Racial and socioeconomic disparities in disabling chronic pain: Findings from the Health and Retirement Study

Janevic, Mary R.; McLaughlin, Sara J.; Heapy, Alicia A.; Thacker, Casey; Piette, John D.

doi:10.1016/j.jpain.2017.07.005

Cited by 265Musculoskeletal pain and rehabilitationHealth disparities and outcomesPain Management and Opioid Use

Racial and socioeconomic disparities in disabling chronic pain: Findings from the Health and Retirement Study

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Janevic, Mary R., McLaughlin, Sara J., Heapy, Alicia A., Thacker, Casey, Piette, John D.·2017·The Journal of Pain

DOI 10.1016/j.jpain.2017.07.005PMC PMC5682226

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Abstract

The U.S. National Pain Strategy calls for increased population research on "high-impact chronic pain" (ie, longstanding pain that substantially limits participation in daily activities). Using data from the nationally-representative Health and Retirement Study (HRS), we investigated the prevalence of high-impact chronic pain in U.S. adults older than age 50 overall and within population subgroups. We also explored sociodemographic variation in pain-related disability within specific activity domains. Data are from a subsample of HRS respondents (n = 1,925) who were randomly selected for a supplementary pain module in 2010. Our outcome was operationalized as pain duration of ≥7 months and a disability rating of ≥7 (0-10 scale) in at least 1 domain: family/home, leisure, social activities, work, or basic activities. Overall, 8.2% (95% confidence interval = 6.7-10.1%) of adults older than age 50 met criteria for high-impact chronic pain. This proportion rose to 17.1% (95% confidence interval = 12.3-23.4%) among individuals in the lowest wealth quartile. Prevalence differences according to education, race/ethnicity, and age were not significant. Arthritis and depression were significantly associated with high-impact pain in multivariable analysis. Among adults with any chronic pain, African American and individuals in the lowest wealth quartile reported more pain-related disability across activity domains.Perspective High-impact chronic pain is unequally distributed among midlife and older U.S. adults. Efforts to reduce the burden of disabling chronic pain should prioritize socioeconomically vulnerable groups, who may have the least access to multimodal pain treatment to improve function.

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The HICP prevalence estimate is considerably lower than estimates based on pain interference.
“That this estimate is considerably lower than estimates based on pain interference11,36 is not unexpected.”
From Prevalence and Profile of High-Impact Chronic Pain in the United States (2019) · cites this paper as [11]

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Authors: Janevic, M. R., McLaughlin, S. J., Heapy, A. A., Thacker, C., & Piette, J. D.
Affiliations: University of Michigan (US)
Miami University (US)
Yale University (US)
Corresponding author: Janevic, Mary R.
ORCID: Janevic, Mary R.
McLaughlin, Sara J.
Heapy, Alicia A.
Piette, John D.
Venue: The Journal of Pain
Publisher: Elsevier BV
Published: 2017-12
Volume: 18
Issue: 12
Pages: 1459-1467
ISSN: 1526-5900 (ISSN-L)
DOI: 10.1016/j.jpain.2017.07.005
PMC: PMC5682226
OpenAlex: W2741522336
Cited by: 265
References: 45
Citations by year: 2026: 23 · 2025: 43 · 2024: 40 · 2023: 44 · 2022: 33 · 2021: 30 · 2020: 28 · 2019: 14 · 2018: 10
FWCI: 9.93
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 2110 d)
Locations: Journal of Pain (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health
National Institute on Aging (K01AG050706, U01AG009740)
National Institute of Diabetes and Digestive and Kidney Diseases (P30DK092926)
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Social Sciences › Health › Health disparities and outcomes
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
Keywords: chronic pain, pain-related disability, racial disparities, socioeconomic disparities, older adults, African Americans, poverty, arthritis, depression, pain prevalence, activity limitation, multimodal pain management
MeSH terms: Aged, Aged, 80 and over, Black or African American, Female, Persons with Disabilities, Disabled Persons, Health Surveys, Humans, Male, Middle Aged, Social Class, United States, Health Status Disparities, Chronic Pain

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Racial and socioeconomic disparities in disabling chronic pain: Findings from the Health and Retirement Study

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