ArticleSSM - population health2021
Food insecurity, chronic pain, and use of prescription opioids.
Article in SSM - population health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.
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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.
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.
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Who cites it
32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 47 citations in OpenAlex.
- Health outcomes following childhood or adolescent exposure to household food insecurity: a rapid systematic review.Public health nutrition · 2025Pooled it
- Food-based interventions to mitigate household food insecurity in Canada: a systematic review.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2025Pooled it
- Focusing attention on the important association between food insecurity and psychological distress: a systematic review and meta-analysis.BMC nutrition · 2024Pooled it
- Understanding risk and protective factors associated with opioid misuse among at-risk adolescents and young adults in the emergency department.Drug and alcohol dependence · 2025Trial
- Characterizing emergency clinician engagement with social drivers of health data among patients with opioid use disorder.Journal of the American Medical Informatics Association : JAMIA · 2026Article
- Prevalence Of Food Insecurity And Associated Factors Among Adults Living With Chronic Pain In Quebec, Canada: A Cross-Sectional Study.Canadian journal of pain = Revue canadienne de la douleur · 2026Article
- Health insurance participation may mitigate the health impact of food insecurity among Chinese working-age adults.Frontiers in public health · 2026Article
- Characterizing emergency clinician engagement with social drivers of health data among patients with opioid use disorder.medRxiv : the preprint server for health sciences · 2025Article
- Chronic pain prevalence and trends in urban, suburban, and rural areas among American adults aged 55+, 1998-2022.Social science & medicine (1982) · 2025Article
- "A life sentence of hunger": News coverage of state-level PRWORA SNAP restrictions for persons convicted of drug felonies.Health affairs scholar · 2025Article
- Food insecurity and health conditions in the Australian adult population: A nationally representative analysis.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2025Article
- Cross-sectional association of food insecurity with loneliness in older adults: The role of sex, age, and psychosomatic factors.The journal of nutrition, health & aging · 2024Article
- A state-level analysis of macro-level factors associated with hospital readmissions.The European journal of health economics : HEPAC : health economics in prevention and care · 2024Article
- Impacts of social determinants of health on chronic opioid therapy for chronic non-cancer pain.Pain management · 2024Article
- State Supplemental Nutrition Assistance Program Policies and Substance Use Rates.American journal of preventive medicine · 2024Article
- Development and validation of a community-level social determinants of health index for drug overdose deaths in the HEALing Communities Study.Journal of substance use and addiction treatment · 2024Article
- Racial/ethnic disparities in pain among Canadian adults.Canadian journal of pain = Revue canadienne de la douleur · 2024Article
- Food insecurity is associated with chronic pain and high-impact chronic pain in the USA.Public health nutrition · 2023Article
- The association of the quality of life with Afghan households' food insecurity before and after the recent political change in Afghanistan: a comparative analysis.BMC public health · 2023Article
- Food insecurity during the COVID-19 pandemic who use drugs in Vancouver, Canada.Public health nutrition · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Chronic pain has been on the rise in recent decades in Canada. Accordingly, the use of prescription opioids (PO) in Canada increased drastically between 2005 and 2014, only starting to decrease in 2015. Both pain and PO use have serious public health repercussions, disproporionately affecting select socially disadvantaged populations. Food insecurity is a strong risk factor for mental disorders and suicidal outcomes, yet its relationship to chronic pain and PO use is largely unknown. Using two recent cycles from the population representative Canadian Community Health Survey (CCHS), we examined the association of household food insecurity status with chronic pain and PO use among Canadians 12 years and older, adjusting for health and sociodemographic characteristics. Compared to food-secure individuals, marginally, moderately, and severely food-insecure individuals had 1.31 (95% confidence interval [CI] 1.15-1.48), 1.89 (95% CI 1.71-2.08), and 3.29 (95% CI 2.90-3.74) times higher odds of experiencing chronic pain and 1.55 (95% CI 1.30-1.85), 1.77 (95% CI 1.54-2.04), and 2.65 (95% CI 2.27-3.09) times higher odds of using PO in the past year, respectively. The graded association with food insecurity severity was also found in severe pain experience and pain-induced activity limitations among chronic pain patients and, less consistently, in intensive, excess, and alternative use of PO and its acquisition through means other than medical prescription among past-year PO users. Food insecurity was a much more powerful predictor of chronic pain and PO use than other well-established social determinants of health like income and education. Policies reducing food insecurity may lower incidence of chronic pain and help contain the opioid crisis.
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Registered trials
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.