or prescription drug misuse, recruited from an urban, hospitalbased primary care practice. MAIN MEASURES: Both pain and pain-related dysfunction were assessed by numeric rating scales, and grouped as: (0) none, (1-3) mild, (4-6) moderate, (7-10) severe. Questions were asked about the use of substances to treat pain. KEY RESULTS: Among 589 participants, chronic pain was reported by 87 % (95 % CI: 84-90 %), with 13 % mild, 24 % moderate and 50 % severe. Pain-related dysfunction was reported by 74 % (95 % CI: 70-78 %), with 15 % mild, 23 % moderate, and 36 % severe. Of the 576 that used illicit drugs (i.e., marijuana, cocaine, and/or heroin), 51 % reported using to treat pain (95 % CI: 47-55 % ). Of the 121 with prescription drug misuse, 81 % (95 % CI: 74-88 %) used to treat pain. Of the 265 participants who reported any heavy drinking in the past 3 months, 38 % (95 % CI: 32-44 %) did so to treat pain compared to 79 % (95 % CI: 68-90 %) of the 57 high-risk alcohol users. CONCLUSIONS: Chronic pain and pain-related dysfunction were the norm for primary care patients who screened positive for drug use, with nearly onethird reporting both severe pain and severe painrelated dysfunction. Many patients using illicit drugs, misusing prescription drugs and using alcohol reported doing so in order to self-medicate their pain. Pain needs to be addressed when patients are counseled about their substance use.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Primary Care Patients with Drug Use Report Chronic Pain and Self-Medicate with Alcohol and Other Drugs

et al. 2016

View full text Add to dashboard Cite

show abstract

“…While limited epidemiological data regarding pain is a recognized barrier to determining the prevalence of chronic pain in the United States [9], in the report, "Relieving pain in America: A blueprint for transforming prevention, care, education and research," the Institute of Medicine notes that approximately 100 million Americans experience chronic pain [9]. Recently, chronic pain in the general population, as reported by national surveys, has been found to range from 19 [10] to 43 percent [11] among age, race/ethnicity, and/ or sex standardized national samples. The prevalence of chronic pain among Veterans appears to be comparable to or higher than non-Veterans, with one study showing a significantly higher rate of low back pain among Veterans compared with non-Veterans (44% vs 25%, respectively) in primary care settings [2].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and correlates of painful conditions and multimorbidity in national sample of overweight/obese Veterans

Higgins

Buta²,

Dorflinger³

et al. 2016

J Rehabil Res Dev

View full text Add to dashboard Cite

Abstract-Chronic pain and overweight/obesity are prevalent public health concerns and occur at particularly high rates among Veterans. This study examined the prevalence and correlates of two common painful conditions (back pain and arthritis/ joint pain) among overweight/obese Veterans in Veterans Health Administration (VHA) care. Participants (N = 45,477) completed the MOVE!23, a survey intended to tailor treatment for Veterans in VHA's MOVE! weight-management program. Overall, 72% of the sample reported painful conditions, with 10% reporting back pain, 26% reporting arthritis/joint pain, and 35% reporting both. We used multinomial logistic regression with "no pain" as the reference category to examine the association between painful conditions and participant characteristics. After multivariable adjustment, female Veterans had higher odds of reporting arthritis/joint pain and combined back and arthritis/ joint pain than no pain. Participants with higher body mass index had higher odds of reporting arthritis/joint pain and both back and arthritis/joint pain. The likelihood of painful conditions was higher in Veterans with comorbidities (hypertension, hyperlipidemia, lung disease, depression, anxiety, or posttraumatic stress disorder) and generally increased with the number of comorbidities reported (i.e., 5 or more). Overweight/obese Veterans frequently report painful conditions and, among those with pain, often have multiple comorbidities. These factors may increase the complexity of clinical management and necessitate refinements to weight-management programs.

show abstract

“…More than half of those with chronic pain describe it as "unbearable" or "excruciating" [5]. Behavioral and cognitive therapies have been wellestablished in research literature as effective components that can improve pain treatment outcomes [6,7].…”

Section: Introductionmentioning

confidence: 99%

“Focus on the Good” - Participant Perspectives after Engaging in an Online Pain Self-Management Program

Wilson¹,

Shaw

2017

Proceedings of the 50th Hawaii International Conference on System Sciences (2017)

View full text Add to dashboard Cite

The purpose of this study was to evaluate participants' perspectives after engaging in an 8-week online pain self-management program. Unexplored qualitative data for this analysis were collected via secure online surveys distributed during a previously published randomized controlled trial. Participants for the present study were 55 adults prescribed opioid medicines for chronic pain. A qualitative descriptive approach using content analysis methods was used to analyze data obtained from three open-ended survey questions. Five common themes were identified from participant responses regarding online participation. Three themes described the benefits of the program and included: positive reframing, improved accountability, and feeling supported. Two themes described how participants would like to improve the program experience and included: desire for personalizing and ease of use. Participants' insights regarding perceived benefits and limitations can assist health care providers in understanding how online programs may assist in chronic disease selfmanagement for a multitude of health problems.

show abstract

Prevalence of Persistent Pain in the U.S. Adult Population: New Data From the 2010 National Health Interview Survey

Cited by 253 publications

References 21 publications

Primary Care Patients with Drug Use Report Chronic Pain and Self-Medicate with Alcohol and Other Drugs

Primary Care Patients with Drug Use Report Chronic Pain and Self-Medicate with Alcohol and Other Drugs

Prevalence and correlates of painful conditions and multimorbidity in national sample of overweight/obese Veterans

“Focus on the Good” - Participant Perspectives after Engaging in an Online Pain Self-Management Program

Contact Info

Product

Resources

About