Evidence map›Paper›PMID 28760648›Full record

ArticleThe journal of pain2017

Racial and Socioeconomic Disparities in Disabling Chronic Pain: Findings From the Health and Retirement Study.

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

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The journal of pain, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 166 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
166citing papers in PubMed, 4 pooled it
10.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

166 citing papers in PubMed, 4 syntheses or guidelines pooled it, 260 citations in OpenAlex.

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  15. Centralized Pain Diagnoses in Older Adults With and Without Cancer.Journal of pain & palliative care pharmacotherapy · 2026
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106 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Mary R JanevicCenter for Managing Chronic Disease, University of Michigan School of Public Health, Ann Arbor, Michigan; Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, Michigan. Electronic address: mjanevic@umich.edu.
Sara J McLaughlinDepartment of Sociology and Gerontology and Scripps Gerontology Center, Miami University, Oxford, Ohio.
Alicia A HeapyVA Connecticut Healthcare System Pain Research, Informatics, Multimorbidities, and Education (PRIME) Health Services Research and Development Center of Innovation, Yale University School of Medicine, New Haven, Connecticut.
Casey ThackerDepartment of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, Michigan.
John D PietteCenter for Managing Chronic Disease, University of Michigan School of Public Health, Ann Arbor, Michigan; Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, Michigan.
Michigan Department of Health and Human Services · USMiami University · USYale University · US

Funding

HRS Yrs29-34: Y33 SSA CoFundingU01AG009740 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jessica Faul, KENNETH M LANGA · 1990 to 2026
$555.8M
Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
A low-intensity, cognitive-behavioral self-management intervention for chronic musculoskeletal pain in older adultsK01AG050706 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI JANEVIC, MARY ROSE · 2016 to 2020
$580k
NIA NIH HHS K01 AG050706NIA NIH HHS U01 AG009740NIDDK NIH HHS P30 DK092926
6 · The paper itself

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.

Indexed as

Health Status DisparitiesSocial ClassAgedAged, 80 and overBlack or African AmericanChronic PainFemaleHealth SurveysHumansMaleMiddle AgedPersons with DisabilitiesUnited Statesfunctional statushealth disparitiesolder adultsQuality of liferace/ethnicitysurvey research

Identifiers

PMID28760648
PMCPMC5682226
OpenAlexW2741522336

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.