উন্নত করার কিছু দেখছেন? একটি পরিবর্তন প্রস্তাব করুন।
Chronic pain — pain lasting 3 months or more — disrupts work and daily life for millions of adults, and is linked to depression, dementia, higher suicide risk and substance use. In 2016, about 50 million U.S. adults had it. The National Pain Strategy called for better estimates, and a 2022 review named the National Health Interview Survey (NHIS) the best source. CDC analyzed NHIS data for 2019–2021.
How pain was measured
- Chronic pain: pain on most days or every day in the past 3 months.
- High-impact chronic pain: chronic pain that also limited life or work activities on most days or every day.
The numbers, 2021
| Share of adults | People | |
|---|---|---|
| Chronic pain | 20.9% | 51.6 million |
| High-impact chronic pain | 6.9% | 17.1 million |
From 2019 to 2021, chronic pain ranged 20.5%–21.8% and high-impact pain 6.9%–7.8%. Chronic pain was about the same as in 2016 (20.4%), but high-impact pain was lower than in 2016 (8.0%) — and its age-adjusted rate, 6.4%, met the Healthy People 2030 target.
Chronic and high-impact chronic pain among U.S. adults, 2019–2021. Image from CDC's report
Who is most affected
Age-adjusted prevalence.
| Group | Chronic pain | High-impact |
|---|---|---|
| American Indian or Alaska Native | 12.8% (vs 6.5% White, 2.1% Asian) | |
| Bisexual | 32.9% (vs 19.3% straight, 20.7% gay or lesbian) | |
| Divorced or separated | 29.6% (vs 18.2% married) | 10.1% (vs 5.2%) |
| Born in the U.S. | 21.6% (vs 11.9% born elsewhere) | 7.0% (vs 4.1%) |
| Nonmetropolitan areas | 9.2% (vs 5.5% large central metro) | |
| Family income below the poverty level | 14.4% (vs 3.5% at 400% or more) | |
| Poor general health | 67.6% | 48.7% |
| With a disability | 52.4% | 32.0% |
| Myalgic encephalomyelitis / chronic fatigue syndrome | 70.0% | 43.8% |
| Dementia | 54.9% | 34.2% |
As earlier studies found, rates were also higher among older adults, women, veterans, adults out of work who had worked before, and those with public health insurance. The findings for AI/AN, bisexual and divorced or separated adults are new.
What it means
Why these gaps exist needs more study. Meanwhile, clinicians, health systems and payers should watch closely for inequities and make sure everyone can get appropriate, affordable, coordinated and effective pain care. CDC's 2022 opioid prescribing guideline promotes multimodal, multidisciplinary pain management and ways to reduce disparities; injury prevention, culturally responsive care and better pain therapies can also ease the burden.
Limits: the survey excludes the military and people in nursing homes and other institutions; answers are self-reported; and COVID-19 disrupted data collection and health care in ways that may affect the results.
Sources
Based on S. Michaela Rikard, Andrea E. Strahan, Kristine M. Schmit and Gery P. Guy Jr., "Chronic Pain Among Adults — United States, 2019–2021," MMWR, volume 72, Centers for Disease Control and Prevention; a work of the United States government in the public domain.
লাইসেন্স: CC0 1.0 (পাবলিক ডোমেইন) · গৃহীত হয়েছে www.cdc.gov
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