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Common Chronic Pain Conditions in Developed and Developing Countries: Gender and Age Differences and Comorbidity With Depression-Anxiety Disorders
Open accessAbstract
Unlabelled Although there is a growing body of research concerning the prevalence and correlates of chronic pain conditions and their association with mental disorders, cross-national research on age and gender differences is limited. The present study reports the prevalence by age and gender of common chronic pain conditions (headache, back or neck pain, arthritis or joint pain, and other chronic pain) in 10 developed and 7 developing countries and their association with the spectrum of both depressive and anxiety disorders. It draws on data from 18 general adult population surveys using a common survey questionnaire (N = 42,249). Results show that age-standardized prevalence of chronic pain conditions in the previous 12 months was 37.3% in developed countries and 41.1% in developing countries, with back pain and headache being somewhat more common in developing than developed countries. After controlling for comorbid chronic physical diseases, several findings were consistent across developing and developed countries. There was a higher prevalence of chronic pain conditions among females and older persons; and chronic pain was similarly associated with depression-anxiety spectrum disorders in developed and developing countries. However, the large majority of persons reporting chronic pain did not meet criteria for depression or anxiety disorder. We conclude that common pain conditions affect a large percentage of persons in both developed and developing countries.Perspective Chronic pain conditions are common in both developed and developing countries. Overall, the prevalence of pain is greater among females and among older persons. Although most persons reporting pain do not meet criteria for a depressive or anxiety disorder, depression/anxiety spectrum disorders are associated with pain in both developed and developing countries.
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“the 12-month prevalence of CP was found to be about 37% in developed countries and 41% in developing countries.9”
From Pain and Evil: From Local Nociception to Misery Following Social Harm (2020) · cites this paper as [9]
In the citing paper
“Chronic pain is often defined by pain duration,1,13,23,25,26 where pain persisting 3 to 6 months or more because onset can yield prevalence estimates for chronic pain ranging from 19 to 43%, or ≤ 116 million Americans.10,12,15,19,26”
From Prevalence and Profile of High-Impact Chronic Pain in the United States (2019) · cites this paper as [26]
In the citing paper
“However, it should be noted that the prevalence of chronic pain is higher among females compared with males [73], and research also shows challenges in recruiting male participants compared with female participants for intervention programs focusing on self-management [74].”
From A User-Centered Approach to an Evidence-Based Electronic Health Pain Management Intervention for People With Chronic Pain: Design and Development of EPIO (2020) · cites this paper as [73]
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Metadata
- Authors
- Tsang, A., Von Korff, M., Lee, S., Alonso, J., Karam, E., Angermeyer, M. C., Borges, G. L. G., Bromet, E. J., de Girolamo, G., de Graaf, R., Gureje, O., Lepine, J.-P., Haro, J. M., Levinson, D., Oakley Browne, M. A., Posada-Villa, J., Seedat, S., & Watanabe, M.
- Affiliations
- Chinese University of Hong Kong (HK)
- Municipal Institute for Medical Research (ES)
- Saint George Hospital (LB)
- Universidad Autónoma Metropolitana (MX)
- Stony Brook University (US)
- University College Hospital, Ibadan (NG)
- Israel Ministry of Health (IL)
- Jichi Medical University (JP)
- Corresponding author
- Tsang, Adley
- ORCID
- Venue
- The Journal of Pain
- Publisher
- Elsevier BV
- Published
- 2008-10
- Volume
- 9
- Issue
- 10
- Pages
- 883-891
- ISSN
- 1526-5900 (ISSN-L)
- OpenAlex
- W2054285377
- Cited by
- 1,157
- References
- 37
- Citations by year
- 2026: 34 · 2025: 62 · 2024: 60 · 2023: 79 · 2022: 95 · 2021: 86 · 2020: 106 · 2019: 79 · 2018: 105 · 2017: 94 · 2016: 80 · 2015: 63 · 2014: 75 · 2013: 53 · 2012: 40
- FWCI
- 10.27
- Type
- journal article
- Language
- en
- Update notices
- erratum (2009-05-01)
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Funders
- World Health Organization
- National Institutes of Health (5r13mh066849-04, 5r01mh069864-04, 5r01mh070884-05)
- National Institute of Mental Health (R13-MH-066849, R0 1-MH61905, R01‐MH070884, U01-MH-60220, R01MH061905, R01MH059575, U01MH060220, R01‐MH069864)
- National Institute on Drug Abuse (R01DA016558)
- Fogarty International Center (R01-TW006481)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
- Keywords
- chronic pain, prevalence, headache, back pain, neck pain, arthritis, gender differences, age differences, depression, anxiety disorders, comorbidities, developed and developing countries, cross-national comparison, older adults, women
- MeSH terms
- Adult, Age Factors, Anxiety Disorders, Back Pain, Chronic Disease, Cross-Sectional Studies, Cross-Cultural Comparison, Depressive Disorder, Developing Countries, Female, Headache, Health Surveys, Humans, Male, Middle Aged, Pain, Pain Measurement, Surveys and Questionnaires, Risk Factors, Sex Factors, Comorbidity, Prevalence, Developed Countries, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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