The prevalence of chronic pain in United States adults: Results of an Internet-based survey
Open accessAbstract
Unlabelled A cross-sectional, Internet-based survey was conducted in a nationally representative sample of United States (US) adults to estimate the point prevalence of chronic pain and to describe sociodemographic correlates and characteristics of chronic pain. The survey was distributed to 35,718 members (aged 18 years and older) of a Web-enabled panel that is representative of the US population, and 27,035 individuals responded. Crude and weighted prevalence estimates were calculated and stratified by age, sex, and type of chronic pain. The weighted point-prevalence of chronic pain (defined as chronic, recurrent, or long-lasting pain lasting for at least 6 months) was 30.7% (95% CI, 29.8-31.7). Prevalence was higher for females (34.3%) than males (26.7%) and increased with age. The weighted prevalence of primary chronic lower back pain was 8.1% and primary osteoarthritis pain was 3.9%. Half of respondents with chronic pain experienced daily pain, and average (past 3 months) pain intensity was severe (≥ 7 on a scale ranging from 0 to 10) for 32%. Multiple logistic regression analysis identified low household income and unemployment as significant socioeconomic correlates of chronic pain. Chronic pain is prevalent among US adults and is related to indicators of poorer socioeconomic status.Perspective The results of this cross-sectional Internet-based survey suggest a considerable burden of chronic pain in US adults. Chronic pain, experienced by about a third of the population, was correlated with indicators of poorer socioeconomic status. Primary chronic pain was most commonly attributed to lower back pain, followed by osteoarthritis pain.
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Chronic pain is often defined by pain duration, yielding prevalence estimates ranging from 19% to 43%, or up to 116 million Americans.
“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 [12]
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- Authors
- Johannes, C. B., Le, T. K., Zhou, X., Johnston, J. A., & Dworkin, R. H.
- Affiliations
- RTI Health Solutions (US)
- Eli Lilly (United States) (US)
- University of Rochester Medicine (US)
- Corresponding author
- Johannes, Catherine B.
- Venue
- The Journal of Pain
- Publisher
- Elsevier BV
- Published
- 2010-11
- Volume
- 11
- Issue
- 11
- Pages
- 1230-1239
- ISSN
- 1526-5900 (ISSN-L)
- OpenAlex
- W2027022038
- Cited by
- 1,252
- References
- 21
- Citations by year
- 2026: 26 · 2025: 50 · 2024: 42 · 2023: 58 · 2022: 73 · 2021: 95 · 2020: 118 · 2019: 130 · 2018: 121 · 2017: 102 · 2016: 126 · 2015: 107 · 2014: 88 · 2013: 66 · 2012: 35
- FWCI
- 27.01
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Keywords
- chronic pain, prevalence, socioeconomic status, low back pain, osteoarthritis pain, pain intensity, household income, unemployment, sex differences, age differences, United States adults
- MeSH terms
- Adolescent, Adult, Aged, Chronic Disease, Cross-Sectional Studies, Female, Health Surveys, Humans, Male, Middle Aged, Pain Measurement, Intractable Pain, United States, Prevalence, Internet, Young Adult
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